Our Origin Story
Tiger Lily Strategies was founded on a simple belief: healthcare works best when operations, policy, and people are aligned. After more than 15 years leading payer and Medicaid operations, Hillary saw how often organizations struggled not because of lack of vision, but because of unclear processes, fragmented systems, and misaligned teams. She created Tiger Lily Strategies to bridge that gap — bringing clarity, structure, and human‑centered design to some of the most complex environments in healthcare.
The name Tiger Lily carries deep meaning. The tiger lily flower symbolizes strength, resilience, confidence, and transformation — qualities that define Hillary’s approach to operational leadership. Tiger lilies thrive in challenging conditions, adapting and blooming where other flowers cannot. That same spirit guides the firm’s work with health plans and managed care organizations navigating regulatory pressure, operational complexity, and rapid change.
But the name is also personal. Tiger Lily is the beloved chihuahua–pit mix who has been by Hillary’s side for 12 years — a small dog with a big personality, equal parts grit and heart. Her loyalty, resilience, and joyful stubbornness became a quiet reminder of what it means to lead with both strength and compassion. The company carries her name as a tribute to that spirit.
Together, these two inspirations — the flower and the dog — reflect the essence of the firm: resilient, grounded, adaptable, and deeply human.
Tiger Lily Strategies exists to help health plans and Medicaid agencies build systems that work in the real world. Systems that are predictable, scalable, compliant, and centered on the people they serve. Systems that can withstand pressure and still grow — just like the tiger lily.
This is the heart of the company: operational excellence rooted in clarity, resilience, and humanity.
Our Founder:
Hillary Peabody, MPH
Hillary is an executive healthcare leader with more than 15 years of experience transforming payer, Medicaid, and federal health system operations across complex national environments. Her career has centered on building systems that work—operational models that improve access, quality, compliance, and member experience at scale.
She previously served as the Acting Assistant Under Secretary for Health for Integrated Veteran Care (IVC) at the U.S. Department of Veterans Affairs, appointed by the Secretary of VA to lead a $30B national managed care portfolio serving millions of Veterans and their families. In this role, she oversaw access to care across VA’s 1,500 sites of care, managed a 1 million‑provider national external network, and led a 1,100‑person workforce responsible for community care delivery, claims, benefits configuration, and payment integrity for the nation’s largest integrated healthcare system.
Before VA, Hillary was a Managing Director at Evolent Health, where she led the design and implementation of 10 multi‑state health plan product and operations portfolios serving more than 1 million members across Medicare Advantage, Medicaid, and commercial exchange plans. Earlier roles at Atlas Research and Grant Thornton focused on modernization efforts at VA and the Department of Defense, including the VA’s Diffusion of Excellence program.
As Founder and CEO of Tiger Lily Strategies, she partners with health plans and public agencies to redesign operations, strengthen performance, and build predictable, scalable systems aligned with regulatory expectations. Her work is grounded in strategic clarity, operational rigor, and practical execution.
Outside of healthcare, she is an endurance athlete who has completed fifteen 100‑mile ultramarathons—including the Badwater 135—and is currently training for her first bodybuilding competition. Based in Phoenix, she works with clients nationwide.
