Center for Medicare

Liz Richter, Acting Director & Deputy Center Director

Cynthia Tudor, Deputy Center Director

Business Operations Staff 2 - Victoria Beder, Director

Medicare Drug Benefit and C & D Data Group - Cynthia Tudor, Director
Division of Benefit Purchasing & Monitoring - Jennifer Shapiro, Director
Division of Formulary & Benefit Operations - Judith Geisler, Director
Division of Clinical and Operational Performance - Vikki Oates, Director
Division of Drug Plan Policy & Quality - Chris Bauer, Director
Division of Consumer Assessment & Plan Performance - Elizabeth Goldstein, Director
Division of Plan Data - Lori Robinson, Director
Division of Pharmaceutical Manufacturer Management - Marla Rothouse, Director

Medicare Drug and Health Plan Contract Administration Group - Danielle Moon, Director
Division of Policy, Analysis and Planning - Debbie Vanhoven, Acting Director
Division of Medicare Advantage Operations - Cathy Baldwin, Acting Director
Division of Finance and Benefits - Scott Sturiale, Director
Division of Surveillance, Compliance and Marketing - Jeremy Willard, Director

Medicare Enrollment and Appeals Group - Arrah Tabe-Bedward, Acting Director
Division of Enrollment and Eligibility Policy - Patty Helphenstine, Director
Division of Appeals Policy - Kristy Nishimoto, Acting Director
Division of Appeals Operations - Jennifer Smith, Acting Director
Division of Medicare Enrollment Coordination - Randy Brauer, Director
Division of Private Health Insurance - Derrick Claggett, Director

Medicare Plan Payment Group - Cheri Rice, Director
Division of Payment Validation - Jennifer Harlow, Director
Division of Payment Operations - Marla Kilbourne, Director
Division of Payment Reconciliation - Mark Newsom, Director
Division of Risk Adjustment & Payment Policy - Sean Creighton, Director
Division of Prospective Payment - James Slade, Acting Director
Division of Retiree Drug Subsidy - Jonathan Smith, Director

Program Compliance & Oversight Group - Jerry Mulcahy, Acting Director
Division of Compliance Policy and Operations - Tawanda Holmes, Director
Division of Compliance Enforcement - Trish Axt, Director

Business Operations Staff 1 - Robert Ventura, Director

Hospital & Ambulatory Policy Group - Amy Bassano, Director
Division of Acute Care - Tzvi Hefter, Director
Division of Practitioner Services - Chris Ritter, Director
Division of Outpatient Care - John McInnes M.D., Director
Division of Ambulatory Services - Anne Tayloe Hauswald, Acting Director

Chronic Care Policy Group - Laurence Wilson, Director
Division of Chronic Care Management - Janet Samen, Director
Division of Cost Reporting - Susan Burris, Director
Division of Institutional Post Acute Care - Jeanette Kranacs, Acting Director
Division of Technical Payment Policy - Troy Barsky, Director
Division of DMEPOS Policy - Joel Kaiser, Director
Division of Home Health, Hospice & HCPCS - Randy Throndset, Acting Director
Division of DMEPOS Competitive Bidding - Michael Keane, Director

Provider Billing Group - Stewart Streimer,  Director
Division of Institutional Claims Processing - Lorraine Zicha, Director
Division of Practitioner Claims Processing - Patricia Gill, Director
Division of Supplier Claims Processing - Glenn Kendall, Director
Division of Data Systems - Nora Fleming, Director
Division of Chronic Care Improvement Programs - Stewart Streimer, Acting Director

Medicare Contractor Management Group - Karen Jackson, Director
Division of MAC Systems Security & Operations Oversight - Randy Beardsley, Director
Division of MAC Budget & Data Analysis - Ralph Sette, Director
Eastern MAC Program Management Division - David Banks, Director
Division of Change & Operations Management - Randi Yablon, Director
Division of MAC Strategy & Development - Chris Klots, Director
Division of Performance Assessment - Torris Smith, Director
Southern MAC Program Management Division - Larry Young, Director
Western MAC Program Management Division - Jody Kurtenbach, Director

Provider Communications Group - Richard Cuchna, Acting Director
Division of Provider Information Planning & Development - Mary Case, Acting Director
Division of Provider Relations & Outreach - Robin Fritter, Director
Division of Contractor Provider Communications - Lynne Lockard, Director
Division of Provider Communications Technology - Shana Olshan, Director

Performance-Based Payment Policy Group - John Pilotte, Director

 

Functional Statement

• Serves as CMS' focal point for the formulation, coordination, integration, implementation, and evaluation of national Medicare program policies and operations.

• Identifies and proposes modifications to Medicare programs and policies to reflect changes or trends in the health care industry, program objectives, and the needs of Medicare beneficiaries. Coordinates with the Office of Legislation on the development and advancement of new legislative initiatives and improvements.

• Serves as CMS' lead for management, oversight, budget and performance issues relating to Medicare Advantage and prescription drug plans, Medicare fee-for-service providers and contractors.

• Oversees all CMS interactions and collaboration with key stakeholders relating to Medicare (i.e., plans, providers, other government entities, advocacy groups, Consortia) and communication and dissemination of policies, guidance and materials to same to understand their perspectives and to drive best practices in the health care industry.

• Develops and implements a comprehensive strategic plan, objectives and measures to carry out CMS' Medicare program mission and goals and position the organization to meet future challenges with the Medicare program and its beneficiaries.

• Coordinates with the Center for Program Integrity on the identification of program vulnerabilities and implementation of strategies to eliminate fraud, waste, and abuse.


 

Page Last Modified:
12/06/2013 03:02 PM