Alicia J. Swenson OBrien

Chief of Staff | Health Policy & Ops | LCSW

Alicia J. Swenson OBrien's profile photo
LocationWashingtonDistrict of Columbia, United States
Current roleChief of Staff & Health Policy Strategy ConsultantAvailable for new opportunities · since Sep 2025
Government service20yrsHealth and Human Services Department (HHS) · U.S. Department of Veterans Affairs (VA)

About

I am a health policy strategy advisor and special assistant (equivalent to director of policy and strategy) with 20+ years’ experience steering alignment between organizational goals and operations across multiple policy programs for the U.S. Department of Health and Human Services (HHS) and U.S. Department of Veteran Affairs. As Special Assistant to HHS’s Assistant Secretary for Planning and Evaluation, I translated vision into actionable strategy across diverse science and health initiatives. I am also a published co-author of anti-overdose and behavioral health strategies.

I excel at driving high-impact collaboration among 140+ member teams, senior executives, representatives from the White House, and other top-tier government bodies. My talent for tailored communication means I identify—and rapidly resolve—problems, dismantling bottlenecks and conflict before they impede progress.

I am also a clinical social worker, licensed in Colorado, Virginia, and Washington, D.C. I was Lead Social Worker with the VA Central California Healthcare System, where I drafted multi-disciplinary care plans and built consensus in challenging medical situations. I also mentored new social workers and graduate students, providing comprehensive training while honing resiliency and passion in my team.

Key Accomplishments:

  • Guided development of 2021 HHS overdose crisis strategy and united stakeholders ranging from senior leadership to policy analysts and subject matter experts to draft new, 4-prong approach, overcoming numerous interagency conflicts to deliver high-impact, actionable strategy.

  • Steered Federal Drug Administration (FDA) policies through rigorous HHS approval process, negotiating complex cross-office dynamics to deliver well-socialized, nuanced policies; lauded as first solo policy advisor to successfully manage this portfolio.

  • Led seamless onboarding and transition for 2 HHS assistant secretaries and 4 deputy assistant secretaries during COVID-19 pandemic, including development of comprehensive overview of office’s history, policy issues, and $43M budget. Facilitated presentation of core issues to top executives.

  • Advanced adoption of new Medicare benefits by beneficiaries throughout the Midwestern U.S. as specialist with Centers for Medicare & Medicaid Services (CMS), visiting communities to help translate complex policies and assist with enrollment for increased accessibility.

Roles

Sep 2025–Present
Current role

Chief of Staff & Health Policy Strategy Consultant

Available for new opportunities

Healthcare & MedicalGovernmentSocial work

Seeking chief of staff and/or health policy strategy consultant roles leveraging vast U.S. Department of Health & Human Services and U.S. Department of Veteran Affairs expertise to help organizations navigate and thrive within complex healthcare systems. Excels at early problem solving; adaptive, high-impact communication; and consensus-building across diverse stakeholders. Proficient in policy translation, process improvement, and public and behavioral health. Licensed clinical social worker.

Jan 2021–Aug 2025
Former role

Special Assistant (Policy Director)

Health and Human Services Department (HHS), Office of the Assistant Secretary for Planning & Evaluation

(appointed)District of Columbia

Office AssistantFederal GovernmentEducation and TrainingProgram ManagementOperations ManagementBudgeting and Budget Analysis

Strategic Leadership | Stakeholder Engagement | Program & Operations Management:

  • Led strategic initiatives in behavioral health, human services, science policy, and public health, surveying $43M in appropriations and shepherding 140+ staff, ensuring goal and implementation alignment.

  • Spearheaded program operations as Assistant Secretary’s (AS) special assistant, including driving leadership collaboration across 5 offices, advancing strategy rollout, and serving as AS confidential sounding board. Process Improvement | Change Management:

  • Overhauled budget and allocation process, revamping historically lengthy process to deliver timely, transparent strategy that equably balanced stakeholder requests within financial constraints.

  • Shepherded leadership team conflicts through to resolution, guaranteeing visibility of all stakeholder perspectives and timely decision-making that prevented issue stagnation.

