Julia supports organizations in developing strategies and programs that are grounded in evidence and designed to adapt as circumstances change. Since 2015, she has worked with foundations, universities, and global health and development organizations on strategy, portfolio design, and learning agendas.Julia spent six years at the Bill & Melinda Gates Foundation, where she built and managed a cross-cutting portfolio focused on knowledge exchange: the processes and tools that help research, innovations, and practices take hold in health and development. She also served as Special Assistant to Co-Chair Melinda Gates and, during the Ebola response, was seconded to the World Health Organization in Liberia. Earlier, she worked with the Clinton Foundation’s HIV/AIDS Initiative in Liberia and Jamaica, supporting government partners to strengthen health services, including the development of Liberia’s first nationally coordinated blood transfusion service. She began her career in research, including with a University of Washington and Microsoft Research team studying how low-cost technologies can support the adoption of new behaviors and tools. She studied International Studies and Public Health at the University of Washington and completed executive coursework at the University of Cambridge Judge Business School. In 2012, the Tällberg Foundation named her an Emerging Global Leader, a fellowship that included multidisciplinary coaching in design and systems thinking. Julia sits on the advisory board of Pew Charitable Trust’s Transforming Evidence Network.

Fiona designs and evaluates the strategies, programs, and partnerships that move the needle in global health and development — and she's been doing it for nearly 20 years. Her work spans strategic and operational planning, monitoring and evaluation, and learning, with a track record that includes serving as Executive Managing Director at Last Mile Health, where she led the organization through a pivotal shift from rapid to strategic growth.

Before that, she worked with the Clinton Health Access Initiative's Applied Analytics Team, helping ministries of health across a dozen countries untangle bottlenecks and build the evidence base for national policy. She started her career at Doctors Without Borders USA, running a $60M direct marketing program. Fiona holds dual Masters degrees in Public Health (Epidemiology) and International Affairs from Columbia University.