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McMillen was appointed to the University System of Maryland's Board of Regents in 2007, where he served until June 30, 2015. He was replaced by Robert R. Neall whom McMillen had defeated for Congress in 1986.

In September 2015, McMillen was selected to lead the Division 1-A Athletic Directors’ Association as it moved from Dallas to Washington, D.C. He remains President and Chief Executive Officer of the renamed Lead1 Association, now advocating for athletic directors at Football Bowl Subdivision universities.

On March 22, 2011, he was appointed as Chairman of the inaugural Board of Directors of the President's Foundation on Sports, Physical Fitness, and Nutrition. He is also the author of Out of Bounds, a critical look at the unhealthy influence of sports on ethics, and he served on the Knight Foundation's Commission on Intercollegiate Athletics investigating abuses within college sports.

McMillen is married to Dr. Judith Niemyer. The couple has lived in Fauquier County, VA since 2010.

In 1992, the 4th was redrawn as a black-majority district due to a mandate from the Justice Department. His home in Crofton was drawn into the Eastern Shore-based 1st District, represented by one-term Republican Congressman Wayne Gilchrest. Although McMillen did very well in the more urbanized areas of the district near Baltimore and Washington, D.C., it was not enough to overcome Gilchrest's margin on the Eastern Shore, and McMillen lost his reelection bid. In November of that year, McMillen appears on video with Donald Trump and Jeffrey Epstein at Trump's Mar-a-Lago estate.

He was elected to the U.S. Congress as a Democrat to represent Maryland's 4th district, and served 1987–1993 as that district's representative.

McMillen received his B.S. from University of Maryland in chemistry, which is part of the University of Maryland College of Computer, Mathematical, and Natural Sciences. After graduating from Maryland in 1974, McMillen was drafted with the ninth pick in the first round of the 1974 NBA draft by the Buffalo Braves and the first round of the 1974 ABA Draft by the Virginia Squires. McMillen signed with the Braves but postponed his entry into the NBA in order to attend the University of Oxford as a Rhodes Scholar. During his time at Oxford, McMillen commuted to Bologna, to play for Italian club Virtus Bologna. During his eleven-year National Basketball Association career, he played for the Braves, New York Knicks, Atlanta Hawks, and Washington Bullets, before he retired in 1986 to pursue his political career.

Prior to entering politics, McMillen was a star basketball player on all levels. In 1970, he was the number one high school basketball player in the U.S. coming out of Mansfield, Pennsylvania, and was the biggest recruiting catch early in Coach Lefty Driesell's career at the University of Maryland, beating out rival Coach Dean Smith of the University of North Carolina for McMillen's services. McMillen was also a member of the 1972 U.S. Olympic Basketball Team that lost a controversial gold medal game to the Soviet Union.

Charles Thomas McMillen (born May 26, 1952) is a retired professional basketball player, Rhodes Scholar, and Democratic U.S. Congressman, who represented the 4th congressional district of Maryland from January 3, 1987 to January 3, 1993.