As chief financial officer (CFO), Jerome is responsible for NACCHO’s financial functions including accounting, audit, contracts, and grants. As a member of the leadership team, he shares the responsibility for the attainment of the organization’s strategic and operational goals. His career spans more than 30 years of varied experience in financial management, Federal Government contracts, business leadership, and organizational strategy.
Before joining NACCHO in January 2017, he served as the CFO for a division of Sheppard Pratt – the largest private, nonprofit provider of varied mental health and social services programs. Previously, Jerome was the CFO for the Baltimore City Health Department – with a workforce of 800 employees and a budget of $126 million.
Jerome is proficient at establishing systems, processes, and controls that mitigate risk and ensure compliance with organizational policies and regulatory guidelines, and he is adept at team building and maintaining strong relationships with internal and external business partners.
Jerome earned a Master of Business Administration, Master of Accounting, and a Bachelor of Science in Business/Information Systems.
Updated November 7, 2025
Chief Executive Officer
Lori Tremmel Freeman has been the Chief Executive Officer for the National Association of County and City Health Officials (NACCHO) since May 2018, having returned to the organization after previously serving as its Associate Executive Director from 2010-2014.
Chief Operating Officer
Christopher Paquet joined the National Association of County and City Health Officials (NACCHO) in 2023 as Chief Operating Officer. In this role, his priorities are focused on advancing our journey to make NACCHO a better workplace for staff by focusing on continuous quality improvement; looking deeply at our policies, practices, and processes; and offering solutions.
Chief of Government and Public Affairs
Adriane Casalotti is the Chief of Government and Public Affairs for the National Association of County and City Health Officials (NACCHO), whose mission is to improve the health of communities by strengthening and advocating for local health departments. There she leads the Association's efforts on policy development, communications, and federal advocacy.
To reach out for an interview with Jerome or another member of our senior leadership team, please email [email protected].