She previously worked for the General Accounting Office, where she was a senior evaluator on studies of HCFA and its management capacity. Previously, she was a policy specialist at a national association representing nonprofit providers of long-term care services. Prior to that she held positions in policy analysis and management with the office of the secretary, U.S. Department of Health and Human Services; with a peer review organization; with a governor’s task force on access to health care; and with a third-party administrator for very large health plans. In addition, she was policy director for a state Medicaid rate-setting commission. She holds a master’s degree in government administration from the Wharton Graduate School, University of Pennsylvania.