Elizabeth Matney

Elizabeth Matney is former Medicaid director and Health and Human Services (HHS) chief operating officer. With nearly two decades of experience with the State of Iowa, primarily focused on Medicaid, Elizabeth Matney has had a variety of opportunities and experience create a multi-layered and well-rounded perspective. 

Elizabeth Matney was appointed as Iowa’s Medicaid director in April 2021. As Medicaid director, Elizabeth oversaw a program that had over an $8 billion budget serving nearly 900,000 Iowans. She guided the vision and led major transformation in the Medicaid program including a $220 million American Rescue Plan injection of funds into the Home and Community-Based System, a transformation of Home and Community-Based Services (HOME), post-partum expansion, launching an annual provider rate review process and implementing a directed payment program that invested more than $900 million dollars into Iowa’s hospitals each year. 

In June 2023 she was appointed to also hold the title of HHS chief operating officer and HHS deputy director. In addition to maintaining her Medicaid director role and responsibilities, as the chief operating officer, Matney oversaw HHS’ budget and accounting functions, performance and transformational agency support and information technology services.  

In October 2024, Elizabeth Matney announced that she would be leaving state employment and has opened her own consulting business, Andeli Consulting. She is currently still in touch with her national HHS network and looking for opportunities to continue to serve the system at a local and national level. 

Elizabeth holds a master’s degree in rehabilitation counseling from Drake University and a bachelor’s degree in psychology and philosophy from Texas State University.