Manager Management
Resume:
Paul R. Gates, Jr.
Birmingham, AL 35208
***********@*****.***
Assistant Center Manager/Health Services Administrator/
Healthcare Director
A knowledgeable and articulate communicator with over eleven years of managerial and customer care experience in the pharmacy arena and 15 years accumulative experience across the healthcare profession. Maintains strong decision-making and problem-solving abilities, as well as excellent time-management, data management and healthcare analysis proficiencies. Effectively trains new employees on departmental and administrative procedures. Knowledge of basic health system administration philosophies, such as revenue cycle practices, and procedures, and basic government administrative policies and requirements.
Knowledge of applicable laws, rules, and regulations regarding healthcare business processes including HIPPA. Ability to locate and interpret applicable laws, rules, and regulations and make sound decisions using good judgment. Over 9 years of experience executing and implementing quality and safety measures daily in the pharmacy arena. Over 9 years of quality improvement experience. Over 15 years of experience providing patient safety in all relevant arenas of experience in the healthcare sector. This experience includes a working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following:
Educated in hospital operations and revenue cycle management.
Proficiency with PowerPoint and Access
Educated understanding of the payors in various healthcare open markets
Missions, organizations, programs, and requirements of health care delivery systems;
Regulations and standards of various regulatory and credentialing groups; and
Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
Knowledge of administrative and clinical functions and specialized principles and practices of health care management in directing a health care delivery system.
Ability to achieve positive outcomes by leading groups, projects, staff and/or special initiatives with over 9 years of management experience.
Skills assessing, problem-solving and making recommendations for improvement of program effectiveness using qualitative and quantitative methods.
Ability to effectively communicate with diverse groups.
Knowledge of the operating programs and objectives of fee basis care programs.
Knowledge of fee basis claims management regarding processing of third party fee basis monitoring systems.
Professional Experience
Assistant Center Manager 2013-Present
Grifols Plasma Operations
Responsible for all aspects of the donor center when the Center Manager is not present.
Creates appropriate organizational environment and value systems which stimulate the morale and productivity of the work force and its leadership.
Coaches and leads through effective feedback to employees through the Operations Supervisor(s).
Monitors and evaluates operations. Works with the Center Manager to develop action plans to maximize center efficiency and supervises the implementation of improvements. Makes critical decisions for the modifications of action plans.
Responsible for all personnel functions including hiring, assignment and direction of work, development and training, disciplinary actions and termination and the maintenance of all personnel records.
Actively delegates, monitors and holds responsible the operations supervisors for their performance.
Review and approve employee schedules to accommodate donor cycles.
Directs and supervises employees.
Direct key personnel in donor selection, plasma collection and all manufacturing records to maintain the highest production standards in accordance with state and federal regulations, U.S. Food and Drug Administration (FDA)-approved Standard Operating Procedures, Occupational Safety and Health Administration (OSHA), Clinical Laboratory Improvement Amendments (CLIA), and Current Good Manufacturing Practices.
Builds rapport with donors to ensure overall customer satisfaction with the center to support long-term donation.
Directs and monitors the performance of outside vendors
Control center donor funds and ensure that all financial records are accurate and in order.
Works with the Center Manager in implementing the donor center's mission into the community.
Medication Technician 2010-2013
Federal Bureau of Prisons Talladega, AL
Cross-Development Courses in Health Services Administration and Financial Services completed at Federal Bureau of Prisons
Experience in interpreting federal policies
Dispense medication to federal inmates
Counsel inmates on drug therapies
Monitor dosage of medication dispensed to inmates
Act as a correctional officer when necessary to maintain order and safety
Lead and conducts quarterly Pharmacy and Therapeutics meetings
Participates in monthly (URC) Utilization Review Committees
Lead Pharmacy Technician Manager/ 2003-2011
Insurance Specialist
CVS Pharmacy Hueytown, AL
•Consult doctors and nurses with insurance prior authorizations for prescriptions
•Direct and oversee all pharmacy technicians and other pharmacy staff
•Acted as a preceptor for new pharmacy staff orientation and training in 3rd party billing
•Kept pharmacy inventory at an adequate level while staying within budget guidelines
•Specialized in Medicaid and Medicare prescription billing and adjudication
•Verifies insurance claims
•Assisting doctors and nurses with prescription call insurance
•All other duties as assigned by pharmacist.
•Specializes in 3rd party billing
•Submitted prior approvals to insurance companies
•Call insurance companies to rectify rejected claims
Specializes in Medicaid and Medicare prescription billing and interpreting laws and policies
Directs and oversees all technicians and staff
Acts as a preceptor for new pharmacy staff orientation and training in 3rd party billing
Psychiatric Technician 2001-2004
Gulf Oaks Hospital Biloxi, MS
Experience in administering eligibility and psychosocial assessments as the basis for individual treatment planning.
Experience conducting group therapy and individual counseling that revolves around drug abuse treatment
Experience in developing individual treatment plans from interview, to construct, to planning.
Educated drug abuse candidates in Drug Education Program under supervision of clinical coordinator
Educated adolescents in specific primary and secondary drug education curriculum
Planned, prepared, and presented drug education criteria to patients in a classroom or group
Education
Master of Public Administration with an emphasis in Healthcare
Management (in progress)
Grand Canyon University 2012- Present
Bachelor of Science in Health Services Administration
Strayer University 2012
Associates of Arts in Business Administration
Herzing University 2009
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