6-10 years

Stephen Susano is the Co-Founder and COO of Stones River Group, a Nashville-based public affairs firm serving both Tennessee, regional and national clients. He provides clients with strategic counsel on business opportunities and project management, regulatory matters, procurement, economic development, third-party engagement, and market positioning. Stephen leverages his lengthy private-sector experience and deep network of relationships with business leaders and key policymakers in state and local government across Tennessee to deliver solutions for clients in multiple industries.

Prior to Stones River Group, Stephen served as Executive Director of the Tennessee Business Partnership (TBP), an advocacy organization supported by many of the state's leading enterprises. He spearheaded its efforts to advance pro-business policies, including education and judicial reforms, to encourage job growth and economic development. In 2014, Stephen led the statewide "Vote Yes on 2" campaign in support of the Judicial Selection Amendment to the Tennessee constitution. Stephen built a broad coalition of business groups, trade associations, legal advocates and community leaders in favor of the amendment. This coalition's successful mobilization helped ensure the amendment was approved with overwhelming support, carrying 94 out of 95 counties in Tennessee

Prior to working in the public affairs space, Stephen had an extensive career in the financial services industry. He served in operating and business development roles for several investment advisers and asset management firms. He has consulted with and raised capital for both U.S. and foreign-based investment firms, and has negotiated distribution and trading agreements with multiple financial services companies. Through his work, Stephen navigated complex regulatory regimes in domestic and offshore jurisdictions

Stephen grew up in Knoxville, Tennessee and currently lives in Brentwood with his wife, Ana. He and Ana have four children. Stephen serves on the board of the Nashville Downtown Partnership.

20+ years

James M. Demers is the founder of The Demers Group and Demers, Blaisdell Inc., he presently serves as President & CEO of Demers, Blaisdell & Prasol Inc. Mr. Demers is a former member of the New Hampshire House of Representatives and former congressional candidate. He has over 40 years of experience in the legislative, regulatory and political fields. He has been a political commentator for numerous media outlets including ABC News, CNN, MSNBC, Fox News as well as NH news stations WMUR-TV, WBIN-TV and New England Cable News. He has been actively involved in advising presidential campaigns, serving as co-chairman of President Barack Obama's NH campaign in 2008. He presently serves on the advisory board of the NH Institute of Politics at St. Anselm College, chairman of the NH International Trade Advisory Commission and he is a "political insider" for Politico and the National Journal. He was nominated by President Obama and confirmed by the US Senate to serve on the Board of Directors of the Overseas Private Investment Corporation, which is the country's development financial institution. He has been recognized by numerous state and national publications as one of New Hampshire's "most influential" and "most powerful" people. He is a graduate of the University of Miami (FL) and he holds an MBA from Southern New Hampshire University. He served three terms in the NH House where he served as the Assistant Minority Whip. He has also served as President and Executive Director of the New England-New York-New Jersey Financial Services Association and the National Card Coalition after doing corporate government affairs work for two national financial services companies. He is a resident of Concord, NH.

6-10 years

I have been recognized by the Nashville Post list of In-Charge: Government & Politics for 2019, 2020, 2021, and 2022

Our firm was recognized nationally by the Public Relations Society of America for our comprehensive public affairs campaign to bring Major League Soccer to Nashville

Mark Cate is the Founder and President of Stones River Group, a Nashville-based public affairs firm serving both Tennessee, regional and national clients. He formerly served as Tennessee Governor Bill Haslam's chief of staff, where he was his top advisor, strategist and negotiator.

During his tenure with the Haslam Administration, Mark led several legislative policy initiatives, including K-12 education reform, workers' compensation reform, civil service reform, an alternative approach to Medicaid expansion, and postsecondary education reform, including the nationally-acclaimed Tennessee Promise program.

Prior to serving in state government, Mark successfully managed Governor Haslam's first gubernatorial campaign in 2010, which led to a record-setting general election victory. He previously worked as an executive in real estate management and development and served for 16 years as a higher education leader. Over the course of his career, Mark has served as a chief development officer, chief planning officer, chief marketing officer, and as a chief financial officer - working on budgets ranging from $10 million to $30 billion.

Mark grew up in Maryville, TN and currently lives in Brentwood with his wife Cathy who serves as the Executive Director of Leadership Tennessee. He and Cathy have two daughters, Bailey who is a recent graduate at Rhodes College and currently serves as a fellow at the Crop Trust in Bonn, Germany; and Abbie who is rising junior at George Washington University.

