Michelle Bradford

Senior Manager, Service Operations @ Clover Health

About Michelle Bradford

Michelle Bradford is a Senior Manager of Service Operations at Clover Health, specializing in developing compliant processes and policies for Medicare operations. With over 18 years of experience in the field, she has held various leadership roles, including positions at ATRIO Health Plans and Catholic Health Initiatives.

Current Role at Clover Health

Michelle Bradford serves as the Senior Manager of Service Operations at Clover Health, a position she has held since 2023. In this role, she focuses on enhancing operational efficiency and compliance across the organization. She also works as the Senior Logistics Manager in Plan Operations, a position she has occupied since 2021. Her responsibilities include overseeing enrollment, billing, and reconciliation processes, ensuring that operations align with regulatory requirements.

Previous Experience at ATRIO Health Plans

Prior to her current roles, Michelle Bradford worked at ATRIO Health Plans from 2007 to 2013. Initially, she served as the Risk Assessment and Oversight Manager for one year, followed by a five-year tenure as the Part D Formulary Director. During her time at ATRIO, she gained valuable experience in managing Medicare Advantage Part D health plan operations.

Experience at Catholic Health Initiatives

Michelle Bradford worked at Catholic Health Initiatives from 2013 to 2019 as the National Medicare Pharmacy Operations Manager for QualChoice Health Plan Services. In this role, she managed operations related to Medicare pharmacy services. Since 2019, she has continued her association with Catholic Health Initiatives as an Independent Contractor, providing remote support for Medicare-related services.

Expertise in Medicare Operations

With over 18 years of experience in managing Medicare Advantage Part D health plan operations, Michelle Bradford specializes in developing and improving compliant and sustainable processes. Her expertise includes managing Pharmacy Benefit Manager (PBM) request for proposal projects, implementation, and termination within strict timelines. She provides cross-functional support for overall Medicare life cycle readiness.

Focus on Process Improvement

In her current role, Michelle Bradford emphasizes process improvement, vendor oversight, project planning, and transition support. She aims to enhance operational workflows that impact the organization cross-functionally, ensuring that all processes are compliant and efficient.

People similar to Michelle Bradford