Mike Brown

About Mike Brown

With over 25 years of experience in the health insurance and managed care industry, I’m a transformational leader and visionary who delivers optimal solutions and favorable outcomes for both providers and payers. As the Regional Lead Director of Provider Relations and Engagement at Aetna/CVS Health, I oversee the strategy, development, and performance of a large and diverse network of health care providers across the MD and VA Medicaid markets. I have expertise and comprehensive knowledge working in several lines of business, including Medicaid, Medicare, and commercial group health insurance. My core competencies include provider relations, engagement, retention, service, and issue resolution, as well as network management, contract negotiation, cost containment, quality improvement, and compliance. I leverage my extensive knowledge of health care policy, claims payment, reimbursement, credentialing, and risk management to ensure the highest standards of provider satisfaction and operational excellence. I also possess strong skills in project/program management, business development, analytics, and reporting.I’m passionate about improving the health and well-being of the communities I serve, and committed to fostering collaborative and productive relationships with internal and external stakeholders. I’m always looking for new opportunities to innovate, disrupt, and transform the health care landscape, and proud to be part of Aetna/CVS Health –a leading health care organization that shares my vision and values.

Experience

1. Regional Lead Director Provider Relations & Engagement

   Aetna, A Cvs Health Company

   Dec 2025 — Present

   Medicaid Division Aetna Better Health of Maryland Aetna Better Health of Virginia

Education

• University of Phoenix

  Master of Business Administration (MBA) , Health/Health Care Administration/Management

• Hampton University

  Bachelor of Science - BS, Marketing/Finance

Skills

• Process Improvement
• Leadership
• Hipaa
• Managed Care
• Healthcare Management
• Healthcare Information Technology
• Training
• Project Management
• Cross-Functional Team Leadership
• Provider Relations
• Medicare
• Medicaid
• Strategic Planning
• Program Management
• Performance Management
• Call Centers
• Team Building
• Practice Management
• Policy
• Public Health
• Customer Service
• Operations Management
• Cross Functional Team Building
• Claims Management
• Claims Resolution
• Contract Negotiation
• Emotional Intelligence
• Data Analysis
• Healthcare Consulting
• Vendor Management
• Performance Improvement
• Change Management
• Ehr
• Health Insurance
• Healthcare
• Management
• Insurance
• Healthcare Industry
• Employee Benefits
• Health Policy