Barbara Kubilus Email and Phone Number

Assist with the development of billing and credentialing policies and procedures for MaineCare Child Development Services.

Well-versed with over 20-years’ experience within Federally Qualified Health Center, Community Health Center, and Specialty Practice settings. Experience in program design, development, and implementation; including grant development and leveraging of funds, outcome accountability management, strategic planning, contract negotiation and execution, budget development and oversight, organizational capacity building, and board development. Energetic, analytical, creative and a team-oriented leader. Excellent relationship-building, problem-solving, writing, and communication skills. Ability to plan, organize, and motivate for timely execution of tasks.Current projects:o Design CQM model for Ryan White HIV/AIDS Programs.o Develop medical record review tool for adult, adolescent, and pediatric clinical chart reviews.o Establish CQM Committee infrastructure.o Guide the development of a CQM plan.o Recommend (and implement) operational processes to ensure optimal service utilization and quality of services.o Facilitate the development and execution of administrative and quality policies and procedures.

Assisted with the creation of a new School based healthcare program within Miami Dade County Public Schools. Co-facilitated the grant application and its development for submission to HRSA.

• Co-develop, implement, and monitor the activities of the Miami-Dade County Ryan White Program Clinical Quality Management Program.• Develop, implement, and refine training programs to simulate Quality Improvement (QI) thinking and encourage client-centered QI culture across the Ryan White Program.• Assist with the development of the Ryan White Program grant application, Integrated HIV Prevention and Care Plan, revisions in the RWP Standards of Care, and the Clinical Quality Management Plan.• Provide technical assistance to RWP subrecipient agencies.• Work with the Miami-Dade County HIV/AIDS Partnership staff support, Part A, and MAI QI teams to facilitate community and stakeholder meetings.• Assist in the preparation of policy reports.• Provide support in preparing committee meeting agendas and meeting minutes.• Contribute to programmatic recommendations.• Work with staff in developing a new member recruitment plan and efforts for the HIV/AIDS Partnership.• Identify RWP QI opportunities in service delivery.• Analyze qualitative and quantitative data from client satisfaction surveys, focus groups, needs assessments, cooperative university research, and depth interviews with service providers.• Increase the impact of the HIV/AIDS Partnership membership by persons in the affected community.

• Identify federal, state and local funding opportunities; develop proposals for funding.• Acquire and negotiate health plan contracts, credential practice providers in such plans. • Facilitated compliance guidelines for CMS (Centers of Medicare & Medicaid Services) and AHCA (Agency for Healthcare Administration) Programs.• Implement best practices for Revenue Cycle Management, Optimize billing and coding practices.• Managed CAQH (Council for Affordable Quality Healthcare) – Federal Provider Credentialing Database.• Managed PECOS (Provider Enrollment Chain and Ownership System) – Medicare /Medicaid Credentialing Provider Database.• Work with Health Plans and Practice facilitating optimal member utilization.• Create new programs and services to leverage existing services.• Co-facilitate strategic planning for organization.• Responsible for oversight of compliance of contracts, programs and projects (federal, state, county).• Facilitate team-building, leadership development, and employee engagement.• Identify and implement QI (Quality Improvement) projects. • Expanded network of referral resources to healthcare (including specialty) services.• Establish patient satisfaction program.• Implement a best practice staff and leadership engagement and development program.• Develop and oversee grant and organization budgets.• Identify and implement cost-containment measures. • Work closely with billing team to maximize efforts for revenue.• Review data and analyze trends for future projection and proposed programs.• Facilitate partnerships, collaborations and community initiatives.• Build and maintain positive community relationships and promote a positive image of the organization and initiate community alliances.• Oversee social media, website and online marketing and educational efforts.• Represent Project Access Foundation, Inc. on national, state and county committees, advisory boards and task forces.

• Create new programs and services; strengthen current programs and facilitate its development. Provide leadership and administrative oversight of twelve (12) special programs (to include but not limited to): HIV/AIDS care and support services; Behavioral Health; Primary and Behavioral Health Integration; Maternal and Child health and education; School-Based health care including oral health care; Community Outreach, Community health education and screenings; HIV and STD Testing/Counseling; Substance Abuse, Medication Assisted Treatment and Intensive Outpatient Program services.• Member of executive management team.• Identify federal, state and local funding opportunities; develop (or co-develop) proposals for funding.• Develop HRSA change in scope (CIS) submissions for new sites and services.• Well-versed with the HRSA electronic hand book system.• Responsible for oversight of compliance of contracts, programs and projects (federal, state, county).• Work closely with finance team on various budgets (special programs account for approximately 40% of overall budget).• Identify and implement cost-containment measures. • Work closely with billing team to maximize efforts for revenue.• Work with clinical teams to maintain up-to-date coding improving quality and revenue outcomes.• Review data and analyze trends for future projection and proposed programs.• Facilitate partnerships, collaborations and community initiatives.• Build and maintain positive community relationships and promote a positive image of the organization and initiate community alliances.• Represent Borinquen on national, state and county committees, advisory boards and task forces.• Provide assistance in the development and execution of organizational as well as program specific strategic planning.• Create annual service area needs assessment summary.• Service Champion for “Journey to Excellence” – Studer Group leadership development and patient-centered care improvement project.