Office of Hearings & Inquiries

Randy joined CMS 17 years ago as an analyst working on Medicare eligibility and enrollment policy, followed by leading the Medicare Enrollment and Eligibility Division during the launch of the Medicare Part D benefit. Randy also served as the Deputy Director of the Medicare Enrollment and Appeals Group before taking his current role in the Offices of Hearings and Inquiries.

Prior to joining CMS, Randy worked for a private health insurance company in upstate New York for over 12 years in a variety of roles including management and oversight of that organization’s Medicare business operations.

Jim has an excellent depth of knowledge and experience across a wide array of CMS business areas, including Marketplace Appeals, Section 504 Accessibility for External Communications, the Medicare ombudsmen programs, casework, and beneficiary addresses, as well as Medicare Enrollment Operations, Plan Payment and the Retiree Drug Subsidy Program. He has been involved with the implementation of a number of CMS priorities including Medicare Part D and the Medicare Advantage portion of the Electronic Health Records initiative as well as portions of the Patient Protection and Affordable Care Act.

Before joining CMS in 2005, Jim was the Deputy Director of the Office of Governmental Affairs for the Maryland Department of Health and Mental Hygiene, as well as a legislative and regulations officer, and staff attorney, for the Maryland Board of Pharmacy.