After completing her residency in Boston, Cohen moved to
Washington, D.C., where she worked for the
United States Department of Veterans Affairs as the Deputy Director of Comprehensive Women's Health Services from 2008 to 2009. In 2008 she was a founding member and National Outreach Director for the grassroots organization Doctors for Obama, later renamed
Doctors for America. In 2013 she was hired as a senior advisor by the
Centers for Medicare & Medicaid Services, a federal agency within the
United States Department of Health and Human Services, to assist in implementing policies for
Medicaid,
Medicare, and the
Children's Health Insurance Program, as well as the
Federally Facilitated Marketplace under the
Patient Protection and Affordable Care Act. Cohen was later appointed as the chief operating officer and chief of staff services at the agency, and from 2014 to 2015 served as acting director of the agency's Center for Consumer Information and Insurance Oversight. In 2014, while eight months pregnant, Cohen advocated for maternity coverage in the Affordable Care Act before the
United States Congress.
Secretary of North Carolina Department of Health and Human Services (2017–22) In January 2017 Cohen was appointed health secretary of the
North Carolina Department of Health and Human Services (NCDHHS), an organization with 17,000 employees and an annual budget of $20 billion, by Governor
Roy Cooper. As secretary, she oversaw 16,000 department employees and dealt with multiple health crises in North Carolina including the
Opioid epidemic,
GenX in drinking water, and the
COVID-19 pandemic. In 2020, Cohen was mentioned as a potential pick for
United States Secretary of Health and Human Services under President-elect
Joe Biden. Cohen navigated the political divide over Medicaid in North Carolina, with
Democratic governor Cooper wanting to expand it under the Affordable Care Act and the
Republican-majority
North Carolina General Assembly opposing such measures. She helped lead North Carolina through a transition from fee-for-service Medicaid to a model contracted by the state with private insurance companies that are paid pre-determined rates to provide health services. In 2020, she was named
The News & Observers Tar Heel of the Year. In July 2021, she received the Founders Award from the NC Convention of The
Delta Kappa Gamma Society. In 2021 she was also elected to the
National Academy of Medicine. In March 2022 the
American Medical Association (AMA) presented her with the AMA Award for Outstanding Government Service. Governor Cooper announced on November 30, 2021, that Cohen would leave office on January 1, 2022. During and after this time, Cohen is an adjunct professor of health policy & management at the
University of North Carolina at Chapel Hill's
Gillings School of Global Public Health. In March 2020 she sent a letter to the president of the
2020 Republican National Convention, asking for detailed plans on how the convention would operate during the COVID-19 pandemic after President
Donald Trump published a series of
tweets threatening to pull the convention out of North Carolina. She held a media briefing on July 16, 2020, to address virus testing in North Carolina, after the state reached 96,426 confirmed cases of COVID-19 and 1,588 deaths related to the virus. She said that she had concerns about teacher safety if schools were to re-open amidst the pandemic, but was confident in studies showing that the virus has minimal health consequences on younger children, saying that schools "have not played a significant role in the spreading of COVID-19." She met with
University of North Carolina president
William L. Roper to discuss how to resume in-person instruction for students at North Carolina's public colleges and universities. She warned of the state possibly returning to a
stay-at-home order. She had also linked North Carolina's rise in cases with the reopening of the state. Cohen indicated that there would be a test surge in areas with troubling metrics, including the counties of
Alamance,
Durham,
Duplin,
Forsyth,
Lee,
Johnston,
Mecklenburg, and
Wake.
U.S. Centers for Disease Control and Prevention In June 2023, President
Joe Biden appointed Cohen director of the U.S. Centers for Disease Control and Prevention, succeeding
Rochelle Walensky. Cohen was sworn in on July 10, 2023. In her capacity as Director of the CDC, Cohen also serves as Administrator of the
Agency for Toxic Substances and Disease Registry. == Personal life ==