 Prior to serving as Romney's chief campaign policy adviser, he joined Romney's Free and Strong America PAC in 2011 as policy director.Previously, he was deputy campaign manager and policy director on California Insurance Commissioner Steve Poizner's campaign for governor, Domestic Policy Director during Romney's 2008 campaign for president, and Senior Counselor to the Deputy Secretary of Health and Human Services.He was the healthcare adviser for the Bush-Cheney 2004 campaign.