Sylvia Burwell, whom President Obama is expected to nominate to replace Kathleen Sebelius as the secretary of health and human services, has a long professional career in business and consulting, but lacks substantial professional or political experience with health care.

Her résumé​, according to Dan Diamond of the Advisory Board, only includes a stint as a board member at the University of Washington Medical Center. “Burwell’s track record in health care is not well-established,” Diamond writes in a briefing for the Advisory Board, a health-care consulting firm.

Her predecessor, Secretary Sebelius, served as Kansas state insurance commissioner for eight years, giving her control over, for instance, regulating health insurers and approving or rejecting the premiums they set.