Senior Director, Clinical Client Solutions
Florida Blue
Claudia Castro, RN, is Florida Blue’s Senior Director of Clinical Client Solutions. In her role, Claudia is responsible for the strategy, development and operations of the Clinical Client Solutions Office of Medical Affairs providing differentiated processes that contribute to client relationship, acquisition, retention and satisfaction goals spanning all customer segments. She has developed clinical analytic tools which provide efficient evaluation of and recommendations for improved population health management and outcomes. She is responsible for the direct leadership of Clinical Account Consulting designing and delivering proactive, thought provoking, statistical and quantitative analysis of client and member experience that includes trending, benchmarking and clinical interpretation of data to drive decisions. This consultative solution provides market leading clinical client reporting with demonstrated success and has resulted in enhanced capabilities to extend services to other Blues plans.
Prior to joining Florida Blue in 2001, Claudia served in various executive roles across the health and wellness industry. She has designed, developed, implemented and lead new program initiatives and successful business models in the areas of utilization and case management, medical cost management, quality improvement and health care management consulting. She is a Professional of the Academy of Healthcare Management, board certified Diplomate of the American Board of Quality Assurance and Utilization Review Physicians, Fellow of the American Institute of Healthcare Quality, Certified Health Consultant, and has been deemed an expert witness by the Florida Supreme court in the areas of Utilization, Quality and Cost Containment. She is a member of the Wellness Council of America, Florida Health Care Coalition and contributor to the Consortium of Health Plans.
During her tenure at Florida Blue, Claudia has been a health and wellness advocate. She has received numerous Leadership awards including Champion of Continuous Improvement and earned her Six Sigma certification. She has represented Florida Blue in the community as a United Way ambassador and has been a repeat presenter at the Blue National Summit.
Claudia earned her nursing degree from Daytona State College, graduating first in her class receiving Summa Cum Laude honors.
Providing Data to Drive Decisions
Wednesday, January 24, 2024
8:00am - 8:45am ET