Cate received a B.S from Carson-Newman College, an M.S from the University of Tennessee, and Harvard University's Institute for Educational Management certificate program. He's served on a wide variety of non-profit boards and was an elected member of the Maryville Board of Education.

Paul Mitchell joins Southern Strategy Group after having served at the top in some of the most powerful executive branch agencies in Florida government. Paul began his career in Florida government in 1988 as an aide to, then Insurance Commissioner, Tom Gallagher. In 1994, Paul was appointed Chief Cabinet Aide to former Secretary of State Sandra Mortham and specialized in financial services, environmental, and education issues. In 1998, following Tom Gallagher's election as Education Commissioner, Paul was asked to serve as the Commissioner's Chief of Staff. Six years and two successful administrations later, Paul continued to serve as Chief of Staff to Tom Gallagher, Florida's first Chief Financial Officer at the Florida Department of Insurance and then at the Department of Financial Services.

An expert in policy and administration, Paul served on several boards and commissions including the E.R.P. (Enterprise Resource Planning) Integration Task Force, a statewide effort initiated by the legislature to improve financial management of taxpayer dollars and modernize state personnel systems. Paul also served with the Florida Commission on Economic Education and the "Just Read Florida" program. Paul currently is on the board for the Florida Juvenile Justice Foundation, which is the direct support organization for the Department of Juvenile Justice.

A native Floridian from Palm Beach County, Paul was a dedicated public servant for more than fifteen years. Prior to entering government, Paul graduated with honors from Florida State University in Political Communications.

Matt Hinch brings over a decade of experience in state and federal government and as a well-respected campaign and political strategist. Most recently, Matt served as chief of staff to Governor Terry Branstad and Lt. Governor Kim Reynolds, where he oversaw the day-to-day operations of the State of Iowa's executive branch and the Governor's office. In addition, he served as the chief policy and political advisor to the Governor leading successful legislative efforts to strengthen Iowa's infrastructure, improve workforce training and reduce student debt.

Prior to his role in the Governor's office, Hinch served as the senior vice president of government relations and public policy for the Greater Des Moines Partnership, Iowa's largest chamber of commerce representing 21 affiliate chambers throughout the State and 5,300 business members. While at the Partnership, Hinch developed the concept and spearheaded the successful passage of the Iowa Reinvestment Act, a creative funding strategy bringing $100 million in resources to spur development into Iowa communities. Hinch was also influential in building support for the largest property tax reduction for all classes of property in Iowa's history and the Governor's historic education reform initiative, which has been recognized nationally by education organizations and the U.S. Department of Education for its innovative Teacher Leadership and Compensation plan.

Previously, Hinch served as chief of staff to Iowa House Speaker Kraig Paulsen. As the top aide to Paulsen, Matt was instrumental in assisting the Speaker and the House Republican Caucus as they successfully worked to eliminate a $900 million budget shortfall.

Hinch also served as legislative director and campaign manager for Congressman Tom Latham. With Latham, Hinch managed the Congressman's legislative portfolio and his work on several House Appropriations subcommittees, assisting the Congressman in securing millions of dollars for his Iowa constituents. He also led two successful grassroots re-election efforts for Latham, including a 21-point victory in 2008.

Matt is involved in a variety of local community initiatives including the Every Student, Every Day, Dowling Catholic High School Annual Appeal. Matt is also an active member in the Iowa State Blue Ribbon Foundation, an organization that works to promote and enhance activities for Iowa youth at the world-renowned Iowa State Fair. Matt is a contributor to the University of Iowa Foundation and the University of Iowa Athletics Department.

Matt holds a B.A. in Communications, a minor in Political Science and a certificate in Entrepreneurship from the Henry Tippie College of Business, all at the University of Iowa. A native of Des Moines, Matt resides in West Des Moines with his wife and two children.

