Joshua Slen
President
Joshua is the founder and president of Health System Transformation. He has 28 years of experience working directly for and with state governments. Joshua held progressively responsible positions across the past 3 decades, moving from Ohio to Vermont and transitioning to supporting state activities as an independent consultant. Joshua helped Medicaid Agencies across 18 states as a national account executive with a Medicaid MCO and MMIS operator. As a consultant, Joshua has worked with multiple states on projects ranging from supporting state RFPs to strategic planning around health system direction. During Joshua's tenure as a state employee in Ohio and Vermont, he negotiated Waivers with the federal government, led system-wide health reform, built a statewide all-payer population health program, managed large state agencies, served two Governors, worked as senior staff to the State Legislature, lead Budget development for Medicaid and the entire state budget, and consistently delivered positive outcomes across multiple projects and decades. Joshua is a nationally known health policy expert. He has deep expertise in using analytics to inform policy, HIT, care management, state budgeting, population health, state health system waiver design, stakeholder engagement, procurement process, and implementation. Joshua works today on complex health policy and strategy issues. He believes that state programs provide critically important services and has dedicated his life to helping those programs be successful. Joshua has a Masters's Degree in Public Administration from The Ohio State University.

HST Team

Adriana Boroff
Executive Assistant
Adriana is proactive and results-oriented with comprehensive experience in providing senior executives with thorough and skillful administrative support. As a highly self-motivated professional with a solid work ethic, she employs insight and superior communication skills to meet client and company needs. Adriana is a graduate of Montclair State University with a Bachelor of Arts degree in Political Science.
Beth Kohler
Strategic Partner
Beth Kohler is the owner of Beth Kohler Consulting, LLC, a small, woman-owned business. She assists government and private-sector clients with complex policy, operational and administrative issues and excels in conducting complex policy research and analysis, translating those analyses into actionable strategies. In addition to supporting technical health policy work across the country, Beth leverages her 20 years of professional experience to provide leadership development, facilitation, consensus building, and strategic planning. Before her career in consulting, Beth was the Deputy Director of Arizona's innovative Medicaid managed care program, the Arizona Health Care Cost Containment System (AHCCCS), and led the $13 billion agency through the implementation of health care reform and system delivery transformation efforts including efforts to support Whole Person Care (integrated care), value-based purchasing and implementation of the Affordable Care Act. Before her work at AHCCCS, she was the Deputy Policy Director and Health and Human Services Policy Advisor in the Arizona Governor's Office. She served as a senior fiscal and health policy advisor for the Arizona Legislature. Outside of work, Beth serves on the boards of Hushabye Nursery, which provides services to infants with neonatal abstinence syndrome and their families, and the Melrose Community Alliance.



Chris Smith
Strategic Partner
Chris Smith, CEO of Compeer Solutions, Inc., is a subject matter expert in architecture, strategy, systems, and infrastructure for Medicaid agencies, public health, and Health Information Exchanges. Smith specializes in system interoperability, Medicaid Information Technology Architecture (MITA) and MITA Modularity, clinical data, Agency interoperability, and clinical and administrative data. Chris has deep knowledge of healthcare technology, systems, and data interoperability, including clinical data and HIE, state Medicaid agency infrastructure, and Medicare and Medicaid clinical and administrative systems. Chris is a healthcare IT speaker, author, and industry committee member. He has extensive state agency experience, including creating and implementing multiple state enterprise technical visions, developing state budgets and funding requests (APDs) for the Centers for Medicare and Medicaid Services, and designing shared (state and CMS) strategy documents (SMHP, etc.). Chris has a Bachelor of Arts degree in Healthcare Administration and a Master of Business Administration (MBA) specializing in Information Technology.
Claudia Schlosberg
Strategic Partner
Claudia Schlosberg is a health policy expert, creative problem solver and experienced program manager, with more than 30 years of professional experience focused on making Medicaid and Medicare work for vulnerable populations including older adults and people with disabilities. She is currently the founder of Castle Hill Consulting, LLC. As a consultant, Ms. Schlosberg works with providers across the LTSS spectrum. Previously, Ms. Schlosberg served as Senior Deputy and State Medicaid Director for the District of Columbia. Ms. Schlosberg’s prior experience includes: Director of Health Care Policy and Research, DC Department of Health Care Finance; Senior Policy Advisor and Acting Director of Programs, Policy and Training for the HHS Office for Civil Rights (OCR); Principal at Blank Rome Government Relations; Director of Policy and Advocacy for the American Society of Consultant Pharmacists; Counsel to the D.C. Long Term Care Ombudsman Program; Senior Attorney at the Bazelon Center for Mental Health Law and Founding Director of Advocacy for the Elderly at the Columbus School of Law at Catholic University. Ms. Schlosberg is President of the AdvancingStates Alumni Leadership Network and a Member of the Board of Directors of LeadingAge, DC. She is a 1981 graduate of Antioch School of Law and a member of the DC Bar.

