
Please join us in welcoming Alice Middleton as Hilltop’s fourth executive director. Alice is a nationally recognized Medicaid subject matter expert and brings a wealth of experience to Hilltop. She joined Hilltop in 2017 as chief of staff, became deputy director in 2022, and has been serving as interim executive director since May 1, 2024, when Cynthia Woodcock retired.
Alice will continue to provide leadership on programmatic strategy, direction, and delivery of client engagements for research, policy analysis, and data analytics on Medicaid, health care financing, and delivery system reform. She will lead Hilltop’s work with its partner of 31 years—the Maryland Department of Health (the Department). She will also continue to serve as the steering committee chair for AcademyHealth’s State-University Partnership Learning Network.
Alice joined Hilltop from the Centers for Medicare and Medicaid Services (CMS), where she was deputy director of the Division of Eligibility and Enrollment and was responsible for establishing national Medicaid and Children’s Health Insurance Program eligibility and enrollment policies for low-income children and adults. Prior to that, she held various director-level positions at the Department, such as deputy director of the Office of Medicaid Planning and the director of eligibility policy and special projects in the Office of Eligibility Services. She served as the Department’s liaison to the Maryland Health Benefit Exchange during the launch of Maryland Health Connection, the state’s insurance marketplace. Alice earned her JD from the University of Maryland Francis King Carey School of Law and was admitted to the Maryland Bar in 2005. She also has a bachelor’s in women’s studies from Towson University.
Alice looks forward to continuing to lead the expert staff at Hilltop in this new role. She is eager to work closely with the Maryland Department of Health and other state agencies to navigate upcoming federal changes and identify new opportunities for innovative health policy and program evaluation. As Hilltop recently joined UMBC’s Division of Research and Creative Achievement, Alice is excited to strengthen collaborations with university faculty and leverage academic partnerships to enhance Hilltop’s research capabilities and impact.
UMBC originally established The Hilltop Institute in 1994 as the Center for Health Program Development and Management in a unique partnership with the Maryland Department of Health, acting as a non-partisan health research organization dedicated to advancing the health and wellbeing of people and communities. Hilltop has nearly 60 staff members with expertise in social sciences, financial analysis, economics, law, and programming.

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