Visionary healthcare leader who drives growth, revenue and speed to market by developing strategic relationships and leveraging her strong operations and technology background. Nicole has extensive experience setting strategic direction and communicating vision to drive innovative business models as well as deliver technology and business solutions that increase revenue, decrease cost, elevate client and business productivity, improve patient access, clinical quality and the overall patient experience for start-up, early stage to Fortune 50 organizations.
Chief Product Officer @ Continuum Health Alliance is the leader in delivering evidence-based, point-of-care quality, enabling clients to move from volume to value-based healthcare. By developing ambulatory systems of care – with population health management at its core – hospitals and health systems, physician groups and other health enterprises improve quality of care, enhance the patient experience and lower overall costs. From April 2015 to Present (7 months) Greater Philadelphia AreaBoard of Directors Member @ Careticker is an innovative platform that engages the millions of people currently providing at-home unpaid care to people with frailty and disabilities. The power of this engagement and the use of incentives can significantly impact cost for healthcare payers and others taking risk while increasing quality of life for patients. Careticker is a unique and powerful lever that can be utilized within the value based care transformation happening in healthcare today. From March 2015 to Present (8 months) Founder and Chief Executive Officer @ The Florida Association of ACOs is a community of Accountable Care Organizations within Florida that come together regularly to share ideas and best practices. Our goal with this community is to help member ACO’s build and manage successful organizations in order to fully benefit from the changing payment models. This association is also a sub-community of the National Association of ACO’s which has a similar mission at the national level. From April 2013 to Present (2 years 7 months) FloridaFounder, Board Member and President @ Citra Health Solutions aligns the needs of providers, payers and patients to tap into healthcare based on value, not volume — it is the essence of the new era of healthcare and at the core of what we do. We make the business of healthcare simple with the tools and support to allow Providers to stay laser-focused on patient experience and business efficiency while increasing their financial return. Through our scalable model, we provide the agile service and support Providers need to grow their business and react organically to market demand. We simplify risk management with our fresh, collaborative solutions which include strategic advisement, value based management, patient engagement, medical cost management and quality programs.
As the President, Nicole leads all product design, operations and technology execution as well as has a hand in most organizational sales. From January 2013 to November 2014 (1 year 11 months) Jacksonville, Florida AreaChief Information Officer @ Rise Health is an early stage healthcare services company dedicated to bringing about fundamental change in primary care delivery by dramatically increasing access and improved patient outcomes, increased control and financial viability for physicians and medical practices and significant cost savings to the healthcare system as a whole. A direct report of the CEO and a founding member of the leadership team this role has overall responsibility for technology design and development.
• Lead the design, implementation and organization design for technology and operations.
• Senior external facing role where operations and/or technology expertise needed during Sales / Implementations. From July 2009 to February 2013 (3 years 8 months) Executive @ From September 1997 to July 2009 (11 years 11 months) VP, Medical Affordability - Implementation and Market Deployment @ UnitedHealth Group is a fortune 25 healthcare services organization which has an annual revenue of over $85 billion. UnitedHealth Care is a $40 billion subsidiary of UnitedHealth Group and provides comprehensive health benefits to the commercial population serving over 70 million consumers. As a key leader within the Quality and Affordability Programs (QAP) Unit, led the operational execution and deployment of national medical programs in excess of $900 million.
• Designed current organization model for Quality and Affordability Programs including all process and technology tools.
• Implemented all new Quality and /or Affordability Programs across the organization in order to manage healthcare spend and trend.
• Developed and maintain relationships across the organization within technology, operations, network in order to build out engagement models for successful implementation.
• Developed relationships with all market leaders in order to successfully deploy programs.
• Successfully supported the clinical lines of service (Oncology, Cardiology, Orthopedics, Women’s Health, and Primary Care) to take their programs to market.
• Owned implementation of all national medical and reimbursement policy. From November 2006 to June 2009 (2 years 8 months) Vice President, Implementation Operations @ OptumHealth is a subsidiary of UnitedHealth Group and provides a comprehensive suite of specialty benefits such as dental, vision and life products. A direct report of the COO of the Specialty Benefit Division, this operational role is responsible for all client on-boarding activities.
• Overall responsibility for all new client implementations for a total book of over 4 million dental and 20 million vision members. This included ownership of all product set-up and configuration, case installation and business support.
• External facing role where needed during sales process.
• Business lead for managing new acquisitions and various large cross functional projects.
• Directed all client and member conversion, eligibility processing, ID card distribution and product configuration for large private labeled customers.
• Business lead for new system implementation and configuration. Project consisted of replacing all operating systems at a cost of over $22 million. Project was completed on time and on budget, with minimal customer disruption. From April 2000 to November 2006 (6 years 8 months) Director, Business Analysis @ Managed all development of functional specifications, project management and quality assurance of all new system development.
• Led the development of a new intranet based organizational system to manage customer service, provider relations management, fee schedules and credentialing.
• Led the development of an automated desktop solution for customer reporting.
• Implemented external market facing internet site
• Led the integration of Dental Benefit Providers when purchased by UnitedHealthcare. From September 1997 to April 2000 (2 years 8 months) Asst. Director, Client Administration @ • Developed automated and manual systems to improve efficiency and enrollment results of Account Services (Proactive Client Contact, Lead Generation to Close, Network Capacity, Eligibility Audit).
• Developed all standard and ad hoc customer reporting.
• Managed GeoAccess, Network Analysis and disruption analysis reporting.
• Managed administrative services in support of the Account Services Department.
• Developed and maintained CIGNA’s quality report card.
• Led project to develop automated system to enable company to strategically build and maintain their provider networks. From May 1994 to September 1997 (3 years 5 months)
Pursuing Masters in Health Informatics @ University of Illinois at Chicago From 2012 to 2014 BS, Statistics / Math @ University of Florida From 1988 to 1992 High School @ Terry Parker Nicole Bradberry is skilled in: Healthcare Management, Process Improvement, Business Analysis, Technology Design, Health Insurance, Health, Healthcare IT, Healthcare, Managed Care, Healthcare Industry, HIPAA, Disease Management, Healthcare Information..., Team Building, Program Management, Utilization Management, Practice Management, Quality Improvement, EHR, Physicians, Cross-functional Team..., Healthcare Consulting, Hospitals, Revenue Cycle, Change Management, Insurance, Network Development, Employee Benefits, Business Intelligence, Health Policy, Informatics, Project Management, Medicare, Business Process, Healthcare Analytics, Leadership, EMR, Start-ups, Management, Health Information..., CRM, Integration, Provider Relations, Physician Relations, HL7, Analysis, Revenue Cycle Management, Quality Assurance, Clinical Research, Medical Billing