Thomas Prasol serves as the Managing Director for Demers, Blaisdell & Prasol Inc. He has been providing strategy, lobbying, and association management for clients since 2011. He brings a myriad of experience in State and Federal government beginning his professional career as a Project Assistant to U.S. Senator Judd Gregg and as Policy and Field Coordinator for several State and Federal campaigns. In 2008 he transitioned to the position of Project Director for Senator Gregg where he handled federal appropriations in the areas of first responders. Upon Senator Gregg's retirement, he moved to the New Hampshire State Senate where he was a Legislative Aide to the Senate Education Committee. With his experience in federal and state government, Mr. Prasol brings another dimension to the firm in areas of strategy, management of special projects, and government affairs implementation. He continues to bring his experience and knowledge to assist State and Federal campaigns with strategy and policy research. In addition to his work for Demers, Blaisdell & Prasol, he serves on the Town Planning Board and has previously served as Chair of the Parks and Recreation Advisory Board in his local community He received his Bachelor's degree in Politics from Saint Anselm College where he served as an Ambassador to the New Hampshire Institute of Politics, and his Master's degree in Criminal Justice from Boston University. He currently resides in Hooksett, NH with his fiance' Maria and two dogs Zeus and Tyson.

Sara Allen joined Cornerstone in September 2016. Sara brings over five years of healthcare experience, as well as years spent lobbying, developing and executing policy positions, engaging grassroots advocates, and assisting with political action committee campaigns and endorsements. Sara assists clients throughout the legislative and rule-making process, focusing on health care and state government concerns.

Most recently, Sara worked as a state lobbyist and staff attorney working for the Iowa Hospital Association, representing all 118 Iowa hospitals at the statehouse and various administrative agencies. In this position, Sara gained expertise in a variety of areas impacting hospitals and other health care providers; these areas include financing and reimbursement, behavioral health, value-based healthcare delivery reform models, informational technology innovation, regulatory and legal compliance, scope of practice concerns for specific providers, public body concerns, and public health initiatives.

Before her position at the Iowa Hospital Association, Sara worked for a physician staffing company as associate corporate counsel. In that role, she was responsible for maintaining the corporation's business compliance, contract drafting and enforcement, and managing the human resources function.

Sara received her juris doctorate from Drake University in December 2010 and was admitted to the Iowa Bar in April 2011. Prior to Drake, Sara received her Business Administration degree from Grand View University. In addition to her formal education, Sara received her private pilot's license in 2005 and enjoys recreational flying.

Sara lives in Des Moines with her husband Colby and her three young children, Briar, Blake, and Boone.

Juris Doctorate and Master's in Business Administration from the University of Memphis.

Tennessee Bureau of Investigation, Tennessee Department of Children's Services, Tennessee District Attorneys General Conference

Zoe Sams is a Principal at Stones River Group, where she serves as a trusted advisor on government relations, public policy strategy, and legislative advocacy. Zoe brings more than a decade of experience working across Tennessee state government, with deep expertise in legislative strategy, policy development, and coalition building. In her role at SRG, she helps clients understand and influence the public policy process, navigate complex political and regulatory landscapes, and advance strategic objectives before the General Assembly and state agencies.

Before joining Stones River Group, Zoe built a distinguished career in public service and government affairs:
* Deputy Director, Tennessee District Attorneys General Conference, where she led legislative agenda development, managed agency budgeting, and coordinated with coalition partners to secure legislative outcomes.
* Director of Legislation, Tennessee Department of Children's Services, advancing policy priorities and legislative engagement for a major state agency.
* Assistant General Counsel and Legislative Liaison, Tennessee Bureau of Investigation, serving as the primary legislative contact and policy strategist for the agency
* Assistant District Attorney, where she prosecuted human trafficking cases and crimes against children and other vulnerable victims, grounding her advocacy in both legal acuity and deep personal commitment to public service.

She is known for her strong professional relationships with state officials and stakeholders across Tennessee and for translating complex policy and political dynamics into practical strategies that drive client success. Outside her professional work, Zoe serves on the board of Tennessee Voices for Victims, reflecting her ongoing commitment to public safety and community impact.

6-10 years

Paige joined the firm's Iowa office after serving as an attorney at BrownWinick Law Firm for nearly two years.

Prior to joining BrownWinick, she served as the deputy chief of staff for Governor Kim Reynolds (R-IA). In that role, Paige oversaw the development of the Governor's policy agenda and successfully led efforts to enact the Governor's proposals to expand and fund mental health services, build broadband infrastructure, remove workforce barriers and expand educational opportunities. She also advised the Governor on the development of the state's $8.4 billion general fund budget and provided counsel on some of Iowa's most significant challenges in recent years, including the pandemic, civil unrest and a derecho. Before her time as deputy chief of staff, Paige worked as a policy advisor for Gov. Reynolds, focusing on health care and serving as the liaison to agencies, including the Departments of Human Services and Public Health and the Iowa Insurance Division.

