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Coles MercierCM
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Coles Mercier

@colesmercier

Healthcare IT Program Manager at CMS who modernized Open Payments into a cloud platform, cutting annual costs by $3.5M.

United States
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At CMS, I oversee complex healthcare IT and data initiatives, including the Open Payments Program. I coordinate technical, acquisition, security, and program stakeholders to support compliant systems and keep leaders informed about project status, cost, and performance.

I modernized the Open Payments System into a cloud platform, cutting annual costs by $3.5 million, slashing processing times, and eliminating user burden. I also oversee more than $70 million in contracts, monitoring contractor performance, costs, and risks.

At CMS’s Office of Health Experience and Interoperability, I led the acquisition and implementation of a $4.8 million AI and machine-learning solution to optimize regulation and policy analysis. I also supported burden reduction and impact analysis projects using data analysis to identify opportunities for improvement.

Earlier at CMS, I worked on Medicare program integrity and helped develop learning systems for healthcare delivery and payment models at the Center for Medicare and Medicaid Innovation. I hold a Master of Science in Data Analytics and an MBA, and my credentials include COR III and FAC-P/PM Mid-Level.

Experience

Work history, roles, and key accomplishments

Centers for Medicare & Medicaid Services (CMS) logoCC

Health Insurance Specialist – Project Manager / Program Analyst

Centers for Medicare & Medicaid Services (CMS)

Jan 2020 - Feb 2025 (5 years 1 month)

Serves as a technical authority and program expert, providing technical advisory services on a wide array of projects supporting the office and group. Works on burden reduction efforts, evaluating business requirements and a broad range of functions supporting healthcare policy and process improvement activities.

Centers for Medicare & Medicaid Services (CMS) logoCC

Health Insurance Specialist – Program Analyst

Centers for Medicare & Medicaid Services (CMS)

Feb 2017 - Jan 2020 (2 years 11 months)

Served as Health Insurance Specialist expert in policies and operations related to program integrity for the CMS / Center for Program Integrity (CPI) / Governance Management Group (GMG). Led policy and regulatory analysis supporting Medicare program integrity initiatives.

Education

Degrees, certifications, and relevant coursework

McDaniel College logoMC

McDaniel College

Master of Science, Data Analytics

Master of Science in Data Analytics from McDaniel College, completed in 2024.

The George Washington University School of Business and Public Management logoTM

The George Washington University School of Business and Public Management

Master's Certificate, Project Management

Master's Certificate in Project Management from The George Washington University School of Business and Public Management, completed in 2019.

University of Maryland University College logoUC

University of Maryland University College

Master of Business Administration, Management

Master of Business Administration with an emphasis in Management from University of Maryland University College, completed in 2013.

McDaniel College logoMC

McDaniel College

Master of Science, Gerontology

Master of Science with a Graduate Certificate in Gerontology from McDaniel College, completed in 2011.

University of South Florida logoUF

University of South Florida

Bachelor of Arts, Gerontology

Bachelor of Arts with a major in Gerontology and a minor in Public Health from the University of South Florida, completed in 2007.

Tech stack

Software and tools used professionally

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