Julia V. Beresford
Adjunct – Healthcare Administration
University of South Florida St. Petersburg
Kate Tiedemann College of Business
Executive Profile
Comprehensive healthcare executive with a multitude of healthcare experiences specializing in
corporate and regulatory compliance, quality improvement initiatives and training seminars, utilization
management, and physician practice management. Performance driven and results oriented leader
with a proven record of new program development, working with physicians, administrative leadership,
team leadership, executive level operations for and effective management of projects. Affirms a strong
professional conduct characterized by high integrity, ethics and moral standards. I believe the ability to
align any organization with their strategic goals is paramount and possible. Healthcare Qualities include;
regulatory compliance & Six Sigma experience, employee retention, payor contracting, billing and coding
and change management.
Professional Experience
John's Hopkins International
• Director - ACH International Program
October 2013 – Present
• Manages the international program at All Children's Hospital and oversees staff.
• Responsible for the operational and profitability efforts of the Latin American & Caribbean
region.
• Manages the expectations of all stakeholders.
• Assures a quality experience for each patient and maintenance of high patient satisfaction
levels.
• Responsible forthe relationship management of current and potential stakeholders while
continuously seeking opportunities to develop/nurture patient referrals, new business
prospects, program expansion (both geographic breadth and scope of services), and further
growth of patient volumes.
• Responsible for identifying opportunities for further market expansion.
• Responsible for management of all current and new business ventures for international program
development.
• Functions as an advisor/consultant to Case Managers and clinicians on specific needs of
international patients to support safe, effective, and culturally appropriate care and assure postdischarge
care needs are met in patients' home countries.
• Responsible for case management of outpatient cases and triaging clinical needs as appropriate.
• Responsible for fostering physician practice relationships for integration of clinical, operational,
financial, and access services throughout the continuum of an international patient's care, which
encompasses both employed and private practice physicians.
Governor Juan F. Luis Hospital- St. Croix, VI
• VP - Quality & Regulatory Affairs
January 2013 - October 2013
• Oversaw organizations regulatory and accrediting process and oversee local and federal surveys
of the organization.
• Established Case Management / Utilization Management program with key functions including;
avoidable days, discharge planning, social work, patient transfer program, commercial stay
reviews, important message, Milliman criteria, and medical necessity reviews.
• Re-designed facilities Quality Improvement program to drive improvement via tracking and
measuring key indicators for which there is evidence to monitor improvements in health
outcomes, reduce medical errors, and monitor the effectiveness and safety of medical services
and quality of care.
 Reduced departmental personnel budget by streamlining services and increasing productivity
netting a 15% reduction in personnel costs.
• Streamlined organizations risk management, patient safety and corporate compliance program
proactivity identifying risks and allowing for more efficient utilization of resources and yielding a
safer environment.
• Managed the change management program, policy and procedure program, and flow of
communication program creating standardized processes and promotion sustainability of such.
• Implementing CMS corrective action plan in an effort to maintain CMS accreditation through
sustained compliance of CMS SOP's.
• Chief - Senior Services
July 2012 - January 2013
• Supervised all senior services including; ancillary services, hospital safety, patient safety, clinical
project management, change management, risk management and corporate compliance ( a
total of 204 employees).
• Assisted with revision of pharmacy formulary and implementation of remote 24/7 order entry.
• Assisted with development and equipment procurement for new women's imaging center.
• Provided leadership guidance, inclusive of annual budgets and staffing plans, payroll, policy and
procedure development/revisions, performance improvement initiatives, as well as regulatory
and accrediting body compliance.
• Participated in local and federal regulatory surveys.
• Ensured all standards of care and practice are adhered to in accordance with set policy and
procedures for all departments under my leadership.
• Oversee and manage facilities change managers and project management team.
• Director - Medical Staff Services
December 2007 - July 2012
• Directed and oversaw physician recruitment, retention, licensing and credentialing of 100+
physicians and locum tenens in compliance with territorial, regulatory, and federal agencies.
• Led and managed physician performance analyst and improvement staff to ensure data
collection, analysis, and reporting was completed in accordance with established policies.
• Assisted with Six Sigma performance improvement initiatives. Reduced hospital expenditures
by 1 million for DVT/PE patient population. Negotiated employment contract terms and
conditions to maintain staffing levels.
• Expanded hospital operations and services lines by recruiting and retaining specialized clinicians
and allied health members.
• Completed Medicare and commercial payor enrollment for staff physicians and locum tenens.
• Privacy Officer / HIPAA Compliance Coordinator
May 2005 - March 2007
• Developed and launched the organizations first corporate compliance and privacy program to
comply with established Federal and Territorial regulations, inclusive of policies and procedures.
• Oversaw the incident reporting and investigation process. Audited, identified, and reduced
potential and real organizational risks to the organization.
• Collaborated with community stakeholders to educate the public and patients through open
door forums and radio shows.
• Achieved 100% compliance with mandatory educational programs for over 800+ employees.
Advised Legal Counsel and Chief Executive Officer on Federal regulation and policies.
Healthcare Consulting Services, LLC - St. Croix, VI
• Healthcare Consultant
October 2007 – Present
• Medical billing and coding services for eight physician providers in various clinical specialties.
• Practice management consulting including; practice acquisition, practice expansion (2 physician
to 6, 7 staff to 22, 1 office to three (in multiple jurisdictions), screening and hiring staff,
establishing payor contracts, managing physician privilege status with local facilities, policy and
procedure development, EHR implementation, managing contracts, growing practice revenues
via enhancements to productivity and efficiency.
DeVry University - WoodDale, lL
• Adjunct Professor
October 2007 - June 2009
• Facilitated via online e-Iearning the graduate level course entitled "Health Insurance and
Managed Care".
Tropico Management - St. Croix, VI
• Senior Compliance Consultant
March 2007 - December 2007
• Spearheaded, designed, and implemented a comprehensive ethics based compliance program
modeled after and in compliance with the DIG Federal Sentencing Guidelines to over 200
employees across the nation.
• Reviewed and audited client's compliance with established policies and procedures.
• Developed best practices, as appropriate.
• Developed and delivered training directly related to the client's non-financial, compliance
policies and procedures.
University of Phoenix Online- Phoenix, AZ
June 2014
• Estimated completion- June 2014 • Doctor of Health Administration
• Dissertation: Mixed method time motion study entitled - "Use of physician assistants in rural
hospital settings: A case study."
University of Maryland University College- Adelphi, MD
• Masters of Science Management: Healthcare Administration
May 2007
University of North Carolina- Charlotte, NC
• Bachelors of Science in Criminal Justice: Minor: Sociology
Certifications/Memberships
• Member- American College of Healthcare Executives: Chicago, IL
• Certified in Healthcare Compliance: August, 2007, Minneapolis, MN
May 2004