Katrina Hill

Dynamic and results-oriented healthcare operations executive with over 25 years of success leading strategic initiatives across commercial, Medicare, Medicaid, and nonprofit sectors. Proven record of overseeing large-scale programs, ensuring service excellence, and foster payer-provider collaboration, and build high-performing teams. Adept at aligning operations with enterprise goals, navigating complex regulatory environments, and mentoring future leaders. Currently leading national pharmaceutical support operations under the HUB services program. Passionate about innovation, people development, and impactful healthcare solutions.

Operations professional with comprehensive background in streamlining processes and driving operational excellence. Known for fostering collaborative team environment and consistently achieving organizational objectives. Reliable and adaptable, bringing strong analytical and problem-solving skills to table.

• Program Leadership & KPI Success – Directed national pharmaceutical hub operations for Novartis, consistently meeting and exceeding KPIs, including turnaround time, quality, and customer satisfaction metrics. Improved SLA performance by 20% through proactive monitoring and workflow redesign.
• Process Improvement & Cost Reduction – Implemented strategic process improvements that streamlined benefit investigation and reimbursement workflows, resulting in a 15% reduction in operational delivery costs while maintaining compliance and quality standards.
• Staff Development & Leadership Pipeline – Mentored and promoted multiple supervisors and staff into senior management and leadership training programs, building a strong pipeline of future leaders and improving retention.
• Cross-Functional Collaboration – Partnered with technology and patient solutions teams to design KPI dashboards and real-time reporting tools, improving performance transparency and enabling data-driven decision-making.
• Provider & Payer Relations – At Sunshine Health, improved provider satisfaction scores by resolving systemic operational issues, reducing claim reprocessing delays, and enhancing compliance with AHCA requirements.
• Change & Project Leadership – Successfully led a large-scale program expansion and shift optimization initiative, reallocating resources and re-aligning schedules across multiple teams, ensuring uninterrupted service delivery during high-volume periods.
• Revenue & Compliance Recovery – Directed claims audits and reprocessing strategies that recovered lost revenue and reduced compliance risks across Medicaid and Medicare product lines.

• Managed Care Leadership | Medicaid/Medicare/Commercial | Strategic Planning
• Provider & Payer Relations | Program & Product Development | Regulatory Compliance
• KPI Development | Operational Efficiency | Staff Development & Mentoring
• Claims & Revenue Cycle | Risk Management | Process Improvement

• Orange Mound Development CDC – Program Support Manager (2009–2013)
• RHD – Corporate Program Coordinator / Interim Executive Director (2008–2009)
• News Pathways, Inc. – Project Director (2007–2008)
• CDC of Greater Memphis – Program Manager (2004–2007)