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Julie is a Principal in the Brown Smith Wallace Health Care Advisory Services practice. She has more than 30 years of experience in community and public health, health care delivery and health policy at local, state and national levels. Julie helps for profit, nonprofit and government organizations understand the current policy environment and market changes as part of crafting strategic plans to take them solidly into the future.

Prior to joining Brown Smith Wallace, Julie was the Director of St. Charles County's Department of Community Health and the Environment and was previously with a consulting firm where she worked with organizations throughout the country on strategy, process improvement and operational efficiency.

Julie has also served as vice president and state policy director for the Center for Health Transformation (CHT), founded by Newt Gingrich. Julie was responsible for leading CHT's state government work with Executive and Legislative branches on issues of health insurance exchanges, health information exchanges, public health, Medicaid, state employee benefits, and was also involved with issues of accountable care organizations, long term living, delivery reform, patient safety, transparency and consumer engagement. Julie led the Center’s payment reform work group, which had participation by Newt Gingrich, former Senator Tom Daschle and 40 private sector leaders.

Governor Matt Blunt appointed Julie as director of the Missouri Department of Health and Senior Services in 2005. In this cabinet position she managed a budget of over $800 million, directed a staff of 2000, chaired the Governor's Health Information Technology (HIT) Task Force, served on the Medicaid Reform Commission and was a strong and effective voice for improving population health and program outcomes.

Julie has clinical experience in psychiatry, brain injury rehabilitation, burn trauma, pediatrics, chemical dependency, skilled nursing and long term care/geriatrics at several St. Louis area hospitals and has also held leadership positions within economic development and marketing. She has been a regular guest lecturer at several universities, has spoken nationally on topics including health reform, payment reform, public health and Health Information Technology (HIT) and has been a board member and consultant for many chambers, health care corporations, and nonprofit boards and organizations.

Julie is currently a member of Missouri Public Health Association, Partners for Progress Health Committee, St. Louis Forum, Women Business Leaders of the U.S. Healthcare Industry, and Women of Achievement. She serves on the advisory boards for UMB Bank and the St. Charles County Ambulance District. She is also a founder and member of Missouri Health Policy Forum, an alumni society member of ASTHO (Association of State and Territorial Health Officials), and the president of the St. Louis Chapter of Healthcare Businesswomen's Association.

She has a Bachelor of Science from the University of Missouri-Columbia, a Master of Business Administration from the Olin School of Business at Washington University in St. Louis and completed the State Health Leadership program at the Kennedy School of Government at Harvard University.

Thought Leadership

Speaking Engagements

Community Involvement

President--Healthcare Businesswomen's Association, St. Louis Chapter

Founder--Missouri Health Policy Forum

Alumni Society--Association of State and Territorial Health Officials (ASTHO)

Advisory Board--St. Charles County Ambulance District

Advisory Board--UMB Bank

Missouri Public Health Association

Partners for Progress Health Committee

St. Louis Forum

Women Business Leaders of the U.S. Healthcare Industry

Women of Achievement


University of Missouri-Columbia

Olin School of Business at Washington University in St. Louis

State Health Leadership Program, Kennedy School of Government, Harvard University.

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