With more than 20 years of state and federal experience in the strategic design, development, and operations of Medicaid programs, Roberta Bradford offers multiple perspectives with the goal of improving programs for the people they serve.
She joins HMA after providing consulting services on Medicaid policy and operations. Roberta focuses on implementing Medicaid managed care programs, and is well versed in federal Medicaid regulatory requirements, including waiver authorities, integrated care programs and reimbursement methodologies.
As a former Medicaid director for the state of Florida, she had direct oversight of the program, providing executive leadership and direction. She led the state to obtain legislative authority to expand integrated managed care programs statewide, assessed the feasibility of various program options available under the Affordable Care Act, initiated efforts to improve reporting requirements regarding healthcare quality and encounter data, enhanced program integrity and managed the program during a period of substantial budgetary challenges.
Roberta also worked for Mercer Human Services Consulting and with states to implement managed care programs and provide technical assistance regarding rate setting and reimbursement methodologies. She served the bureau chief at Florida Medicaid where she was responsible for the administration of managed care and disease management contracts, as well as additional selective contracting for services. Prior to joining Florida Medicaid she worked in the Centers for Medicare and Medicaid Services Atlanta regional office an analyst responsible for ensuring Medicaid programs met federal requirements.
She began her career in health policy working on legislative and payer issues at the Florida Medical Association. Roberta earned a Master of Science in economics from Florida State University and a bachelor’s degree in economics from the University of South Florida.