Quality Assurance Project Management
Resume:
GIOVAN HILL, MPH
**********@*****.***
Public health professional with 20 years of administrative support experience in behavioral and mental healthcare, improving community development programs. Dedicated in organizing events and providing effective communication with stakeholders. Knowledge in medical procedure/ medication authorizations, denials, appeals and FDA regulations and guidelines, ICD 10, CPT, HCPCS, and medical terminology, insurance verification, and HIPAA Trained.
SKILLS
Project management
Credentialing
Health Information Management
Strategic Planning
Operations
Care Cast
EPIC
EMR, IDX
Grant Writing
Risk Management
Quality Assurance
US Bank
Compliance
Budget Management
Root Cause Analysis
Change Management
Coordination of care
Joint Commission, DOH, CMS, NCQA
Professional Experience
Montefiore Medical Center - Administrative Supervisor 2012- 2024
Spearheaded and organized the Chief Residents graduation, effectively managing a budget of $25,000.
Oversaw Residency contract renewals for the 2024-25 academic year allocating the proper salaries.
Regulated the departmental stipend of $350,000 for 13 Residents/3 Fellows and 25 Faculty members.
Managed departmental procurement budget of 3.7 million towards reimbursements and inventory.
Led and organized holiday and annual events to maintain feasible budgets of $18,000- $30,000.
Supervised over $2 million grant accounts and maintained relationships with 6 grant partners.
Developed health initiatives to enhance access to safe, low-income housing and shelters. Addressed food insecurities and organized fundraisers, providing targeted resources for young adults in underserved communities.
Implemented a nutritional intervention program to enhance health literacy to manage A1C levels by substituting starch and sugar based cultural recipes with healthier alternatives.
Developed health equity needs assessment trackers to access the appropriate psychological consultations, optimizing resources for patients in need.
Successfully enrolled over 1000 clients in prescription and medical device assistance programs for low to no income families.
Policy development for new patient admission process to improve the success rate of accomplished consultations.
Conducted and monitored the developmental strategies to evaluate the effectiveness of program changes towards improving the success of patient’s health status mentally and physically.
Monitored and managed compliance regulations for over 20 medications and device vendors to meet regulatory requirements.
Led and mentored 5 teams in developing skills with Freestyle Libre, Dexcom, and other continuous glucose monitors.
Established connections and negotiated contracts with over 20 Durable Medical Equipment (DME) providers
through effective communication.
Successfully maintained a 95% approval rate for medications in Endocrinology, Dermatology, Pulmonary, Psychology, and Nephrology specialties.
Strategically evaluated and analyzed data to sustain a 90% approval rate for medication /procedure authorization, and diabetic medical equipment.
Established assessments conducting over 1000 confidential screenings and research strategies aimed at fostering behavioral improvements within culturally diverse communities.
Managed and processed departmental credentialing applications for privileges and reappointments, while efficiently monitoring license renewals.
Lead the Prenatal and Lactation program with staff nurses by managing all data analysis in the labor & delivery and Discharge unit.
Pathmark Pharmacy, Bronx, NY 2004-2012
Pharmacy Technician
Verified and entered accurate prescription information labels and medication dispensing for approval by the pharmacist.
Assisted in providing vital medication education for proper use by using training and medical terminology.
Maintained confidential and accurate patient records.
Oversaw inventory by reviewing, storing, expediting and verifying orders and supplies for efficient pharmaceutical data management.
Maintained a safe and clean pharmacy by complying with procedures, rules and regulations.
PROJECT MANAGEMENT
Montefiore Medical Center, Bronx, NY
Psychology Program Manager 2023- 2024
Assisted in finding housing, improving food insecurities, promoting exercise, and developed fundraisers to provide additional resources to cater to specific communities.
Successfully collected data analysis to reconstruct the psychology consultation process to
maximize resources for patients in underdeveloped communities.
Organized new patient admission process to improve the success rate of accomplished consultations.
Developed interventions to address social determinants of health in various communities.
Outreach at Prevailing Faith Ministries (Volunteer) 2021- Present
Encourages congregation to collaborate with stakeholders to promote DEI in communities, ensuring accessibility to resources and educational material for a healthier living in families.
Developed successful fundraisers to establish funding for continuous outreach efforts. DETAILS, BACK TO SCHOOL RALLY, CLOTHING DRIVE, THANKSGIVING GIVEAWAY
Community engagement (BIBLE STUDY, SEMINARS) Education
Southern New Hampshire University
Masters, Public Health -Global Health September - 2023
Monroe College
Bachelor of Science, Public Health June - 2020
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