Prior to her public service, Dr. Piercey spent over a decade as a senior-level operations executive, providing clinical and administrative leadership in large medical group and health system operations, where she excelled at driving strategies for access to cost-efficient care, particularly in rural, underserved and high-risk populations. Throughout her career, Dr. Piercey has been recognized by numerous healthcare, public health, and media organizations for her operational leadership, as well as for her commitment to ensuring clear and actionable public health messaging.  Dr. Piercey has served as the National Chairman of the ACHE Management Series Editorial Board and as a member of the American Hospital Association Small and Rural Hospital Governance Council, The Joint Commission Critical Access Hospital Advisory Group, and was appointed to the Tennessee Board for Licensing Healthcare Facilities by Governor Bill Haslam. She is board certified in both General Pediatrics and Child Abuse Pediatrics and continues to actively evaluate children who are suspected victims of abuse and neglect.