Toni Mills is the executive director of the Office of Clinical Affairs for the Blue Cross and Blue Shield Association, a national federation of 39 independent, locally operated Blue Cross and Blue Shield companies. As executive director, she is responsible for the programmatic leadership for activities that include initiatives to improve patient safety across the 39 Blue Cross and Blue Shield companies. In her role, she works to develop new relationships with quality and physician organizations to ensure operational excellence. Before coming to the Blue Cross and Blue Shield Association, she held various positions at CNA Insurance and United States Life Insurance Company, with responsibilities ranging from operations for financial reporting to claims utilization review.