Tiel Keltner is responsible for overseeing the administration functions of VISN 20, a system of 8 medical centers and 31 clinics in a four state region. Prior to her appointment at VISN 20, Ms. Keltner worked at the VA’s Office of Healthcare Transformation, where she led multiple priority initiatives for the Department. She worked in VISN 20 from 2013-2018 as the Executive Assistant to the Chief Medical Officer. Previously Ms. Keltner was a Health System Specialist in VA Central Office for the VHA Principal Deputy Under Secretary for Health. Ms. Keltner is a graduate of the Healthcare Leadership Development Program, the VA/University of Chicago Fellowship in Clinical Medical Ethics, the Excellence in Government Fellowship, and holds FAC-P/PM and COR certifications. She began her VA career as a Presidential Management Fellow after receiving her Juris Doctorate with a focus on Health Law.