Cindy Bradshaw is a highly accomplished health care operations leader currently serving as Director I-II of Health Care Management Services (HCMS) at Anthem, Inc. With over 28 years of nursing experience, including 15 years dedicated to managed care, Cindy has established herself as a pivotal...
Cindy Bradshaw is a highly accomplished health care operations leader currently serving as Director I-II of Health Care Management Services (HCMS) at Anthem, Inc. With over 28 years of nursing experience, including 15 years dedicated to managed care, Cindy has established herself as a pivotal figure in the healthcare industry. Her expertise lies in utilization management (UM), where she directs all UM program activities for California Medicaid, ensuring that the delivery of care is both efficient and compliant with state and national regulations.
In her current role, Cindy is responsible for the implementation and continuous monitoring of utilization management policies and processes. She adeptly navigates the complexities of compliance with NCQA standards and California state regulations, ensuring that Anthem's operations align with nationally recognized clinical criteria and medical policies. Her strategic foresight in long-term planning has been instrumental in enhancing operational efficiencies and improving patient outcomes within the Medicaid framework.
Cindy's ability to design and implement innovative processes has not only streamlined operations but has also fostered a culture of excellence within her team. Her extensive background in disease management and utilization review positions her as a thought leader in managed care, where she leverages her nursing expertise to advocate for quality care delivery. As she continues to lead key projects at Anthem, Cindy remains committed to driving improvements in healthcare operations, ultimately enhancing the patient experience and ensuring that Anthem remains at the forefront of the managed care landscape.
