Since joining the Foundation in 1986, Barrand has worked on a broad range of issues as program officer, senior program officer and now senior adviser for program development. She has helped to identify, design, and develop a number of Foundation programs and initiatives including the State Initiatives in Health Care Reform Program, which helped to model coverage expansion and health insurance reforms; the Medicaid Managed Care Program, which created the Center for Health Care Strategies and the Medicaid Leadership Program; the Health Care Financing and Organization (HCFO) Initiative which helped to build the field of health care policy research; the Community Oriented Correctional Health Services (COCHS) Initiative, which promotes connections between care in the community and care in the jail to reduce recidivism; Supportive Housing as a tool to end chronic homelessness, for diversion and reentry of mentally ill individuals engaged with the criminal justice system, and to help stabilize high-risk families and reduce child abuse and neglect to prevent children from needing to be placed into foster care; and the Coming Home Program, which developed and spread a model of affordable assisted living for low-income rural elders.

She also helped to support the replication and scaling of such programs as the Green House Project, which promotes an alternative model for skilled nursing care; Playworks, which promotes play in elementary schools to increase physical activity and promote social emotional development; ECHO, which uses guided practice to transfer knowledge and skills as a way to increase access to care; HealthLeads as a model to connect families to social services in the community; and Cascade Alliance as a model using social enterprise to strengthen the safety net by creating jobs and and providing services to vulnerable populations.

As co-chair of the Foundation’s former Capital Impact Committee, she helped to deploy over $60 million in Program Related Investments and continues to explore Pay for Success models as a tool to promote prevention and value-based purchasing in Medicaid. Prior to coming to the Foundation, Barrand spent four years as a legislative aide on health to U.S. Senator Alan Cranston (D-CA), and previously served on the staff of the California Assembly Committee on Resources, Land Use and Energy.

Barrand received her MPA2 from the Harvard Kennedy School of Government.