Roshni Arora

Principal & Founder

Roshni brings nearly two decades of experience working across the healthcare landscape, with a deep focus on government-sponsored programs including Medicaid, Medicare, CHIP, and services for the uninsured. She has led complex initiatives spanning the full program lifecycle—from policy design and implementation to operational oversight and organizational readiness. Her work is grounded in the belief that public healthcare systems should deliver more than just compliance—they should ensure members can access the care they need, providers can deliver that care without unnecessary barriers, and the system as a whole is held to a standard of quality that reflects its vital role in people’s lives.

Roshni's work spans Medicaid managed care, healthcare service delivery system transformation, and policy development, with a strong track record of stakeholder engagement and strategy execution.

• Trusted advisor to governors’ offices, state Medicaid directors, and health plan executives on reform initiatives ranging from value-based payment, provider network, and quality improvement to long-term services and supports.

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• Skilled at guiding organizations through complex waiver negotiations, procurement processes, and readiness reviews to ensure compliance and success.

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• Contributor to thought leadership on Medicaid innovation, drawing from experience across more than a dozen state systems.

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• Recognized for bridging policy design with on-the-ground implementation, enabling sustainable improvements in access, quality, and cost.

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• Passionate about mentoring emerging leaders in healthcare policy and operations, building the next generation of change agents.

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Roshni earned a Bachelor of Arts in Health & Societies and Political Science from the University of Pennsylvania. She received a Master of Public Health from Columbia University's Mailman School of Public Health. Roshni has previously consulted for The Lewin Group and Guidehouse (formerly Navigant Consulting).