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Center for Program Integrity

Alec Alexander, Deputy Administrator and Director

George Mills, Jr., Deputy Center Director

Melanie Combs-Dyer, Acting Deputy Director

Executive Support Group

Lisa Jarvis-Durham - Director
Vacant, Deputy Director

Provider Enrollment and Oversight Group

Zabeen Chong, Director
Charles Schalm, Deputy Director
Division of Enrollment Systems - Vani Annadata, Director; Carl Schell, Deputy Director
Division of Enforcement Actions - Vacant, Director; Jami Lookabill, Deputy Director
Division of Enrollment Operations - Alisha Banks, Director; Vacant, Deputy Director
Division of Compliance and Appeals – Minisha Hicks, Director

Data Analytics and Systems Group

Raymond Wedgeworth, Director
Kathy Wolf, Deputy Director
Division of Investigative Systems Management - Joann Marshall, Director; Tiffany Stouder, Deputy Director
Division of Modeling and Analytics - Wendy Alexander, Director; Andrew Ward, Deputy Director
Division of Outcomes Measurement - Marin Gemmill-Toyama, Director; Jason Culotta, Deputy Director
Division of Provider Systems Management - Erick Royle, Director; Erin Shoemaker, Deputy Director

Data Sharing and Partnership Group

Merri-Ellen James, Director
Jennifer Dupee, Deputy Director
Division of Stakeholder Engagement and Outreach - Rebecca Randle, Director; Elizabeth Sellers, Acting Deputy Director
Division of Data and Informatics - Robin Usi, Director; Vacant, Deputy Director

Investigations and Audits Group

Mark Majestic, Director
Lori Bellan, Deputy Director
Peter Leonis, Deputy Director
Division of Plan Oversight and Accountability - Camille Brown, Director; Sonja Brown, Deputy Director
Division of State Program Integrity - Laurie Battaglia, Director; Wanda Pigatt-Canty, Deputy Director
Division of Provider Investigations and Audits - Cindy Sisti, Director; Jodi Johnson, Deputy Director
Division of Investigative Support - Joy Sparks, Director
Division of Field Operations - North - Elizabeth Lindner, Director; Sean Johnson, Deputy Director
Division of Field Operations - South - Horace Dozier, Director
Division of Field Operations - East - Pete Leonis, Acting Director
Division of Field Operations - West - Lawrence Ball, Director

Contract Management Group

Craig Gillespie, Director
Desiree Wheeler, Deputy Director
Division of Contract Management - John Webster, Director; Vicki Chitwood, Deputy Director
Division of Contractor Performance and Assessment - Olivia Williams, Director
Division of Acquisition Strategies and Planning - Kenneth Fleet, Director; Andrew Mack, Deputy Director

Governance Management Group

Mary Greene, M.D., Director
Clint Eisenhower, Deputy Director
Budget Formulation and Execution Staff - Teresa Krause, Director
Division of Vulnerability Governance - Crystal High, Director; Vacant, Deputy Director
Division of Policy and Regulations - John Spiegel, Director; Katie Mucklow, Deputy Director
Division of Performance Oversight - Tomiko Wilson-Coe, Director; John Graham, Acting Deputy Director
Division of State Partnership - Leanne Miles, Director; Jennifer Bean, Deputy Director
Division of Strategy and Innovation - Samantha Richardson, Director

Provider Compliance Group

Melanie Combs-Dyer, Director
Connie Leonard, Deputy Director
Division of Medical Review and Education – Dan Schwartz, Acting Director; Tamera Tate, Acting Deputy Director
Division of Recovery Audit Operations – Brian Elza, Director; Vacant, Deputy Director
Division of Compliance Projects and Demonstrations – Jeane Nitsch, Director; Joyce Davis, Deputy Director
Division of Payment Methods and Strategies - Amy Cinquegrani, Director

Functional Statement

  • Serves as CMS' focal point for all national and State-wide Medicare and Medicaid programs and CHIP integrity fraud and abuse issues.
  • Promotes the integrity of the Medicare and Medicaid programs and CHIP through provider/contractor audits and policy reviews, identification and monitoring of program vulnerabilities, and providing support and assistance to States. Recommends modifications to programs and operations as necessary and works with CMS Centers, Offices, and the Chief Operating Officer (COO) to affect changes as appropriate. Collaborates with the Office of Legislation on the development and advancement of new legislative initiatives and improvements to deter, reduce, and eliminate fraud, waste and abuse.
  • Oversees all CMS interactions and collaboration with key stakeholders relating to program integrity (i.e., U.S. Department of Justice, DHHS Office of Inspector General, State law enforcement agencies, other Federal entities, CMS components) for the purposes of detecting, deterring, monitoring and combating fraud and abuse, as well as taking action against those that commit or participate in fraudulent or other unlawful activities.
  • In collaboration with other CMS Centers, Offices, and the COO, develops and implements a comprehensive strategic plan, objectives and measures to carry out CMS' Medicare, Medicaid and CHIP program integrity mission and goals, and ensure program vulnerabilities are identified and resolved.