Layden began her career in academia.[1] She was an assistant professor of medicine and public health at the University of Illinois Chicago from 2010 to 2012, followed by a position as assistant professor of public health and medicine at Loyola University Chicago from 2012 to 2016.[1] She later became an associate professor of medicine at the University of Illinois Chicago, a role she held from 2016 to 2020.[1]
In June 2016, Layden was appointed state epidemiologist and chief medical officer (CMO) for the Illinois Department of Public Health (IDPH), where she served until January 2020.[1] Her responsibilities included directing outbreak responses, overseeing disease surveillance efforts, and providing scientific and clinical leadership for the state.[1] During her tenure, she managed public health responses to outbreaks of EVALI, Hepatitis A, and measles.[1]
In January 2020, Layden became the deputy commissioner and CMO for the Chicago Department of Public Health.[1] She was the incident manager for the city's COVID-19 response.[2][1] At the start of the pandemic, she addressed data management challenges, as many healthcare facilities were reporting cases via fax and Microsoft Excel files.[2][1] To streamline this process, Layden authored a public health order that defined essential data elements for COVID-19 and mandated their electronic submission in standard formats.[2] In collaboration with Rush University Medical Center, her department established a cloud-based hub to receive this data electronically.[2] She also led the creation of the city's first "Datahub," a platform designed to enable automated electronic data submission from healthcare providers and laboratories.[1] Layden left this position in September 2020.[2][1]
Layden joined the Centers for Disease Control and Prevention (CDC) in September 2020, initially in the Office of Science to help lead the agency's COVID-19 response.[2][3] Shortly after her arrival, she co-led a vaccine task force that oversaw COVID-19 vaccine data and contributed to clinical guidance decisions.[3][1] Her deployment with the task force lasted from June to October 2021.[1]
Layden held leadership roles at the agency, including associate deputy director to the deputy director for public health science and surveillance from December 2020 to November 2022.[1] She was named acting director of the newly established Office of Public Health Data, Surveillance, and Technology (OPHDST) in November 2022 and was formally appointed director in August 2023.[1]
As director, she led the CDC's Data Modernization Initiative (DMI), which was established in 2019 to address the nation's underfunded and antiquated public health data systems.[2][1] These systems were often characterized by siloed databases and a reliance on outdated methods like faxes.[2] Layden described public health data funding as following a "boom-and-bust pattern," where funding increases during a crisis and disappears after the threat subsides.[2] She also highlighted how disease-specific funding has led to fragmented data collection, citing an analysis that found jurisdictions had to report data for 11 notifiable diseases to multiple systems.[2] A key component of her work was a plan known as HTI-2, or Health Data, Technology, and Interoperability.[1] She identified sustained funding as the most significant obstacle to modernizing the public health data infrastructure.[2]
On August 27, 2025, it was reported that Layden was departing the CDC after approximately five years with the agency.[3]