She holds a Bachelor of Arts in political science from Iowa State University and her Juris Doctorate degree and Health Law Certificate from Drake University Law School. She was admitted to the Iowa Bar in April 2011.

Tony Niknejad is a distinguished policy strategist and government relations expert, skilled in the areas of legislative advocacy, fiscal management, and strategic planning. Tony assists clients with navigating the Tennessee political landscape, orchestrating policy and legislative initiatives, and steering comprehensive advocacy and public engagement campaigns. From 2019 to 2023, he was the Policy Director for Tennessee Governor Bill Lee, serving as a key advisor and leader for the Governor's Cabinet and leading many of the Administration's major policy reforms. As policy director, Tony also played a critical role in Governor Lee's successful 2018 campaign and post-election transition. Tony spearheaded key policy initiatives across a wide span, specializing in education, workforce, tax and healthcare policy.

• He was a driving force behind multiple Administration legislative initiatives, including the Education Savings Account Act of 2019, the Literacy Success Act of 2021, the Tennessee Strong Families Initiative, and the Tennessee Works Tax Act of 2023.


• Tony also led federal and multi-state relations through the COVID pandemic, coordinating the Financial Stimulus Accountability Group, which managed the allocation of over $6 billion in federal funds received through the CARES and American Rescue Plan Acts.


• Prior to his work with Governor Lee, Tony served as state director for a school choice advocacy organization, overseeing Tennessee PAC activities and lobbying efforts from 2013 to 2017.


• Before that, he served as a legislative staffer in the Tennessee State Senate during the 107th General Assembly.


• Tony is a member of the State Bar of Tennessee and graduated from Vanderbilt University Law School in 2011. He received his bachelor's degree from the University of Georgia, where he double-majored in Economics and Philosophy. He was selected for the Harvard Business School Young American Leaders program, Nashville Class of 2019.

20+ years

John R. Hammond III is co-chair of Ice Miller's Public Affairs Group. As a veteran of Indiana state government, he has helped shape a wide variety of public policy, from tax policy to environmental management, education to tort reform, transportation to insurance and economic development.

John served as a key aide to former Indiana Governor Robert D. Orr during his time as lieutenant governor, as well as serving as a deputy campaign manager for Orr's gubernatorial run in 1979 and heading up his transition team in 1980. He was senior executive assistant for Legislative Affairs and Education Policy in the Orr administration, serving as chief legislative liaison for six general sessions and three special sessions of the Indiana Legislature during the 1980s. Since leaving state government in 1988, he has led the governmental and public affairs programs for several major Indiana firms.

He is a frequent public affairs panelist and lecturer, and is the co-author of the article "Campaigns and Candidates: Lawyers and Their Obligations," prepared for the Legislative Services Agency for Continuing Legal Education's seminar titled, "The Lawyer-Lobbyist." He also serves as a Republican commentator and analyst on Indiana Week in Review, a state wide public affairs news program of WFYI focusing on Indiana government and politics. He has served as an advisor to several statewide campaigns.

John was awarded his Bachelor of Arts from DePauw University in 1976, and a juris doctor from the Indiana University School of Law in 1991. He is admitted to practice law in the state of Indiana.

John joined Ice Miller in February 2001.

DAVID A. SMITH is a partner in the Princeton Public Affairs Group, is a veteran of the public affairs arena and has successfully managed public affairs campaigns impacting auto insurance, life insurance, tort reform and environmental legislative initiatives. Mr. Smith received national acclaim when he was honored with a ""Pollie Award"" by the American Association of Political Consultants and named to their United States ""Public Affairs Team of the Year." Mr. Smith was also named one of the most influential players in New Jersey's Healthcare arena by the Annual HealthSense Listing. Since 2005, Mr. Smith has been a Commissioner on the New Jersey Motion Picture and Television Commission (nominated by the Governor for two separate four year terms and confirmed by the NJ Senate) and currently serves as an Officer on the Commission (Secretary). Mr. Smith serves on the National Board of Directors of the Public Affairs Council, and was one of the few contract lobbyists in the Country to be appointed to a National Task Force charged with creating ethical standard for lobbyists throughout the United States. Mr. Smith is a founder and member of the Board of Directors of ProtectingAmerica.org, an advocacy organization Co-chaired by James Lee Witt, former Cabinet member under President Clinton and Admiral James Loy, Deputy Director of Homeland Security under President Bush. Mr. Smith also serves as an Officer (1st Vice President) of the New Jersey Hall of Fame Foundation Board of Directors and also serves on the Executive Committee (Secretary) of The Advocacy Group (TAG). Finally, Mr. Smith serves on the Board of Directors as an officer (Treasurer) of the State Capitol Insurance Company RRG, the first professional liability company for lobbyists headquartered in Las Vegas, Nevada.

