Medicaid programs, delivered and certified.
Rajesh Adoni has spent more than 13 years leading California Medicaid programs, including the largest Medicaid pharmacy transformation in US history.
CalFina brings that work to state agencies, counties, and health organizations: implementation, CMS certification, independent verification, and grants.
What CalFina does
Seven services. Five rest on work Rajesh has led himself. Two are delivered with partners.
- Project Management
Planning through go-live for large Medicaid and health IT programs.
- IV&V
Independent review of whether a system is built correctly and meets its requirements.
- CMS Certification Support
Milestone governance, documentation, and funding strategy through federal certification.
- Grants Management
Compliance, reporting, and results tracking for grant-funded programs.
- Grant Writing
Proposals for healthcare and public health funding, written with CalFina's grant partners.
- Leadership and Executive Coaching
Coaching for health and public health leaders, delivered with Legacy Leadership Institute.
- SME Services
Medicaid and health IT expertise on call for advisory and project work.
Why systems fail after they launch
Rajesh writes Adoni Systems Briefs, a diagnostic series on why complex public-sector health systems fail. Systems go live before their operational pieces line up. Reporting stops reconciling. Stabilization becomes the new normal.
The series names each failure and shows where it starts. It shapes how CalFina plans and reviews programs.
Latest posts
- Adoni Systems Briefs — Issue #10
The Future State Problem: Why a System With No Validation Point Cannot Stabilize
- Adoni Systems Briefs — Issue #9
Reporting Failure: Why Reporting Doesn't Reconcile — Even When the Data Appears Correct
- Adoni Systems Briefs — Issue #8
Stabilization Failure: When Late Alignment Becomes the New Normal
Credentials
- Training
- Professional Scrum Master I, Professional Scrum Product Owner I, SAFe Agilist (SA4).
- Education
- MBA in Finance and Strategic Management, California State University East Bay. MS in Electrical Engineering, Arizona State University.
- Business certification
- Port of Oakland Local Business Area Business Enterprise (LBABE).