  • Led office transition from WebEx and Teams to Zoom, liaising with IT to procure licenses, troubleshoot issues, and train staff in alignment with new administrative policies.

Process Improvement | Change Management:

  • Overhauled budget and allocation process, revamping historically lengthy process to deliver timely, transparent strategy that equably balanced stakeholder requests within financial constraints.

  • Shepherded leadership team conflicts through to resolution, guaranteeing visibility of all stakeholder perspectives and timely decision-making that prevented issue stagnation

  • Led office transition from WebEx and Teams to Zoom, liaising with IT to procure licenses, troubleshoot issues, and train staff in alignment with new administrative policies.

Jan 2020–Jan 2021
Former role

Public Health Analyst

Health and Human Services Department (HHS), Office of Assistant Secretary for Planning & Evaluation

(appointed)District of Columbia

Healthcare & MedicalFederal GovernmentPlanning, Policy, StrategyGrant Review Public Policy

Data-Based Decision Making | Behavioral Health Policy:

  • Translated research, grant outcomes, and other data into key materials for senior leaders, including talking points, financial briefings, presentations, and proposals, facilitating informed decision-making.

  • Advised on national behavioral health policies and represented ASPE in interagency forums to ensure productive cross-agency collaboration.

Apr 2015–Jan 2020
Former role

Policy Coordinator (Strategic Policy Advisor)

Health and Human Services Department (HHS), Office of the Executive Secretariat

(appointed)District of Columbia

Healthcare & MedicalFederal GovernmentPlanning, Policy, StrategyProjects, Programs and Advisors

Cross-Functional Leadership | Relationship Management | Executive Communication:

  • Directed development and review of regulatory guidance for CMS, FDA, Indian Health Service, and Administration for Children and Families, ensuring policies could be practically implemented.

  • Honed key relationships across all internal HHS agencies, successfully streamlining policy vetting processes and facilitating timely, meaningful reviews of proposed regulations.

  • Led communication with Office of Management and Budget and the Executive Office of the President on budget and regulatory issues, enabling open dialogue on key concerns.

  • Managed briefings to Secretary of HHS and other executive leadership on contentious policy disputes, guaranteeing early visibility on and resolution of emerging issues.

Jan 2012–Apr 2015
Former role

Public Health Analyst

Health and Human Services Department (HHS), Federal Office of Rural Health Policy

(appointed)Maryland, District of

Healthcare & MedicalFederal GovernmentPlanning, Policy, StrategyGrant Review Management

Policy Analysis & Development | Advocacy | Grant Management:

  • Liaised closely with national, state, and local stakeholders to identify key issues impacting rural health, including opioid abuse and provider hurdles, driving more informed policy development.

  • Advocated for rural concerns with federal bodies like Substance Abuse and Mental Health Services Administration and CMS, ensuring improved rural healthcare delivery and funding models.

  • Managed portfolio of 19 Health Resources & Services Administration-funded grants supporting rural health networks and research, ensuring financially scrupulous, high-outcome programming.

Jul 2009–Jan 2012
Former role

Lead Social Worker

U.S. Department of Veterans Affairs (VA)

(appointed)California

Healthcare & MedicalFederal GovernmentVeterans SupportEducation and TrainingSocial work

Team Building | Problem-Solving | Social Work Expertise:

  • Supervised new social workers and graduate students and provided training on medical crisis counseling, psychosocial impact of injury/illness, and other social work concepts, cultivating a thriving, resilient team.

  • Mediated between patients, families, and medical providers to facilitate adaptive, empathetic problem-solving in cases involving complicated medical issues and contentious end-of-life care.

  • Developed interdisciplinary care plans and advocated for veterans and patients with complex psychosocial needs, ensuring availability of care even in sensitive, financially challenging situations.

Jun 2005–Jul 2009
Former role

Health Insurance Specialist/Presidential Management Fellow

Health and Human Services Department (HHS), Centers for Medicare & Medicaid Services

(appointed)

Healthcare & MedicalFederal GovernmentHealth Insurance AdministrationManagement