Liza Ferguson
Salt Lake City,UT
Summary
Results-driven leader with extensive experience in strategic leadership and healthcare operational excellence, leveraging data analysis to enhance clinical performance and optimize patient care. Proven track record in driving growth, optimizing processes, and fostering team collaboration. Exceptional skills in strategic planning, financial management, and stakeholder engagement. Adaptable and reliable, consistently achieving high-impact results in dynamic environments.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Vice President, Clinical Operations
CareMax
11.2022 - 03.2025
- Oversaw multiple utilization management programs and initiatives to optimize patient care to >150,000 aligned members
- Developed risk stratification model for early identification of prospective utilization risk and coordinated proactive interventions to mitigate risk
- Created utilization management program targeting patients with high hospitalization and resulting in >40% reduction in inpatient and emergency room admission rates.
- Collaborated with IT developer to create and implement an internal care management platform supporting eight care management programs with pathways for patient care, replacing an external vendor and saving $900k annually
Regional Executive Director, Clinical Performance
Steward Health Care
06.2016 - 11.2022
- Collaborated with senior leadership, physicians, and multiple payer partners to succeed in risk-based contracts and meet clinical management, utilization, quality, and risk adjustment budget targets for a patient population of >180,000
- Implemented transitional care, chronic/complex patient management, and skilled nursing facility management programs, effectively lowering post acute care cost, admission and emergency room visits per thousand, and readmission rates
- Developed, implemented, and scaled chronic care management program to all Steward Medical Group practices nationally
- Implemented best practices to decrease ambulatory care sensitive conditions utilization, admissions, and high cost utilization to target and increase quality measure pass rates
Market Management Consultant
Humana
06.2012 - 06.2016
- Led team of clinical, HEDIS, and Risk Adjustment experts to effectively manage cost, quality and documentation with>100 provider partners across a four-state region
- Analyzed and interpreted financial, clinical, and documentation trends for non-delegated partners. Facilitated delegation oversight committee
- Evaluated skilled facilities for preferred partnerships.
- Developed strong relationships with key stakeholders at all organizational levels, fostering collaboration across departments.
Education
Associate of Applied Science - Nursing
Broadview University
West Jordan, Utah12.2006
Skills
- Strategic planning
- Team leadership
- Relationship building
- Decision-making
- Critical thinking
- Training and mentoring
- Improving efficiency
- Population Health Management
- Performance Management
- Data Analysis
- HEDIS
- Provider Relation
Certification
- Registered Nurse License (RN) - Active in Utah, Interstate Compact
Timeline
Vice President, Clinical Operations
CareMax
11.2022 - 03.2025
Regional Executive Director, Clinical Performance
Steward Health Care
06.2016 - 11.2022
Market Management Consultant
Humana
06.2012 - 06.2016
Associate of Applied Science - Nursing
Broadview University
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