Executive Team

Erica Murray, MPA

President and CEO, CAPH

Prior to being appointed President and CEO in 2013, Ms. Murray served as Senior Vice President and was responsible for leading the organization’s policy and government relations efforts. She has been with CAPH since 2005, with a focus on developing and implementing financing structures that catalyze delivery system improvements, drawing on the expertise of CAPH’s affiliate, the California Health Care Safety Net Institute (SNI).

Prior to joining CAPH/SNI, Ms. Murray served as health policy Legislative Assistant for former U.S. Senator John Edwards (D-NC).  From 1997 to 1999, she served as a consultant to the U.S. Department of Health and Human Services, where she helped launch the AIDS Drug Assistance Program, a $1.4 billion federal program that provides access to HIV/AIDS medications for uninsured low-income individuals. Ms. Murray holds a Masters of Public Policy and Administration from Columbia University, and received a Bachelor of Arts degree from McGill University in Montreal, Quebec.

Giovanna Giuliani, MBA, MPH

Executive Director, SNI

Giovanna Giuliani joined the California Health Care Safety Net Institute (SNI) as Executive Director in 2016. Ms. Giuliani has a wealth of experience on a wide range of issues most pertinent to California’s public health care systems. Most recently, she served as the Associate Director of Improving Access at the California Health Care Foundation (CHCF) and helped to develop strategies and programs to improve access to coverage and care for low-income Californians. Prior to CHCF, Ms. Giuliani served as Director of the California Quality Collaborative at the Pacific Business Group on Health, where she developed and executed a wide range of statewide programs to improve patient experience, clinical quality, and efficiency among California’s delegated physician groups. She has also held quality improvement roles at Kaiser Permanente in Northern California and Brigham and Women’s Hospital in Boston, in addition to having worked in health plan product development at Blue Shield of California. Giovanna received both an MBA and an MPH from the University of California at Berkeley and a BA from Swarthmore College.

Richard Rubinstein, JD, MPH

General Counsel and Vice President, CAPH

Since 2012, Mr. Rubinstein has served as the General Counsel and Vice President for CAPH, providing leadership on crucial legal and technical financing issues facing CAPH and its membership.  Prior to CAPH, Mr. Rubinstein served as General Counsel for San Francisco Health Plan, the local Medi-Cal managed care plan serving Medi-Cal beneficiaries in San Francisco county.  He also spent time as a consultant focusing on hospital operations and financing, as well as numerous years in various analytical and financial positions with Brown and Toland Medi-Cal Group, a large IPA based in San Francisco.  Mr. Rubinstein received a Juris Doctor from University of Pennsylvania Law School, a Master’s Degree in Public Health from University of California at Berkeley’s School of Public Health, and a B.A. from Duke University.

CAPH Staff

Erica Fornshell

Erica Fornshell

Senior Director of Operations

Erica joined CAPH/SNI in 2011 and is responsible for Operations and Human Resources. Erica’s work focuses on the operational effectiveness of the organization by collaborating with senior management to develop and achieve long-term strategic aims as well as the operating budget. Erica manages the operations staff responsible for administrative support, facilities, information technology and other operational functions. She also leads the management of grants, financial services trainings, the annual conference, and external operational partnerships, vendors and consultants.


Leossie Hernandez

Senior Finance and Accounting Manager

Leossie Hernandez joined CAPH/SNI in 2019 as the Accounting Manager. In this role, she provides accounting services to CAPH/SNI that include accounts receivable, accounts payable, financial reporting, and other accounting related-functions. Ms. Hernandez brings over 15 years of experience serving as an accounting manager in non-profit community health services.

Gina Lenhart

Office Manager

Gina Lenhart joined CAPH and SNI in 2014 as the Office Manager. Gina oversees the general office operations and reception, and manages all office vendors. She provides administrative support to both the CAPH and SNI organizations. In addition to managing the office, she assists with internal and external communications efforts, including keeping the CAPH website regularly updated. Gina also leads registration for the CAPH/SNI annual conference. Prior to CAPH/SNI, she spent 15 years in the coffee industry where she worked in learning and development as a training partner, and most recently as an instructional designer.

Haleigh Mager-Mardeusz, MPH

Senior Policy Analyst

Haleigh Mager-Mardeusz joined CAPH in 2017. Haleigh’s work focuses on developing, shaping, and advancing policies that aim to strengthen public health care systems’ ability to deliver equitable high-quality care, including policies related to Federally Qualified Health Centers, telehealth, pharmacy, workforce, health information exchange, and other areas. Prior to Haleigh’s role on the policy team, she worked as the Senior Government Affairs Analyst, responsible for implementing advocacy and government affairs efforts at the state and federal level. Previously, Haleigh worked for the UCLA Center for Health Policy Research, specializing in public health insurance programs and spent a summer working for the U.S. Senate Committee on Health, Education, Labor and Pensions, where she analyzed federal financing reform options for long-term services and supports. Haleigh holds a Master of Public Health in Health Policy from the UCLA Fielding School of Public Health, Delta Omega, and a Bachelor of Science in Public Health, Minor in Developmental Disabilities, Magna Cum Laude, from the California State University, Los Angeles.

Malavika Narayan

Associate Director of Finance

Malavika Narayan is the Associate Director of Finance at CAPH, focusing on safety net financing mechanics and strategy. Malavika has extensive experience in healthcare financing, analytics and strategy. Prior to joining CAPH, Malavika spent 10 years at Stanford Children’s Health, helping grow the physician network and supporting financial and strategic planning for the physician network, as well as analytics related to acquisitions, joint ventures and other partnerships. She has also worked as an analyst with Santa Clara Valley Health and Hospital System, and was a consultant with Deloitte Consulting, working with global healthcare clients. She has a Master’s in Business Administration from the Indian Institute of Management, Kozhikode, and has an undergraduate degree in Chemical Engineering.

Megan Renfrew, MA

Director of Communications

Megan Renfrew is the Director of Communications for CAPH/SNI. In this role, she oversees internal and external communications and leads the organizations’ communications strategy, working closely with the executive team to support policy, advocacy, and member support activities. Megan has worked in the health care industry for over 15 years leading large-scale strategic hospital initiatives and providing executive-level communications support. Prior to joining CAPH/SNI in 2018, Megan worked for 10 years in the Mass General Brigham health care system in Boston, including six years at Massachusetts General Hospital (MGH). Megan has a Master’s Degree in Gender and Cultural Studies from Simmons College and a Master’s Degree in Medical Sociology from Brandeis University.

Ardelia Taylor

Senior Executive Assistant
Ardelia Taylor joined CAPH in 2015 as the Executive Assistant to the President and CEO and the Senior Vice President of External Affairs. Ardelia currently provides support to the President and CEO. Ardelia brings to CAPH more than 30 years of non-profit, and Executive C-Suite support experience. In addition to her passion to contribute to and embody our mission, she also leads the management of logistics for our financial services trainings, CAPH Board Meetings, and works closely with external partners administrative staff. Ardelia also provides support to the annual conference.

Christian Vierra

Senior Government Affairs Analyst

Christian Vierra joined CAPH in 2021 as the Senior Government Affairs Analyst. Mr. Vierra’s work focuses on advancing the association’s state and federal advocacy agenda. Prior to joining CAPH, he worked in various roles at the American Heart Association, including Director of Government Affairs, where he helped coordinate and lead efforts to advance the association’s public policy agenda. Mr. Vierra also spent several years working in the California State Assembly as a legislative assistant for Assemblymember Evan Low and Assembly Health Committee Chair Dr. Jim Wood. Mr. Vierra received his B.A. in Political Science from Cal Poly Humboldt.