Vivian currently serves as the Director of Disease Intervention Initiatives for the Association of Schools and Programs of Public Health (ASPPH). She is responsible for the disease intervention workforce initiatives, which includes activities that support the recruitment, training, retention, and Disease Intervention Specialist (DIS) certification. In her role she works collaboratively with ASPPH members, stakeholders, academic and practice partner organizations and institutions, to provides pathways for professional development and certification while ensuring a competent public health workforce.

Prior to assuming her new role ASPPH, as the Director of the Office of Health Equity at the Kentucky Department for Public Health (KDPH) her work included racial and health equity trainings, state accreditation, curriculum development, data modernizations for the Department visualized through an internal facing dashboard, cultural humility and sensitivity training, a biennial minority health status report, creating learning opportunities related to health disparities and health equity, and working across divisions within KDPH to review internal policies and processes that may discriminate in procurement, hiring and recruitment and advancement. She has also co-authored primers for both state and local health departments as a guide to developing an equitable framework for addressing inequities and social injustices in local communities.

Vivian brings over 30 years of strategic leadership, engagement, and collaborative partnerships with federal, state, and local entities. Her subject matter expertise was called upon during the COVID-19 pandemic in preparing a vaccine playbook for local community events, engaging high risk marginalized communities to increase vaccine uptake and increase vaccine confidence, ensuring equitable distribution of vaccine using data tools, collaborating with emergency preparedness, outreach teams, and informing policies for future disasters. She has mentored students those in public health and those contemplating a public health career. She has been afforded the opportunity to share her expertise as a member of national, regional, and local boards, commissions, and workgroups. Her cumulative work in teaching, community based participatory research, and applied practice using a health equity lens has afforded her opportunities to not only address the barriers and challenges in closing disparity gaps but addressing the root causes, the drivers of the inequities that manifest as disparity gaps in the most vulnerable, marginalized and minority populations.