AAR Health Services, Nairobi, Kenya, medical liaison, medical underwriter and head of Health Promotion Unit, 2001-2004; AfriAfya – African Network for Health Knowledge Management and Communication, Nairobi, Kenya, executive director/head of Health Knowledge Management Unit, 2005-2006; Memorial Sloan Kettering Cancer Center, New York, New York, associate director, Office of the Hospital Administrator and EVP, 2016-2019.

Joined Mayo Clinic, 2007-2016; Administration, clinical research supervisor, Department of Health Sciences Research; program manager, Rochester Epidemiology Project and Kern Center; operations manager, Mayo Clinic Comprehensive Cancer Center and Kern Center; Rejoined Mayo Clinic, 2019; Strategy, administrator, Practice, 2019-2021; division chair, 2021-2023; chair, Strategy Department, 2023-present.