MICOLE HUGHES
Swansea,Illinois
Summary
Strategic healthcare executive with over 30 years of leadership in Federally Qualified Health Centers, serving 25,000+ patients annually. Spearheads initiatives in Medicaid operations, policy implementation, and performance improvement, ensuring compliance with healthcare regulations while enhancing access to care and operational efficiency.
Overview
30
30
years of professional experience
Work History
Director of Patient Access
Betty Jean Kerr People's Health Centers
08.1996 - Current
- Provide executive leadership for patient access operations supporting more than 25,000 patients annually across eight clinic locations.
- Led strategic planning and operational initiatives to enhance access to care and elevate patient experience across multiple service lines.
- Partner with executive leadership to implement healthcare policies, Medicaid requirements, CMS regulations, and organizational initiatives.
- Developed executive dashboards and performance reports to provide senior leadership with actionable insights for operational improvements.
- Manage teams of 15-30 employees across multiple service lines.
- Ensured compliance with CMS, NCQA, TJC, AAAHC, Medicaid, and Medicare standards, safeguarding organizational integrity and quality of care.
- Support 50+ providers through scheduling, registration, and operational infrastructure.
Medical Services Professional Contractor
The Hardenbergh Group
12.2022 - 04.2024
- Coordinated provider credentialing and enrollment for Medicaid, Medicare, and managed care programs to streamline access to services.
- Monitored compliance with federal and state healthcare program requirements to uphold program integrity.
- Facilitated provider participation in government-funded healthcare programs nationwide to expand service availability.
Education
Master of Business Administration (MBA) - Healthcare Management
Southern New Hampshire University
01-2026
Bachelor of Science - Healthcare Administration (Patient Safety & Quality)
Southern New Hampshire University
01-2024
Skills
- Medicaid operations
- CMS compliance
- Healthcare administration
- Strategic execution
- Data analysis
- Report development and strategic insights
- Performance improvement
- Process improvement
- Change management
- Workforce management
- Stakeholder engagement
- Partnership management
- Project leadership
- HIPAA compliance
Accomplishments
- Improved scheduling access by 20% through workflow redesign and capacity optimization.
- Increased patient registration accuracy by 15% through quality assurance and staff development initiatives.
- Reduced no-show rates by 6% through patient engagement and scheduling process improvements.
- Provide operational leadership supporting 25,000+ annual patients across 8 clinic locations.
- Support 50+ physicians, nurse practitioners, dental and behavioral health providers.
- Lead operations serving a population consisting of approximately 60% Medicaid beneficiaries.
- Enterprise Patient Access Transformation: Increased scheduling access by 20% while improving patient flow and appointment availability.
- Medicaid Operations and Compliance Initiative: Implemented policies supporting Medicaid eligibility, registration accuracy, and access to care.
- Data-Driven Performance Management: Developed operational reporting tools supporting executive decision-making and strategic planning.
Timeline
Medical Services Professional Contractor
The Hardenbergh Group
12.2022 - 04.2024
Director of Patient Access
Betty Jean Kerr People's Health Centers
08.1996 - Current
Master of Business Administration (MBA) - Healthcare Management
Southern New Hampshire University
Bachelor of Science - Healthcare Administration (Patient Safety & Quality)
Southern New Hampshire University