Vikki Wachino is principal of Viaduct Consulting, LLC, which advises mission-driven health care organizations Medicaid policy, strategy and operations. She was Deputy Administrator and Director of the Center for Medicaid and CHIP Services at the Center for Medicare & Medicaid Services from 2015 to 2017. There she served as lead executive overseeing the Medicaid and Children’s Health Insurance Programs, which cover some 74 million Americans, and led groundbreaking work to improve quality and strengthen delivery systems, simplify the eligibility and enrollment process, strengthen managed care and advance community integration for seniors and people with disabilities. She has also served in leadership roles at the Kaiser Commission on Medicaid and the Uninsured, the Center on Budget and Policy Priorities, NORC at the University of Chicago, and the U.S. Office of Management and Budget. She is a graduate of Harvard’s Kennedy School of Government and Mount Holyoke College. She is a frequent speaker, has testified before the U.S. Congress, and is the author of numerous publications on Medicaid, CHIP and coverage for the uninsured.