Planning assistant Northeast Department Public Welfare, Lincoln, Nebraska, 1973-1974. Legislation coordinator Worcester Council on Aging, Worcester, Massachusetts, 1974. Program assistant Massachusetts Office Emergency Medical Services, Boston, 1974-1976.
Assistant director ambulance regulation Massachusetts Department Public Health, 1976-1977, director ambulance regulation, 1977-1978. Legislation analyst Health Care Financing Administration, Washington, 1978-1984. Director government affairs Home Health Services and Staffing Association, 1984-1986.
Deputy counsel National Association for Home Care, 1986-1988. Director health policy American Association Homes for Aging, 1988-1995. Director federal affairs American Medical Directors Association, Columbia, Maryland, 1995-1998.
Consultant, since 1998. Member adjunct faculty Central Michigan University, 1987-1990. Presidential management intern Department of Health and Human Services, Washington, 1978-1981.