Pivot First is a Practice management consultancy serving healers and providers seeking social impact

 

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

 

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

 

Facilitation

We help groups navigate public health policy and Medicaid program changes. We create spaces and experiences that support learning, connection, discourse, and design.

 
 
Learn more

  • “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 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.

    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. Kussy demonstrated exceptional leadership, 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. 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

Woman holding a tablet with a revenue cycle checklist on it