Bradley Mizgate
Punta Gorda,FL
Summary
Dynamic leader with a strong entrepreneurial spirit, dedicated to delivering exceptional service. Skilled in identifying emerging customer needs and implementing effective processes to ensure compliance with contractual obligations. Proven track record of enhancing service quality and operational efficiency.
Overview
25
25
years of professional experience
Work History
Senior Network Manager
Anthem Blue Cross & Blue Shield
Indianapolis, Indiana
09.1996 - 06.2021
- Directed high-profile negotiations with hospital systems to secure advantageous contract terms.
- Model hospital reimbursement to determine fiscal & cost of care implications and to drive negotiation strategies.
- Established and maintained collaborative relationships with hospital Chief Financial Officers, fostering partnerships to optimize reimbursement processes.
- Formulated strategic plans to negotiate reimbursement methodologies across acute care and specialty hospitals, enhancing financial alignment and operational efficiency.
Director, Network Management
Aetna CVS Healthcare
Chicago, Illinois
06.2006 - 05.2021
- Managed all aspects of hospital, physician, ancillary contracting and service.
- Managed the Indiana contracting & service team. (4-7)
- Develop & execute strategic plans to negotiate reimbursementbursement, improve reimbursement methodologies & contract language.
- Serve as lead on complex, large hospital system negotiations.
- Model provider reimbursement to fiscal & cost of care implications to annual budget target.
- Represented network in broker and account facing sales & marketing meetings
Education
High School Diploma -
Thornton Fractional South
Lansing, IL05-1977
Skills
- Hospital contracting and negotiation
- Reimbursement modeling
- Financial analysis
- Strategic planning
- Relationship management
Timeline
Director, Network Management
Aetna CVS Healthcare
06.2006 - 05.2021
Senior Network Manager
Anthem Blue Cross & Blue Shield
09.1996 - 06.2021
High School Diploma -
Thornton Fractional South