What Cedar Rock Alliance Can Do for You

Cedar Rock Alliance (CRA) is a Native-led consulting and advocacy firm with decades of experience improving health and wellness systems for American Indian, Alaska Native, and Indigenous communities. We help Tribes and Urban Indian Health Programs strengthen sovereignty, generate revenue, and improve services — while navigating federal systems with clarity and power.


✦ Tribal & Urban Indian Health Expertise

  • Strategic consulting to Tribal Health Clinics/Departments and UIHPs
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  • Experience with Indian Health Service (IHS), HHS, SAMHSA, HRSA, and CMS
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  • Healthcare facility development & modernization
  • Implementation of the Indian Health Care Improvement Act (IHCIA) and the Affordable Care Act (ACA)
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✦ Policy Strategy & Government Relations

  • High-level policy advocacy at federal and international levels
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  • Expert guidance on Executive Orders impacting Tribes
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  • Direct experience working with White House, OMB, and Congress
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  • Advisory roles in UN Permanent Forum on Indigenous Issues (UNPFII)
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✦ Funding & Revenue Optimization

  • Grants & contract management

  • Medicaid/Medicare billing systems & managed care strategies

  • Guidance on maximizing federal program funding and increasing sustainability
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✦ Indigenous Systems Design

  • Traditional knowledge and health integration
  • Indigenous food systems & elder care models
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  • Community-driven program planning rooted in cultural frameworks
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  • Operationalization and Evaluation for the Indigenous Determinants of Health
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✦ Executive & Interim Leadership Support

  • Interim Executive Director and leadership transition management
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  • Executive coaching and nonprofit restructuring
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  • Board development and governance strategies
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✦ Health Equity & Social Justice

  • Gender, LGBTQ2S+, and HIV/AIDS-focused strategies
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  • Urban Indigenous advocacy and public health innovation
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  • Research and analysis on the Indigenous Determinants of Health
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🌐 Why Choose Cedar Rock Alliance?

  • 100% Indigenous-led team with decades of frontline experience
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  • Deep relationships across Tribal, Urban Indian, federal, and international sectors
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  • Proactive, culturally grounded approach to systems change
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  • Trusted by national organizations and governments
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📞 Ready to Work Together?