Health, Medicaid & interoperability

At Coforma, Chelsea owns the engineering, federal compliance, and delivery behind CMS systems states use to report Medicaid & CHIP data — and leads the firm's FHIR / health-data-interoperability specialization.

• Her teams own the CMS MDCT suite — React/TypeScript serverless applications on AWS that U.S. states and territories use to report Medicaid & CHIP data to CMS (enrollment, CHIP coverage, managed care, Money Follows the Person, quality measures, and home- and community-based services), underpinning federal oversight of programs serving tens of millions of beneficiaries.
• Holds portfolio oversight for the CMS Medicaid Drug Programs system behind the Medicaid Drug Rebate Program, and leads Coforma's specialization in FHIR and health-data interoperability.
• In 2026 her teams merged 400 PRs — including a new Medicaid reporting app taken from zero to production in ~14 weeks — alongside portfolio-wide React 19, security, and accessibility work, all under federal compliance (HIPAA, ATO).
• Brings standards-based interoperability across her work — FHIR on the health side, Credential Engine's CTDL on the workforce side — so public data is comparable and portable rather than siloed.