Mr. Smith has appeared on television and radio stations representing clients' interests, authored dozens of articles on politics/policy issues in New Jersey and is a frequent guest speaker/lecturer at national and state conferences, legislative hearings, meetings and seminars. He has been a consultant to statewide and legislative political campaigns and is a member of the Executive Finance Committee of the Assembly Democratic Leadership Committee as well as the New Jersey State Democratic Committee. Prior to joining the firm in 1995, Mr. Smith served as Director of Policy and Planning for the New Jersey General Assembly Democratic Office. In that capacity, Mr. Smith supervised the partisan staff of all Assembly Committees and Task Forces while serving as senior staff aide to the insurance and commerce legislative committees. He was a Director with the New Jersey Dental Association from 1985 to 1990 and served on several national and state health care and insurance advisory committees.

Mr. Smith was awarded a Master of Science in Financial Services (MSFS) Degree from the Richard D. Irwin Graduate School of The American College. He is a Graduate Fellow of the Public Affairs Institute, a three year educational program of the Public Affairs Council located in Washington, DC. Mr. Smith also graduated with a Bachelors of Arts Degree in Political Science from Gettysburg College.

Before joining Cornerstone, Frank Chiodo most recently served as Deputy Secretary of State under Iowa Secretary of State Michael Mauro. While with the Iowa Department of Economic Development, Frank worked closely with Governor Tom Vilsack and Lieutenant Governor Sally Pederson to secure passage of the Iowa Values Fund, the largest and most successful economic development program in state history.

Frank also worked on Senator Tom Harkin's 2002 Senate campaign, and in 1999-2000 helped Vice President Al Gore secure a victory in the Iowa Caucuses.

Frank served in the Iowa House of Representatives representing District 67 in Des Moines from 1997 through 2003. He was ranking member of the Commerce Committee and elected as the minority whip.

In 2017, Frank was recognized by the Iowa General Assembly as a Pioneer Lawmaker.

Monte Stevens joins Southern Strategy Group after serving more than a decade in Florida government. After serving in the Legislative Affairs office of the Agency for Health Care Administration and the Department of Financial Services, Monte joined the Office of Insurance Regulation (OIR) in 2008 where he led OIR's legislative and executive lobbying effort as Deputy Chief of Staff.

While at OIR, Monte was instrumental in the passage of legislation relating to all sectors of the insurance industry including landmark reforms to personal injury protection and homeowner's insurance. Most recently, Monte oversaw the passage and implementation of the NAIC model holding company act and principle based reserving for life insurers. Knowledgeable in all lines of insurance, Monte was frequently called upon to testify and present to legislative committees on a variety of subjects.

In addition to lobbying the Legislature, Monte also served as OIR's representative to the Governor and Cabinet in the rule making process. In this capacity, Monte led the effort to implement the country's first ever regulatory initiative on collateral requirements for reinsurers.

Monte also served as Director of Government Affairs and Public Policy for the Florida Medical Association where he was involved in the passage of significant medical malpractice reform. A native of Niceville, Florida, Monte was a member of two national champion debate teams at the University of Missouri-Kansas City before graduating with a degree in political science. Prior to returning to Florida, Monte attended graduate school, taught public speaking, and coached the debate teams at Kansas State University and Harvard University.

Monte and his wife Jodi live in Tallahassee.

11-15 years

Tommy has been recognized during his government relations career as one of the top lobbyists at the North Carolina General Assembly. He was ranked as the 33rd Most Influential Lobbyist of the 2013-2014 Legislative Session by the North Carolina Center for Public Policy Research in its annual survey of lobbyists, legislators and Capitol Press Corps members.

