Sally Bradley Email and Phone Number
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A strategic healthcare leader, I am known for leveraging my expertise to proactively impact network development, contract negotiations across all lines of healthcare business, with focused expertise in Medicare Advantage. I am well-versed in contract negotiations, value-based model contracting, Pay for Performance agreements and managing these reimbursement models. I offer the knowledge to support state-specific Medicaid programs and associated value-based agreements. I also have in-depth knowledge of all aspects of Medicare Advantage operations, product design, and plan implementation. One of the things for which I am known is my team leadership and business building skills. I promote a culture based on collaboration and commitment to the attainment of short- and long-term goals. Over my career I have established the vision, objectives, policies, and procedures to create departments, launch new products, and grow networks.Core Competencies Include:►Contract & Value-Based Agreement Negotiation ►Relationship Cultivation & Strategic Partnerships►Medicare Advantage & Healthcare Management►Process Improvement & Operational Efficiency►Market Research & Competitive Intelligence►Strategic Planning & Execution►Quality Standards & Assurance►Team Building & Leadership►Data Analysis & Reporting►Audits & Compliance
Farm Bureau Health Plans
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Vice President Of ProductsFarm Bureau Health Plans Jan 2024 - PresentColumbia, Tn, Us
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Assistant Vice President Of Medicare Business StrategyFarm Bureau Health Plans Jun 2022 - Jan 2024Columbia, Tn, Us
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Corporate Director, Network DevelopmentIntegrated Solutions Health Networks, Llc 2014 - Sep 2022Johnson City, Tn, UsOversee team of 23 that performs network development, provider relations, credentialing and enrollment, provider data management, appeals, and grievances for Medicare Advantage, and third-party administrator plan operations. ►Managed administration of managed care contracts with commercial, Medicare, and Medicaid payers in East Tennessee and Southwest Virginia areas. Negotiated contracts and managed programs for a network of 5,900 providers and 17 hospitals.►Interfaced between third-party vendors, Centers for Medicare & Medicaid Services (CMS)-mandated vendors, large provider groups, and Medicare Advantage Pay-for-Performance (P4P) agreement administrators. -
Director, Medicare Advantage Network DevelopmentCatholic Health Initiatives 2013 - 2014Englewood, Co, UsChampioned startup of Medicare Advantage business into Tennessee.►Acquired Southeast region, including Pennsylvania, Tennessee, Arkansas, and New Jersey. Negotiated and maintained P4P and managed care contracts, including large national payers; increased reimbursement for all facilities.►Served as interim market lead in Chattanooga, TN and Reading, PA during managed care director transition; developed Affordable Care Act (ACA) contract. -
Executive DirectorCrestpoint Health 2012 - 2013Hired as first of 5 executives to launch start-up Medicare Advantage and TPA entity; led network development and contract negotiations.►Established and launched Medicare Advantage operations; designed and implemented benefits product, HSD information, and compliance plan to complete CMS application in 8 Eastern Tennessee counties.►Analyzed TPA operations for Mountain States Health Alliance Team Member health plan; established benchmarks and metrics for full audit of delegated services. -
Director Of Network Strategy, Choices (2011-2012)Bluecross Blueshield Of Tennessee 2009 - 2012Chattanooga, Tn, UsManaged team of 15 that performed provider and faculty outreach, and administered home-based services, including home health, accessibility modifications, food delivery, and other managed long-term services and support.Previous Position: Principal Network Development Consultant, Medicare Advantage (2009-2011)►Managed provider outreach; reviewed and analyzed network to improve strategy, and reduce deficiencies and reimbursement.►Reviewed single case agreements for out of network services, and negotiated favorable plan outcomes. -
Executive DirectorUnitedhealthcare 2007 - 2009UsManaged 2-person team that developed and grew the Secure Horizons Medicare Advantage product across Tennessee, with matrixed leadership to sales, case management, and network development. ►Surpassed open enrollment membership goals by focusing on senior centers and religious groups; increased membership 10% in one year. -
Director Of Network DevelopmentWellcare 2004 - 2007Tampa, Florida, UsHired to facilitate start-up of Medicare Advantage and Medicaid products in Georgia. Managed 7-person team. Instrumental in application and award of Georgia PeachCare (Medicaid) contract; managed monthly reporting.
Sally Bradley Skills
Sally Bradley Education Details
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The University Of GeorgiaHistory -
University Of Georgia - Terry College Of BusinessBusiness
Frequently Asked Questions about Sally Bradley
What company does Sally Bradley work for?
Sally Bradley works for Farm Bureau Health Plans
What is Sally Bradley's role at the current company?
Sally Bradley's current role is Vice President/Healthcare Industry Expertise | Medicare Advantage/Under 65 plans.
What is Sally Bradley's email address?
Sally Bradley's email address is sa****@****ine.com
What is Sally Bradley's direct phone number?
Sally Bradley's direct phone number is +142395*****
What schools did Sally Bradley attend?
Sally Bradley attended The University Of Georgia, University Of Georgia - Terry College Of Business.
What skills is Sally Bradley known for?
Sally Bradley has skills like Network Development, Managed Care, Medicaid, Medicare, Healthcare, Provider Relations, Healthcare Reimbursement, Healthcare Consulting, Insurance, Contract Management, Hospitals, Healthcare Industry.
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