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.
Jennifer Carter is the Acting Deputy Director of the Office of Financial Management (OFM). Most recently, Jennifer was the Director in OFM’s Budget & Analysis Group (BAG) where she was responsible for formulating and executing the entire annual $1.5 Trillion budget for CMS. Jennifer has been with CMS for 34 years, 24 of those years in OFM. Her focus in OFM has always been on budget formulation and execution providing oversight and guidance on the Agency’s annual budget justification. Jennifer has implemented a number of process improvements in OFM, from automating various enterprise reports in the Agency operating plan to developing a holistic view of the funding supporting CMS programs. During her tenure, she oversaw the successful implementation of the Consolidated Budget System, a budget system that combines formulation and execution, provides real-time reporting to components for transparency, and enhances budget reporting capabilities. Before coming to OFM, Jennifer worked on Home Health and Hospice Policy issues in CM as well as general policy issues in the Atlanta Regional Office.
Jennifer has a degree in Political Science from Colorado State University.
OFM Functional Statement
- Serves as the Chief Financial Officer and Comptroller for the Centers for Medicare & Medicaid Services (CMS). Manages the preparation and audit of CMS financial statements, and issues the annual Agency Financial Report, in accordance with the requirements of the Chief Financial Officers (CFO) Act.
- Formulates, presents and executes all CMS budget accounts, develops outlay plans and tracks contract and grant award amounts; acts as liaison with the Congressional Budget Office (CBO) on budget estimates; reviews demonstration waivers (except 1115) for revenue neutrality. Is responsible for ensuring that the budget is formulated in accordance with CMS' strategic plan and the Government Performance and Results Act (GPRA) goals and performance measures.
- Acts as liaison to the Department of Health and Human Services (HHS), Assistant Secretary for Financial Resources, Office of Management and Budget (OMB), and the Congressional appropriations committees for all matters concerning CMS' operating budget.
- Manages the Medicare financial management system, the Medicare contractors' budget, Quality Improvement Organizations' budgets, research budgets, managed care payments, the issuance of State Medicaid grants, and the funding of the State survey certification and the Clinical Laboratory and Improvement Act programs. Is responsible for all CMS disbursements.
- Maintains CMS financial data and prepares external reports to other agencies such as HHS, Treasury, OMB, Internal Revenue Service, General Services Administration, related to CMS' obligations, expenditures, prompt payment activities, debt and cash management, and other administrative functions.
- Performs cash management activities and establishes and maintains systems to control the obligation of funds and ensure that the Anti-Deficiency Act is not violated.
- Manages the Medicare Secondary Payer Program and Medicare Debt Resolution activities.
- Develops CMS policies governing both Medicare Secondary Payer and Medicaid Third Party Liability.
- Oversees the Medicare fee-for-service and the Medicaid and the Children's Health Insurance Program improper payment measurement programs to measure payment accuracy.
- Develops and publishes the Medicare Fee-For-Service, Medicaid, and Children's Health Insurance Error Rate. Develops improper payment measurement methodologies to report related Marketplaces and related programs.
- Manages, develops, and enhances CMS' core financial management system, the Healthcare Integrated General Ledger Accounting System (HIGLAS), which tracks the financial activity and transactions of all CMS' programs.
- Manages the development to maintain information technology program systems that support accounting operations, for the Medicare Benefits, Medicare Secondary Payer (MSP), Marketplace, Medicaid, Children Health Insurance Program (CHIP) Grants, and Administrative Program Accounting (APA) lines of business.
- Coordinates the development and monitoring of all audit corrective action plans (CAPs) and the Office of the Inspector General (OIG) clearance documents that address each OIG and the Government Accountability Office agreed upon recommendations.
- Develops an enterprise risk assessment program to better support CMS programs.
- Works collaboratively with components and contracting officials to review contract language and contract cost estimates in order to develop contract-specific performance and financial information.
- Coordinates performance management and promotes the use of Agency performance measures to foster a more results-orientated performance culture through CMS.
- Ensures compliance with a number of agency performance requirements such as the Government Performance and Results Act of 1983 (GPRA) and the GPRA Modernization Act, OMB program analysis and the Department strategic plan priorities.