Tommy is a senior vice president in the state government affairs group at McGuireWoods Consulting where he represents clients before the state legislature and U.S. Congress.
He brings more than a decade of experience in state and federal policy, legislative process and politics, including serving as senior staff for the North Carolina Senate President Pro Tem and several members of U.S. Congress. Tommy has a strong network throughout state government in North Carolina and the North Carolina congressional delegation, and has experience representing Fortune 500 companies, start-ups and trade associations before the North Carolina General Assembly, Congress and executive agencies on issues including energy, environmental, education, transportation, health care and information technology.
Prior to joining McGuireWoods Consulting, Tommy served as the director of state public affairs for Moore & Van Allen Public Affairs where he managed the Raleigh office and represented clients at both the state and federal level for Moore & Van Allen Public Affairs. Before his time at Moore & Van Allen, Tommy served as deputy chief of staff for policy for North Carolina President Pro Tem Phil Berger. Before Tommy worked at the General Assembly, he lobbied at the federal level for both the NC Farm Bureau and the National Pork Producers Council for several years. He also worked on Capitol Hill for nine years, including six years with Congressman Robin Hayes where he served as deputy chief of staff.
Tommy is a native of Raleigh, where he lives with his wife and two sons.

11-15 years

David Adelman joined Cornerstone Government Affairs in 2010, bringing over 10 years of substantial experience in grassroots advocacy, developing and implementing strategic legislative campaigns, drafting and analyzing legislative language and reports and establishing, administering and advising political action committees.

Before joining Cornerstone, David worked for a law firm in West Des Moines where his practice focused on government relations, legislative law, PAC compliance and strategic advising, and election law. David continues to secure millions of dollars for clients through appropriation language, enables clients to secure major policy changes in a variety of issue areas and helps defeat language that would have been detrimental to clients' interests.

Prior to his role at the law firm, David worked with the Department of Justice, in the Iowa Attorney's General Office and clerked in the State Senate.

David worked in Washington, D.C. at the Democratic National Committee where he helped to design the voter protection program in 2004 and returned to Des Moines where he assisted in the establishment of the legal protection network for the Iowa Democratic Party. David served two terms on the Iowa Democratic State Central Committee; the Board of Directors for the Democratic Party.

Raised in Des Moines, David earned a B.S. in Marketing and Business Legal Studies from Miami University, and a certificate in International Business studying in London, England. He received his law degree with a Legislative Practice Certificate from Drake University Law School.

David and his wife, Liz, reside in Des Moines where they are active in the community and have three sons, Michael, Benjamin and Sam.

0-5 years

Chris Gobble is a respected government affairs specialist with deep issue expertise and a broad base of policymaker and stakeholder relationships. He leverages his insights into the state General Assembly, Tennessee executive branch, and local governments to help SRG clients navigate complex political challenges and effectively advance meaningful policy solutions.

Prior to joining SRG, Chris served as senior director of public policy for the Chattanooga Area Chamber of Commerce, where he helped drive policy changes and facilitate government affairs efforts for 2,000 businesses representing over 180,000 employees. He also regularly and effectively collaborated with local, state, and federal elected officials to advance Chattanooga's status as a leader in education, workforce, and economic development.

Prior to Gobble's tenure in Chattanooga, he was the legislative and policy director for the Tennessee Department of Safety and Homeland Security. In this role, Gobble worked closely with Governor Bill Haslam's office and the state legislature to develop and implement a variety of public policy initiatives.

Originally from Bradley County, Chris earned a B.A. in Political Science and Communications from Lipscomb University. He and his wife Sarah live in Nashville.

0-5 years

Awarded Order of the Long Leaf Pine

Dave has over 40 years leading non-profit and government healthcare organizations, including the last eight years leading the North Carolina's $20 billion Medicaid program. Prior to serving as deputy secretary for Medicaid, he was the deputy secretary for Behavioral Health and Developmental Disabilities. Dave joined DHHS as director of the Division of Mental Health in 2013. Before joining the Department, he was executive director of several statewide chapters of The Arc, including The Arc of Delaware, Louisiana and North Carolina, where he led the advocacy and service delivery for people with disabilities.

Dave has worked for both Republican and Democrat administrations and was unanimously confirmed to his Medicaid position by the North Carolina General Assembly. During his tenure at North Carolina Medicaid, Dave led the program's transformation from fee for serve to managed care, supported the provider community through the COVID pandemic and successfully maintained a balanced budget throughout his service.

Dave has served on numerous state and national boards and committees, including the National Association of Medicaid Directors. He has presented to legislative and other governmental entities and to local, state and national meetings on health policy throughout his career.