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As Vice President and national lead for the Long Term Services and Supports market at MAXIMUS, Ms. Selter brings more than 30 years of experience in the design, development, and implementation of health programs for a variety of state and federal agencies. She has focused on the use of technology and process re-design to optimize health and human service delivery. Recently Ms. Selter has concentrated on the area of Long Term Services and Supports, using technology and business process management tools to gain efficiencies in the administration of Medicaid waiver programs, Medicare-Medicaid Eligibles Demonstrations, and Home and Community-Based Services. She has facilitated a national Duals Eligibles work group that includes representatives from CMS, states, and Dual Demonstration projects across the country. Additionally, she has worked with the E-Health Initiative on its e-Health Blueprint, and served as a member of the Engaging Consumers work group.