Jen Steele
Strategic Partner
Jen Steele is the Founder and President of Steele Policy Strategies, a health care consulting firm. She has more than 20 years of experience working in state government, legislative and executive branches. As Louisiana Medicaid Director, she led the implementation of Medicaid expansion and the deployment of a new integrated eligibility system. She was instrumental in designing a first-in-the-nation value-based contracting model for high-cost drugs and redesigning the state's hospital payment methodologies. She also drove the maturation of a young managed care program, including a single preferred drug list and next-generation procurement to advance alternative payment models. In addition to leading the Medicaid agency, Jen held positions as deputy director for finance, chief for managed care finance, and eligibility field operations. As chief for national health care reform in the wake of Hurricane Katrina, she led the development and implementation of a section 1115 waiver to maintain primary care access to low-income adults in the Greater New Orleans area as the region rebuilt its devastated healthcare system. She also played a key role in a Medicaid eligibility process improvement effort, which established Louisiana as a national leader in streamlining and simplifying Medicaid eligibility and enrollment. Jen earned a Master of Public Affairs at the University of Texas-Austin and a bachelor's degree in International Relations at Mount Holyoke College.
Jocelyn F. Gordon
Strategic Partner
Jocelyn F. Gordon is a mission-driven, analytical senior executive and business development strategist with 20+ years of management and consulting experience spanning national and community-based health care institutions, insurance companies, community organizations, and community-based providers.

As the Director of National Market Development at the University of Massachusetts Medical School's Commonwealth Medicine Division ("UMass"), Ms. Gordon created strong consultative sales pipelines for new and existing markets. Ms. Gordon's market development approach includes ongoing research and monitoring of Medicaid policy shifts across the country and identifying changes that signal potential opportunities to introduce client solutions to state Medicaid agencies and their service delivery partners. Gordon's other specific experience includes market analysis, lead development, building the business case, product development, presenting and proposing solutions to potential clients, and contract negotiation. Ms. Gordon's efforts at UMass resulted in market expansion into new state Medicaid programs and entrance into the health plan, ACO, and public employee retirement system markets. These new markets resulted in a robust pipeline of qualified opportunities and recent wins that accounted for approximately 5% new revenue growth for the organization.
Before joining UMass, Ms. Gordon served as the Vice President of Network Development, Quality Assurance, and Training and the Vice President of Benefits, Products, and Services at LifePlans Inc. This risk management firm assisted long-term care and health insurers, health plans, and providers in managing risk through evidence-based case management solutions. In these roles, Ms. Gordon led the development and implementation of long-term care risk management strategies, product development, and claim services.
Previously, Gordon practiced health care law at the firm of Goulston and Storrs in Boston, Massachusetts. She concentrated her practice in business and health care law, emphasizing health care provider organizations and regulations, corporate transactions, and telemedicine.
Before practicing law, Gordon served as a senior health care analyst and program manager for the Commonwealth of Massachusetts' Department of Medical Security. She was involved in designing and implementing the uncompensated care pool and other health insurance programs providing access to uninsured residents.
Gordon is a Fulbright Scholar and a graduate of Wellesley College. She holds a master of science degree in Health Policy and Management from the Harvard School of Public Health and a law degree from the Northeastern University School of Law.

Julie Trottier
Associate
Julie's first job out of undergraduate school was Case Manager with the Homeless Healthcare Project in Burlington, Vermont. It was challenging, fulfilling, and life-changing work, which helped set the trajectory of her nearly 30 years in public and private sector health and human services. She has held roles with state government, community-based organizations, state contractors, conveners, and consultants in program development and administration, care management, quality assurance and improvement, and care delivery system transformation. Skilled in Medicaid planning and operations, state and national healthcare policy, social determinants of health, value-based purchasing, and primary care practice transformation, Julie has a demonstrated history of understanding, developing, and improving care delivery systems, particularly from the payer perspective.
Kristan Drzewiecki
Strategic Partner
Kristan has over twenty years of state government health and human services and Medicaid management and information technology consulting experience. She is an accomplished consultant, analyst, strategist, and writer leading complex cross-functional projects and business development efforts for government, business, and non-profits with:
- A passion for tackling difficult problems by asking tough questions, always digging deeper, and investigating from a multi-stakeholder and multi-systems perspective
- An uncanny ability to visualize and forge meaningful partnerships across diverse stakeholders, sectors, and functions to create value and impact
- A knack for decomposing complex challenges into practical and actionable strategies and implementation roadmaps
- Bold thinking grounded in direct interaction and collaboration with senior leaders


Michelle Rork
Strategic Partner
Michelle Rork, MPP, MPA, has over 24 years of experience in public health insurance programs with policy and operations expertise. Ms. Rork offers a unique perspective based on extensive federal and state-based Medicaid and CHIP experience. She has worked for multiple state Medicaid agencies, including serving as the Georgia CHIP director. As a consultant, she provides a broad range of support to state and federal agencies and MCOs through research, analysis, and program design. Capabilities include:
- Analysis and implementation of new legislation, programs, regulations, and policies
- Medicaid managed care reporting tools, oversight, and monitoring
- Development of quality improvement and value-based purchasing strategies
- Data-driven strategic planning
- Health plan readiness reviews
- State Medicaid waiver design
- Stakeholder engagement
- Procurement support
Stephanie Muth
Strategic Partner
Stephanie Muth specializes in health and human services policy, design, and implementation. Before establishing her consulting practice in June 2020, she had over twenty years of experience in the Texas state government. She began her state career at the Texas Legislature. She held senior executive-level positions in health and human services for more than fifteen years, including director of external relations, chief of staff, deputy over social services eligibility, and State Medicaid Director. Stephanie's accomplishments include modernizing the Texas eligibility system, building a network of community partners, and putting Medicaid clients first by strengthening managed care oversight. Stephanie has a Bachelor of Arts in Political Science from the University of Florida and a Master of Public Affairs from the LBJ School of Public Affairs at the University of Texas.

Our Partners



