Health Services Administration
Resume:
CONTACT
Phone
adz3lv@r.postjobfree.com
**** ******* ****** **. *** 201
Cordova, TN 38016-8494
United States
Address
RAFAEL I. MORALES-RODRÍGUEZ, MHSA, MBA
PROFESSIONAL SUMMARY
Highly accomplished and results-driven healthcare professional with extensive experience as a Healthcare Manager and Vice President of Operations within prestigious healthcare organizations. Demonstrated expertise in managing daily clinic operations, leading projects for service improvement, and ensuring regulatory compliance. Proven track record of achieving significant increases in Medicare Advantage Stars Rating, patient satisfaction, and operational efficiency. Adept at strategic planning, budget management, and developing innovative solutions for healthcare service optimization. Skilled in supervising diverse teams, fostering positive organizational culture, and delivering impactful presentations. Holder of Master's Degree in Health Services Administration & another Master’s in Business Administration, with great academic excellence throughout educational pursuits. Licensed Health Services Administrator by the Puerto Rico Department of Health. WORK & LEADERSHIP EXPERIENCE
SKILLS & EXPERTISE
• Daily Operations Management
• Strong Interpersonal &
Communication Skills
• Strategic Planning, Policy
Development & Implementation
• Staff Supervision, Licensing and
Regulatory Compliance
• Quality Control and Safety
Inspections
• Financial Management and
Budgeting.
• Professionalism, Reliability &
Attention to Details
• Leadership Management &
Relationship Building
• Time Management and Problem
Solving Skills
• Expert in Documentation &
Computer Literacy
• Highly Adaptable to any Working
Environment.
• Project Coordination and
Management
• Advanced English and Spanish
Proficiency
SALUS ADMINISTRATOR
TRIPLE - S
• Managed daily clinic operations & resolved patient and supplier issues related to clinical systems, policies, and staff.
• Oversaw and coordinated projects to improve and evolve clinic services and operations.
• Obtained and maintained all necessary licenses for health services delivery and managed regulatory inspections.
• Supervised and coordinated schedules of various clinic staff, including Revenue Clerks, Nurses, and Medical Doctors.
• Led the development of new services at the clinic and optimized the appointment system structure.
• Achieved a significant increase in Medicare Advantage Stars Rating, improved patient satisfaction, and delivered successful presentations on operations and analysis.
[April 2021- June 2022]
PRACTICE MANAGER AND HEALTH SERVICES CONSULTANT
FIERCE CARE MANAGEMENT [July 2022 - Present]
• In charge of strategic process optimization conducting comprehensive process assessments, identifying the aspects of the operations that needs improvement, and implementing corrective strategies including implementation of new technologies and process optimization.
• Led revenue cycle management improvement initiatives, collaborating with billing, coding and healthcare information management teams to enhance accuracy and compliance, boosting revenue as a result.
• Ensured healthcare practices remains compliant with evolving healthcare regulations, conducting regular evaluation of the processes and continuous training of the staff, maintaining flawless evaluations from licensing entities.
• Developed and manage healthcare practice budgets, monitored financial performance, and implemented cost-saving measures, resulting in a increase in profits while maintaining high-quality patient care. ADDITIONAL WORK & LEADERSHIP EXPERIENCE
HEALTH SERVICES ADMINISTRATION RESIDENCY
MENNONITE HEALTH SYSTEM
• Conducted a comprehensive study and provided general supervision for all departments and projects at the Mennonite General Hospital in Caguas.
• Completed an administrative residency for the Master's Degree in Health Services Administration, focusing on studying the Emergency Room, Admissions Department, and Corporate Headquarters at the Mennonite General Hospital in Cayey.
[May 2013 – July 2013]
• Completed an Administrative Residency for the Master's Degree in Health Services Administration, which involved studying all departments, concluding projects, and developing staffing projects and service layouts.
• Engaged in a comprehensive study and analysis of staffing projects and service layouts as part of the Administrative Residency for the Master's Degree in Health Services Administration.
[March 2013 – May 2013]
HEALTH SERVICES ADMINISTRATION MASTER’S DEGREE SPECIAL PROJECTS METRO PAVIA HEALTH SYSTEM
• Completed special projects credits for the Master's Degree in Health Services Administration by conducting Radiology Department projects at Pavia Hospital in Santurce and Hato Rey, Metropolitan Hospital in Río Piedras, and San Francisco Hospital.
• Engaged in various projects, including outpatient services flow and services layout, aimed at improving the Radiology Department at the mentioned hospitals as part of the Master's Degree program.
[February 2012– July 2012]
CUSTOMER SERVICE OFFICER
BORINQUEN HOSPITAL EQUIPMENT
• Executed tasks in inventory management and cost analysis.
• Successfully facilitated delivery, and provided excellent customer service.
[June 2005 – May 2013]
ADDITIONAL WORK EXPERIENCES
VICE PRESIDENT OF OPERATIONS
METRO HEALTHCARE MANAGEMENT SYSTEM
• Executed corporate policies and collaborated in their development to ensure optimal service delivery practices.
• Planned, developed & continuously improved health services in the South Region of the Metro Pavia Clinic System.
• Developed new reports to enhance operational key performance indicators and service quality.
• Supervised team leaders and supervisors in various departments, including Medical Laboratory, Radiology, Maintenance, etc.
• Managed equipment, maintenance, and capital investment budgeting for new equipment and expenditures.
• Oversaw human resources selection and all necessary licenses and inspections for health services delivery.
• Achieved results-oriented projects to reduce waiting times, increase patient satisfaction, and meet budgetary goals. Developed new leaders and fostered a positive organizational culture.
[March 2014 – April 2021]
HEALTH SERVICES ADMINISTRATION RESIDENCY
NEOMED CENTER – GURABO (Formerly Gurabo Community Health Center) EDUCATION & CERTIFICATION
PROFESSIONAL CERTIFICATE PROGRAM - HEALTH CARE & PROJECT MANAGEMENT HARVARD T.H. CHAN SCHOOL OF PUBLIC HEALTH
• Honor Roll and Academic Excellence Award - because of the completion of the degree with a 3.86 GPA.
[August 2020]
MASTER’S DEGREE IN BUSINESS ADMINISTRATION
UNIVERSITY OF PUERTO RICO, RÍO PIEDRAS CAMPUS - GRADUATE SCHOOL OF BUSINESS ADMINISTRATION
[January 2017]
• Graduate School of Public Health Academic Excellence Award – for completing the degree with a 3.93 GPA.
• University of Puerto Rico Medical Sciences Campus Honor Scholarship
• Got licensed with Health Services Administrator by the Puerto Rico Department of Health. MASTER’S DEGREE IN HEALTH SERVICES ADMINISTRATION
UNIVERSITY OF PUERTO RICO, MEDICAL SCIENCES CAMPUS - GRADUATE SCHOOL OF PUBLIC HEALTH
[June 2013]
BACHELOR OF SCIENCE GENERAL PROGRAM
UNIVERSITY OF PUERTO RICO, RÍO PIEDRAS CAMPUS - COLLEGE OF NATURAL SCIENCES
[January 2011]
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