Strategic Consulting

Addressing the Trauma Blind Spot — From the Inside

An insider perspective. Proven results. A clinical lens most consultants don't bring to the table.

Lilli has grown a specialty care program from zero to 700,000+ lives in under three years, turned a failed NCQA audit to 100%, cleared a 5,000-provider credentialing backlog in 60 days, and taken early-stage companies from no payer relationships to active contract conversations with Optum/UHC, Centene, and Humana.

Most people who understand trauma have never run a payer program. Most people who've run payer programs have never treated trauma. Lilli has done both — nearly a decade in VP-level roles at Optum, Centene, and Genoa Healthcare, and years as a licensed trauma clinician who has watched the same blind spot play out from every seat: provider, payer, executive, and patient.

What Makes Lilli Different

  • Assessment that leads to treatment — trauma gets identified, and treated with an approach that meets each client where they are, not a standardized response to a checked box

  • Insider payer knowledge — VP-level roles at Optum, Centene, and Genoa Healthcare mean she knows how the nation's largest payers think, contract, and make decisions.

  • Built from zero — grew a specialty care program from no team, no infrastructure, and no playbook to 700,000+ lives and $2.8M+ in program profit.

  • Turnaround proven — diagnosed and solved in weeks what others couldn't address; turned a failed NCQA audit to 100% on follow-up.

  • Full-spectrum experience — acquirer and acquired in M&A, provider and payer in healthcare delivery, advisor to startups building what comes next.

  • Startup to Enterprise — effective across the board, from startups to Fortune 5 organizations.

  • Mobilizes people — doesn't just diagnose problems and hand over a report; brings the clarity, metrics, and leadership that turns recommendations into results.

  • Senior-level strategic counsel across the full spectrum of behavioral health and healthcare operations.

    • Payer strategy, navigation, and relationship development

    • Value-based care models and contracting

    • Behavioral health care management and care coordination

    • Trauma blind spot assessment and remediation

    • Payer-facing product positioning and ROI framing

    • Operational architecture, workflow design, and scalability

    • Change management, organizational design, and workforce planning

    • Growth strategy and go-to-market for health tech startups

    • Executive and board-level strategic communication

  • Strategic personal development for executives and emerging leaders who want to show up more aligned, more effective, and more fully themselves.

    • Building trauma-responsive leadership — helping leaders recognize when well-intentioned practices have missed the mark and stopped helping the clients they serve

    • Strengths identification — StrengthsFinder, Myers Briggs, Working Genius

    • Leadership presence and communication

    • Navigating complex organizational dynamics

    • Career clarity and direction

    • Decision-making aligned with who you actually are

Engagement Options

Strategic Consulting

  • Advisory retainer — ongoing senior-level counsel

  • Project sprints (4-12 weeks) — focused engagements with defined deliverables

  • Fractional executive roles — embedded senior leadership for organizations that need it

  • Retainer with upside — for early-stage companies, a lower retainer structure with equity or revenue participation — aligned incentives for companies where cash is constrained but potential is high

Executive Coaching

  • Formalized coaching engagement — including psychometric tools and structured development

  • Project-based coaching — running alongside a leader through a specific challenge or transition

  • Retainer or hourly — flexible to fit what you actually need

Ready to explore what's possible?

Schedule Your Free Consult