Juliet has been with The Karen Hospital since its inception in 2006. The Karen Hospital, a multi-specialty hospital, is a Kenyan start up business with 9 branches countrywide. She joined as Head of Projects and Special Programmes and has risen through the ranks to the position of COO and currently Deputy CEO. Juliet is credited for having spearheaded strategic initiatives in HR, revamping Supply Chain function, Sattelite branches operations and worked with the nursing department in establishing the nursing college which has been rated in the top 3 category by the Nursing Council of Kenya.

The hospital has been intentional on leveraging IT as a platform of healthcare delivery through automation and transparency of information amongst users. A major upgrade the Hospital Information Management System (HMIS) and the finance systems, a multi-phased project successfully completed under the leadership of the DCEO. During the short period of the systems operations, there is great efficiency witnessed in service delivery and financial reporting. The HMIS is centrally managed from HQ and provides transparency for both clinicians and non-clinicians in the day to day operations. Doctors within the hospital network are able to share clinical reports and skills exchange is now at a higher level. Other clinical departments and nursing functions have also been automated and all information available to caregivers at the click of a button. Operationally, common services e.g. billing, sales management reports, inventory management, HR systems have since ceased being manual.