About Vivian

In her role as leader of our Public Sector Practice in the Americas, Vivian works closely with state and federal government agencies to improve their performance and help them better fulfill their missions. She also serves on the leadership team of the McKinsey Center for Government and our Healthcare Systems & Services Practice. She has more than two decades of experience advising institutions in both the public and private sectors on strategy, organization, and operations.

An expert on health economics, Vivian also helps direct our work on the impact of government reforms on the US healthcare system, in collaboration with the McKinsey Center for US Health System Reform.

Since joining McKinsey in 1987, Vivian has led major performance-improvement programs for public, private, and nonprofit clients. She is a regular keynote speaker at public-sector and healthcare conferences. She serves on the board of directors of the Partnership for a Healthier America, a nonpartisan organization that mobilizes broad-based support for efforts to solve child obesity.

Vivian is a former member of the National Institutes of Health (NIH) Clinical Center Board of Governors and the NIH Advisory Board for Clinical Research. She is also a former board member of Mentors, Inc., a program for Washington, DC-area public-high-school students.


Innovating government for new times
To meet the economic and social challenges of the citizenry today, governments must transform the way they think, organize, and execute. In this video, McKinsey experts explore the imperatives for government reform worldwide and the innovations that can make it successful.

Published work

How US state governments can improve customer service,” McKinsey & Company, December 2014

Regulatory Excellence,” (PDF—3.5 MB), McKinsey Center for Government, October 2013

Past experience

Real estate project manager

American Medical International
Marketing communications manager

Ogilvy & Mather
Senior account manager


Harvard University
MBA with distinction

Radcliffe College at Harvard University
BA, history magna cum laude