Liza Arnold
Wimauma,FL
Summary
Team leadership, outcomes-oriented Supervisor offering 20-year background to growing team. Adept in case management, clinical oversight and staff training. Proficient in conducting data analysis to close gaps and improve outcomes. Call center and technology knowledge, Medicaid / Medicare, remote, telecommute and quality management.
Overview
14
14
years of professional experience
Work History
Project Development
- Collaborated with team of 20 in the development of pilot projects
- Supervision
- Supervised team of 25 staff members.
SENIOR NETWORK PROVIDER CONSULTANT
AETNA
TAMPA, FLORIDA
12.2019 - Current
- Works with internal staff across multiple departments to identify data sources, processes and activities required to meet regulatory and accreditation requirements or meet the objectives of the QM program.
- Conducts outreach with complex provider partners to share information to improve health outcomes.
- Consults with constituents on solutions to business issues including education and process improvement opportunities.
- Onsite provider visits.
- Provider training platform training.
- Analyzed and defined network requirements, optimization and support for state projects.
OPERATIONS ASSET MANAGER, CLIENT SERVICES
INKSTER HOUSING COMMISSION
INKSTER, MI
01.2017 - 11.2019
- Kept stakeholders up-to-date on details pertaining to client projects.
- Handled complaints, provided appropriate solutions and alternatives within appropriate timeframes, and followed up to achieve resolution.
- Delivered outstanding service to clients to maintain and extend relationships for future business opportunities.
- Delegated tasks to existing support team members and used cloud-based tools to help solve complex business issues.
- Investigated, documented and submitted information to Quality Department about special incidents, events and complaints.
- Evaluated appraisals, broker opinions and current market data to derive internal valuations and implement property strategies from pre-foreclosure through sale of asset.
SENIOR LEAD CLINICAL LIASON
UNITED HEALTHCARE GROUP
Southfield, MI
03.2009 - 01.2018
- Served as senior patient advocate and liaison with physicians, families, insurance, community agencies and other needed to ensure continuity of care links patients and families to appropriate community resources
- Documents patient and family status, diagnosis, treatment plan, goals, and interventions, evaluation results, observations and progress in medical records.
- Demonstrated knowledge of company mission and goals and mentored employees in reaching objectives aligned with company core values.
- Built strong relationships with customers through positive attitude and attentive response.
Education
Business Administration Attending
Wayne County Community College
District
Skills
- Strategic Planning and Alignment
- Administration and Reporting
- Contract Development and Management
- Managing Operations and Efficiency
- Product Development Consultations
- Marketing Strategy Development
- Exemplary People Management Skills
- Customer Relationship Management
- Business Operations
- Staff Management
- Issue and Conflict Resolution
Accomplishments
- Collaborated with team of 30 in the development Social Determinants of Health Program.
Timeline
SENIOR NETWORK PROVIDER CONSULTANT
AETNA
12.2019 - Current
OPERATIONS ASSET MANAGER, CLIENT SERVICES
INKSTER HOUSING COMMISSION
01.2017 - 11.2019
SENIOR LEAD CLINICAL LIASON
UNITED HEALTHCARE GROUP
03.2009 - 01.2018
Project Development
Business Administration Attending
Wayne County Community College
District
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