Mike Tosti

About Mike Tosti

With over 20 years of experience in the healthcare industry, I am a passionate and driven executive who specializes in cost containment solutions for various verticals of insurance. My focus is partnering with employers, health plans, carriers, and administrators to reduce their healthcare costs and improve their plan performance. I am currently the Executive Vice President of Sales at ClaimsBridge, a healthcare technology company that provides custom and high-performing networks, Medicare pricing solutions, and unified end-to-end preadjudication infrastructure for medical claims administrators. We specialize in connecting Provider and Payer constituents to best in class solutions and distribute those solutions to our client base of 100 Administrators and Health Plans and over 2 million members.In my role, I lead the sales strategy and execution for ClaimsBridge, expanding the customer base and growing strategic vendor partners. I leverage my expertise in reference-based pricing, value-based care, and medical claims consulting to deliver innovative and effective solutions to our clients. I also collaborate with the leadership team and the product development team to provide feedback and insights on the market needs and trends.

Experience

1. Executive Vice President of Sales

   Claimsbridge

   Jan 2020 — Present · Annapolis, MD, US

   Innovative Healthware Services (dba ClaimsBridge) is a healthcare technology company providing custom and high performing networks, Medicare pricing solutions (ClaimsBridge Direct) and unified end-to-end preadjudication infrastructure for the receipt, routing and pricing of medical claims (ClaimsBridge Connect). ClaimsBridge is directly connected to over 120 partners serving self-funded and fully insured employers through their broker and benefit consultants, stop-loss carriers, third-party administrators, healthcare networks and strategic vendor partners. For more information about ClaimsBridge service offerings visit or call

Education

• Rutgers University - Camden

  BS, Marketing

  1997 — 2000

• Rutgers University–New Brunswick

  BS, Marketing, Finance

  1998 — 2000

Skills

• Workers Compensation
• Physicians
• Revenue Cycle
• Benefits Administration
• Sales
• Pharmacy Benefit Management
• Disease Management
• Health Care Reform
• New Business Development
• Self-Funded
• Team Building
• Working with Brokers
• Health Policy
• Account Management
• Health Savings Accounts
• Medicaid
• Healthcare Consulting
• Marketing Strategy
• Insurance
• Healthcare Management
• Sales Presentations
• Strategy
• Health Insurance
• Hospitals
• Brokers
• Managed Care
• Healthcare Industry
• Marketing
• Direct Sales
• Medicare
• Ppo
• Product Launch
• Hmo
• Contract Negotiation
• Network Development
• Strategic Planning
• Healthcare
• Business Development
• Employee Benefits
• Long-Term Care