Carrie Shapiro-Mendoza, PhD, MPH Executive Coach · Public Health Leader

The decisions you are responsible for do not come with clear answers.

I coach public health leaders through difficult decisions so they can move forward with confidence. I ask direct questions and I'm honest with you — even when it's hard.

The work

At the senior level, expertise is not the hard part.

You have earned your position. You lead programs, research portfolios, divisions, or institutions. Your decisions affect funding, staff, trainees, and communities.

At this level, leadership is no longer defined by technical expertise alone. It is defined by how you make decisions when the path forward is not fully clear.

It requires judgment.

It requires perspective.

It requires the ability to move forward when evidence is incomplete and the stakes are real.

I work with senior leaders in public health and mission-driven health organizations who are carrying decisions that do not have straightforward answers.

This is a structured, confidential space to examine those decisions — what is known, what is uncertain, what is at stake — and to determine a clear path forward. These are often decisions that cannot be fully tested in advance and cannot be easily revisited once made.

That may include deciding when evidence is sufficient to act, how to navigate disagreement among senior colleagues, or how to move forward when the consequences extend beyond your organization.

My approach is direct. I ask hard questions. I will be honest with you, especially when the decision in front of you requires it.

Many of the leaders I work with are accustomed to being the person others turn to for guidance. This work creates a space where you can think just as carefully about your own decisions.

Begin here

A place to think clearly about
difficult decisions.

Senior leadership often leaves few places where complex decisions can be examined candidly. An initial conversation provides an opportunity to learn more about this work, discuss what you are navigating, and determine whether coaching would be a useful fit.

30 minutes · Confidential · No obligation

About

Three decades in public health leadership, including leadership roles at CDC. Now creating space for leaders to think through difficult decisions.

I spent nearly three decades in public health leadership, including leadership roles at CDC, responsible for decisions shaping national programs, research priorities, and real-world outcomes. I understand what it means to weigh incomplete evidence, navigate institutional constraints, and make decisions that carry consequence beyond your immediate team. That experience informs how I coach: grounded, direct, and focused on the decisions in front of you.

Learn more