Ciera Charles, MSHA, joined Michigan's Department of Health and Human Services, Health Insurance Liability Section as a Departmental Analyst in early 2017. Collaborating closely with third party payers, Ciera has worked to bring Michigan's third party coverage identification and subrogation processes in house in support of Michigan's goal to maintain a direct payer relationship without vendor support. With previous experience at a Medicaid managed care organization, she has played a critical role in improving Michigan’s third party liability efforts across both fee-for-service and managed care. Ciera received her Master's in Healthcare Administration from Central Michigan University, dedicating her studies to sustainable Medicaid cost containment and health literacy.