CMS Leadership

Office of Financial Management

Megan Worstell

Director & CMS Chief Financial Officer

Megan Worstell is the Director of the Office of Financial Management (OFM). As one of CMS’s senior financial management executives, she is accountable and responsible for planning, directing, analyzing and coordinating the Agency’s comprehensive financial management functions, including the release of the CMS Annual Financial Report and the CMS Budget to Congress. Megan also helps lead the implementation of all CMS financial management systems, debt collection activities, travel, error rate measurement, and other financial management functions.

Megan served as the Acting Chief Financial Officer (CFO) and Acting Director of OFM from May 2015 – August 2016. During her tenure, CMS achieved its 17th consecutive unqualified audit opinion for the 2015 CFO Audit. CMS implemented Phase 1 of the Enterprise Contract Initiative to achieve a risk based approach to better align the Marketplace contracting vehicles with the program requirements, better manage cost overruns, and reduce contract costs by $40-$50 million. Megan has also served as the Director of the Budget and Analysis Group (BAG) for over four years. BAG is responsible for formulating and executing the entire budget for CMS consisting of close to $1 trillion in outlays every year and served as the Agency liaison with the Appropriations Committees. Megan also served as the Deputy Director of BAG.

Megan graduated with honors with a Bachelor of Arts degree in Elementary Education from Flagler College.


John B. Czajkowski

Deputy Director

John B. Czajkowski is the Deputy Director of the Office of Financial Management. John’s Federal career began in the budget office of the Office of the Assistant Secretary for Health in 1986, and went on to hold senior budget, finance, and administrative positions at the National Institutes of Health, the U.S. Office of Personnel Management, and the Treasury Department’s Office of Inspector General.

Most recently, he served as the Deputy Director for Management of the National Cancer Institute, where he navigated the organization through a number of important strategic initiatives including the launch of new research programs and major capital projects. In 2014, he was recruited to Harvard University to serve as the Executive Dean for Administration at Harvard Medical School, and is now resuming his Federal career at CMS.

John holds a Bachelor’s degree in economics from the University of Maryland Baltimore County, and a Master’s in Public Administration from American University.

Page Last Modified:
10/19/2021 06:04 PM