Pivot First is a health equity and financial sustainability consultancy

We guide healers and providers through the business of health care

 

What we do

Healthcare Administration

We promote healthcare access and business growth by providing Medicaid and Medicare program enrollment, credentialing, contracting and revenue cycle management

 

Health Equity

We guide clients through human-centered design approaches to developing a data-driven health equity strategy

 

Data Storytelling

We translate health related social needs, health records, healthcare utilization, and environmental data into actionable insights

 

Talent Development

We supply coaching, tactical tools, and guidance for recruiting, retaining, and investing in community-based care teams

 

Strategic Partnerships

We facilitate relationship-building that is rooted in shared power, mutual benefit, and values alignment

 

  • “Through the Community Health Worker Capacity-Building Collaborative, Kussy led a process that educated our team and others in the state about a wide range of related topics, opening our minds to new ways to think about our planning. Kussy specifically turned me on to many public health data resources that I had never used, and guided me on how to use them to make our case. Having access to these resources helped me find new perspectives on the problems we were addressing.”

    Nancy Halloran | Former Deputy Director | Alameda County Health Connect

  • “Kussy Mackenzie has been a transformative partner in our work to reduce disparities in healthcare for Medi-Cal patients. She led strategic initiatives to expand equitable access to specialty care and address social determinants of health, ensuring systemic change beyond siloed efforts. Her ability to engage leadership, patients, and care teams fostered a culture of inclusivity, accountability, and continuous improvement. Kussy’s leadership was pivotal in launching the UC San Diego Health Disparities and Inequities Taskforce, a cornerstone of the broader Anti-Racism Task Force. Her unwavering dedication to justice, equity, diversity, and inclusion made working with her both inspiring and deeply impactful.”

    Shivon Carreño | Associate Director of Operations | Department of Orthopedic Surgery | University of California San Diego Health

  • “I had the privilege of collaborating with Kussy Mackenzie at the Center for Community Health, where her impact was profound. With nearly two decades of experience, Kussy demonstrated exceptional leadership in public health, excelling in fund development, partnerships, and transforming health systems. Her strong qualitative and quantitative data analysis skills were invaluable in advancing our health promotion, poverty reduction, and social justice programs. Kussy was a catalyst for change, leading efforts to dismantle systemic racism in health care through multidisciplinary team management and engagement. Her talent for authentic connection and storytelling, combined with her expertise in program design and evaluation, left a lasting mark on our initiatives and the communities we served.”

    Blanca Melendrez, MPH | Executive Director | Center for Community Health | Altman Clinical and Translational Research Institute