For media inquiries, contact Megan Renfrew, Director of Communications.

Executive Team

Erica Murray, MPA
President and CEO

Prior to being appointed President and CEO in 2013, Ms.  Murray was Senior Vice President and responsible for leading the organization’s policy and government relations efforts. She worked at CAPH since 2005 with a focus on policies to support and strengthen public health care systems’ successful delivery system improvements, many of which have been fostered by CAPH’s affiliate, the California Health Care Safety Net Institute (SNI).  These improvements include chronic disease management, language access services, and outpatient service delivery efficiencies.  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 May of 2016. Giovanna brings a wealth of experience on a wide range of issues most pertinent to California’s public health care systems. Prior to joining SNI, Ms. Giuliani served as the Associate Director of Improving Access at the California Health Care Foundation (CHCF) and helped to develop a new strategy to improve access to coverage and care for low-income Californians. She also has expertise in quality and performance improvement, including developing and overseeing grant programs to support public health care systems’ efforts to implement Lean management, improve safety net data analytics capacity in community health centers, and advance the development of complex care management programs in California.

Prior to CHCF, Ms. Giuliani served at the Director of the California Quality Collaborative at 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 in Biology from Swarthmore College.

Sarah Hesketh, MS
Senior Vice President of External Affairs

Sarah Hesketh is the Senior Vice President of External Affairs at the California Association of Public Hospitals and Health Systems (CAPH).  Ms. Hesketh leads the organization’s advocacy work, which includes helping to advance the organization’s policy work and legislative platform, and building relationships with key stakeholders at the state and federal level.  She helped lead CAPH’s advocacy effort to secure the 2015 Medicaid waiver for California, which provides $7 billion in funding to improve care in the Medi-Cal program.  More recently, Ms. Hesketh led CAPH’s state advocacy efforts to protect the 340B drug discount program for safety net providers and the organization’s federal advocacy efforts to prevent cuts to Medicaid Disproportionate Share Hospital (DSH) funding. Prior to joining CAPH in 2011, Ms. Hesketh was the Director of Health Care Policy and Community Development at Working Partnerships USA, a non-profit organization in San Jose CA, where she helped develop and implement local health coverage programs for low-income families, passed a living wage ordinance for 5,000 workers at the San Jose Airport, and helped advance multiple local ballot measures to support the county’s public hospital system.  She has a Masters in Applied Economics and Finance, and Bachelors in Global Economics from the University of California, Santa Cruz.

Richard Rubinstein, JD
General Counsel and Vice President

Since 2012, Mr. Rubinstein serves as the General Counsel and Vice President for CAPH providing leadership on crucial legal and technical issues facing CAPH and its membership.  Prior to working at 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
Senior Director of Operations

Erica joined CAPH/SNI in 2011 and is responsible for 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, human resources, 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.

Adam Francis
Director of Policy

Adam Francis joined CAPH in August 2021 as Director of Policy, responsible for developing, leading, and orchestrating the organization’s policy agenda at the state and federal levels. Mr. Francis has worked in politics, policy, and advocacy for more than 20 years. Most of that time was spent as the Director of Government Relations for the California Academy of Family Physician, representing family medicine in federal and state legislative issues – drafting, monitoring, and analyzing California state legislation, state budgets, regulations, policies, and issues affecting primary care, family physicians, and their patients. Mr. Francis also served as the Executive Director of the Family Physicians Political Action Committee during that time. Previous to working at the Academy, he led several political campaigns including as Campaign Manager for the successful No on Measure K campaign in 2006 and as Field Organizer for the John Dutra for State Senate 2006 campaign. Mr. Francis graduated from the University of California, Berkeley with a focus on Political Science and Middle Eastern Studies, which included a stint in the Office of Israel and Palestinian Affairs at the U.S. Department of State.

Leossie Hernandez
Accounting Manager

Leossie Hernandez joined CAPH/SNI in May 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 May 2014 as the Office Manager. Gina oversees the general office operations and reception, and provides administrative support to both the CAPH and SNI organizations.

Haleigh Mager-Mardeusz, MPH
Senior Policy Analyst

Haleigh Mager-Mardeusz joined CAPH in 2017. Haleigh’s work focuses on supporting advocacy efforts to advance the association’s policy and legislative platforms at both the state and federal level. Prior to joining CAPH, while in graduate school, Haleigh worked for the UCLA Center for Health Policy Research, specializing in public health insurance programs, including Medicaid and the Affordable Care Act, and as a Graduate Teaching Assistant in the Department of Health Policy and Management. Haleigh spent a summer working for the United States Senate Committee on Health, Education, Labor and Pensions for the ranking member, Senator Patty Murray (D-WA), where she analyzed federal financing reform options for long-term services and supports. Prior to that, Haleigh worked with a Professor at the USC Keck School of Medicine to identify developmental screening care delivery gaps in safety net clinics across Los Angeles County, for the local Medi-Cal health plan. Haleigh holds an MPH in Health Policy from the UCLA Fielding School of Public Health, Delta Omega, and a BS in Public Health, Minor in Developmental Disabilities, Magna Cum Laude, from the California State University, Los Angeles. In 2016, Haleigh was awarded the national David A. Winston Health Policy Scholarship.

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, including publications and policy briefs, press statements, social media, e-newsletters and website management. Prior to joining CAPH/SNI in 2018, Megan worked for 10 years in the Partners HealthCare system in Boston, including six years at Massachusetts General Hospital (MGH). Most recently, she served as the Director of Communications in Population Health at Partners HealthCare. Megan has a Master’s Degrees in Gender and Cultural Studies from Simmons College and a Master’s Degree in Sociology from Brandeis University.

Ardelia Taylor
Senior Executive Assistant

Ardelia Taylor joined CAPH in April 2015 as the Executive Assistant to the President and CEO and Senior Vice President of External Affairs. Ardelia currently provides support to the CEO, Senior Vice President of External Affairs, Vice President of Policy and CAPH Board of Directors.  Ardelia brings to CAPH 25 plus years of Non-profit and Executive Support experience.

Christian Vierra
Senior Government Affairs Analyst

Christian Vierra joined CAPH in August 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.