From 2011 to April 2019, she was the managing director of vfa, the association of research-based pharmaceutical companies, Berlin. Previously, she was Chairwoman of the Board of Directors of BARMER GEK, Deputy Chairwoman of the Board of Directors of BARMER and Minister of Health and Social Affairs in North Rhine-Westphalia, Parliamentary Managing Director of the SPD parliamentary group as well as Equal Opportunities Officer, VHS department head and employee in an Ev. Educational work.