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JT Mackey has extensive work experience in policy, research, and advocacy. Currently, they hold the position of Director of Policy, Research, and Advocacy at Cinnaire. Prior to that, JT worked as a Government Affairs Manager at the American Dental Hygienists' Association from November 2018 to September 2022. Before that, they served as an Advocacy and Practice Affairs Associate at the American Society for Dermatologic Surgery from September 2017 to November 2018.

JT's early career was in the U.S. House of Representatives, where they held various legislative roles. They served as a Legislative Assistant from June 2014 to September 2017, a Legislative Correspondent from May 2013 to May 2014, and a Field Representative from January 2011 to May 2013.

JT Mackey attended Indiana University Bloomington from 2006 to 2010. However, no information was provided regarding the degree obtained or field of study pursued during their time at the university.