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Alexis Smirnow
Senior Policy Analyst


Alexis Smirnow is a senior policy analyst at The Hilltop Institute. She partners with a team of analysts and programmers to provide data analysis and policy research for Maryland’s Medicaid program and other health care delivery systems. Her work has included contributing to the evaluation of Maryland’s Health Home program and supporting efforts to estimate statewide patient total cost of care and resource use. She has assisted with network adequacy assessments by completing the implementation and data analysis for a pilot survey designed to evaluate the accuracy of Maryland Medicaid managed care provider directories.

Prior to joining Hilltop, Ms. Smirnow was with Finger Lakes Health Systems Agency (FLHSA), where she was a data manager for a CMS Health Care Innovation Award aimed at redesigning primary care implemented in more than 40 physician practices. She also served as project manager for a community-wide program embedding care managers into primary care practices. In addition, she was responsible for data management and analysis for a Care Transitions Intervention program implemented across multiple hospital systems and payers. Prior to that, Ms. Smirnow was a health project coordinator and then senior health project coordinator at the University of Rochester’s Neuromuscular Disease Center. She also has experience as a health project coordinator for the Rochester Psychiatric Center, where she monitored clinical trials and completed neuropsychological tests and standardized interviews for patients and research participants. For the Monroe #1 Board of Cooperative Educational Services, Ms. Smirnow provided Applied Behavioral Analysis (ABA) instruction for preschool and school-aged children with autism.

Ms. Smirnow received her MPH from the University of Rochester and her BSc from the Rochester Institute of Technology.