CMS Leadership

Office of Program Operations & Local Engagement

Tiffany Swygert

Deputy Director for Innovation & Financial Management

Tiffany Swygert is the Deputy Director for the Office of Program Operations and Local Engagement, Innovation and Financial Management. She leads the administration of the Medicare fee-for-service program at the regional level to protect over 60 million beneficiaries, support over 1.6 million health care providers, physicians and practitioners through oversight of Medicare Administrative Contractors, Accountable Care Organizations and CMS’ innovation models, and ensure the Medicare program’s fiscal integrity. Tiffany has served at CMS since 2005 and has held numerous positions throughout the agency, primarily in the Center for Medicare. 

Most recently, Tiffany served  as the Deputy Director of the Technology, Coding and Pricing Group in CM.  She simultaneously served as the point person for Part B Drug policies related to the Inflation Reduction Act. Tiffany recently returned to CMS after serving as a Senior Advisor for Medicare to the Domestic Policy Council in the White House on a one-year detail. In that role, Tiffany was responsible for a broad array of Medicare policies and advised on policy for the Office of the National Coordinator for Health Information Technology.  She has also served as the Director of the Division of Outpatient Care in CM, and worked for several years in the Office of Legislation. She obtained a Bachelor of Arts degree in American Studies from the University of California at Berkeley and a Master of Health Sciences in Health Policy and Management as well as a certificate in Health Finance and Management from Johns Hopkins Bloomberg School of Public Health. She is originally from the Bay Area in northern California.