Mariano has been involved with simulation since 2006. Currently, Mariano works at Ross University School of Medicine as Manager of Simulation. Mariano is responsible for all simulation administration, curriculum deployment and operation at their Miramar campus. Previously, he worked at University of Miami Gordon Center for Research in Medical Education responsible of A/V infrastructure, high fidelity simulation infrastructure and technical logistics, supporting the U.S. Army Trauma Training Center. Mariano also was one of the founding members of the University of Miami School of Nursing and Health Studies International Academy for Clinical Simulation and Research as Assistant Director of Operation on its original infrastructure design, development and operation logistics. Also, Mariano has years’ experience in IT system administration, system integration, programming, media broadcasting, online development, and deployment. Mariano was also leader of the South East region of FHSA from 2019 to 2021.