

Violet Community Strategies is a Hawaii-based consulting practice helping health plans, state agencies, nonprofits, and philanthropic funders turn complex policy and program mandates into workable, provider-ready operations.
We specialize in strengthening community and philanthropic infrastructure, while supporting the implementation of health-related social needs and new requirements under Hawaii's 1115 Medicaid Waiver.

What We Do
We bridge the gap between complex health policy and real-world provider readiness. Our expertise ensures that state and federal mandates and philanthropic goals translate into sustainable, high-impact operations for Hawaii’s communities.
Program Design & Strategy
Developing robust frameworks for Medicaid pilots and community health initiatives that align with local needs and regulatory requirements.
Operations & Readiness
Turning high-level policy into provider-ready operations through workflow optimization, staffing models, and technical assistance.
Impact Measurement
Evaluating health-related social needs outcomes to demonstrate value and guide future philanthropic and public investment.
Who We Serve
Violet Community Strategies partners with healthcare organizations and community-based partners across Hawaii to drive systemic equity and operational success.
Health Plans & Managed Care Organizations (MCOs)
Optimizing 1115 waiver implementation and HRSN pilots to improve health outcomes and actuarial alignment.
Hospital & Health System Leaders
Bridging the gap between clinical operations and community-based social determinants of health strategies.
Community Health Centers & FQHCs
Expanding primary care access through innovative enrollment strategies and sustainable public funding models.
Philanthropy & Foundations
Aligning community investment with systemic policy shifts to maximize long-term health equity impact.

Core Advisory Pillars
Healthcare access. Community impact. Philanthropic strategy. For Hawaii.
Violet Community Strategies (VCS) specializes in bridging Medicaid benefits implementation, healthcare coverage, and actuarial-operational strategy to help health plans, healthcare systems and community-based organizations and providers navigate regulatory shifts and evaluate training and investment opportunities.
VCS provides end-to-end management consulting across the entire social impact ecosystem, including social enterprise strategy, philanthropic advising, grants management and regulatory compliance.
1115 Waiver & HRSN Pilot Architecture
Designing workflows for Housing and Nutrition Support programs, including Produce Rx programs and Medically Tailored Meals, CIS+, medical respite care networks, and multi-MCO CBO grant structures.
Health Coverage Expansion & Enrollment Strategy
Insight for navigating QUEST re-enrollment, Medicaid redetermination strategies, and contracting with providers to increase access to care in rural and under-served areas.
Actuarial, Benefits & HR1 Strategic Guidance
Anticipating federal policy impacts from (HR1) and aligning community benefit investments with health plan actuarial and benefits administration to mitigate financial impact and improve health outcomes.

Disaster Relief, Funding & Fiscal Management
Proven design of novel community-based emergency funding programs, disaster response strategies, and resiliency funding collaboratives, including philanthropic advising and fiscal management services.
Health Policy, Operations & Community Investment Advisors

Lisa Kimura, MBA
Founder & Principal Consultant
Lisa is one of Hawaii’s foremost authorities on community health, healthcare and coverage innovation, and Medicaid 1115 waiver implementation. With 25 years of Hawaii-based leadership, she possesses a deep understanding of the intersection of community-based programs and health plan operations, actuarial alignment and benefits administration.
As former Executive Director of Healthy Mothers Healthy Babies Coalition of Hawaii, Vice President of Community Impact at Aloha United Way, and Community Health Consultant for Kaiser Permanente Hawaii, Lisa funded safety net programs and spearheaded legislative advocacy to support public health policies, including the implementation of the Affordable Care Act. Her tenure includes launching Hawaii's first maternal mental health clinic and coordinating community-based programs and resources to increase access to health and human services.
A leader in bridging critical gaps through high-impact systemic innovation strategies, Lisa helped launch Kaiser Permanente's Charitable Health Coverage Plan in Hawaii to bridge uninsured individuals to healthcare, and supported initiatives to expand statewide access to housing supports and Food is Medicine benefits under the 1115 waiver.

Joshua Osegueda, M.S.W.
Senior Consultant, Community Impact & Regulatory Strategy
Joshua is a public policy and operations strategist with over 15 years of experience connecting state agencies, health plans, nonprofits, and philanthropy to improve community well-being. He specializes in translating complex regulatory mandates into practical workflows, sustainable community programs, and measurable outcomes.
Throughout his career, Joshua has spearheaded critical healthcare and social equity initiatives across Hawaiʻi. As HMSA’s inaugural Regulatory Program Manager, he built cross-functional compliance systems for state and federal mandates. At Aloha United Way, he managed over $10 million in funding for housing, behavioral health, and economic resilience, including leading a grant-funded redesign that reduced service intake times from a week down to 48 hours. Most recently, as Director of Food and Healthcare Equity at Hawaiʻi Appleseed, he established strategic healthcare policy frameworks focusing on coverage, affordability, and Food is Medicine integration.
Joshua holds a B.A. in Psychology from UCLA and an M.S.W. in Program Evaluation and Social Policy from the University of Michigan.

Bridging Policy, Funding and Operations
We partner with health plans, philanthropy, government, and nonprofit community leaders to navigate regulatory shifts and build resilient healthcare systems and health access across Hawaii.
info@community-strategies.com
(808) 222-0165
Trusted by Hawaii's top nonprofit organizations, health plans and community leaders