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Tom Naughton is the President of the Health Division for MAXIMUS Federal. Mr. Naughton is responsible for the management and performance of MAXIMUS Federal’s largest book of business, which includes benefit appeals and independent medical review services. His client base includes more than 54 federal and state agencies. Mr. Naughton also manages large-scale federal customer call and processing centers.
Mr. Naughton has extensive experience in health care reimbursement, Medicare, Medicaid, workers’ compensation, state health care law, quality oversight, peer review and all forms of benefit disputes and dispute resolution programs. Most recently, he testified in front of the United States Senate Finance Committee on Medicare appeal reform. He also served as a subject matter expert in the development and implementation of an independent medical review and provider payment dispute resolution program for the California Workers’ Compensation system.
Mr. Naughton earned his B.A. degree in English and political science from the State University of New York at Buffalo. He holds a Master of Laws degree from Loyola University Chicago School of Law and a Juris Doctorate degree from the State University of New York at Buffalo School of Law. He is also a Board Member of the MAXIMUS Foundation.