Alice Middleton, Interim Executive Director

Alice Middleton

Executive Director
410.455.6759

Alice Middleton is Hilltop’s executive director. She provides 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 leads Hilltop’s work with its long-term partner—the Maryland Department of Health (the Department). She is also the steering committee chair for AcademyHealth’s State-University Partnership Learning Network.

Alice joined Hilltop in 2017 as chief of staff, became deputy director in 2022, and began serving as interim executive director in May 2024 upon Cynthia Woodcock’s retirement.

Prior to Hilltop, Alice was Deputy Director of the Centers for Medicare and Medicaid Services (CMS) Division of Eligibility and Enrollment. She was responsible for establishing national Medicaid and Children’s Health Insurance Program (CHIP) eligibility and enrollment policies for low-income children and adults. Prior to that, she held various director-level positions at the Maryland Department of Health, 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 the Maryland Health Connection, the state’s insurance marketplace.

Alice holds a JD from the University of Maryland School of Law. She was admitted to the Maryland Bar in 2005. She also has a BS from Towson University, where she graduated summa cum laude.