Leadership
Updated October 16, 2025
Tracy S. Gruber, executive director
Tracy S. Gruber was named executive director of the Utah Department of Human Services in January 2021. Previous to her appointment by Governor Spencer J. Cox, she was director of the Office of Child Care at the Utah Department of Workforce Services (DWS) and senior advisor for the Intergenerational Poverty Initiative. In 2017, she was named as "Government Official of the Year" by Community Action Partnership of Utah. She served as the chair of the National Association of State Child Care Administrators and represents Utah on the Education Commission of the States.
Prior to her service with DWS, Gruber was the senior policy analyst and director of state fiscal policy at Voices for Utah Children. Gruber’s work experience also includes serving as an analyst in the Illinois Senate, overseeing a public employee retiree organization, and administering the Utah State Bar New Lawyer Training Program.
Gruber received her undergraduate degree from the University of Wisconsin-Madison, and her Law Degree from the Chicago-Kent School of Law.
Tracy's "Why"
Check out this YouTube playlist to learn about why Tracy works to serve others.
Dr. Stacey Bank, executive medical director, Clinical Services
Dr. Bank, MD, joined the Utah Department of Health and Human Services in November 2024. She is a board-certified family physician with over 20 years of experience. She has a strong background in primary care and a deep commitment to serving diverse populations. As a skilled physician leader, Dr. Bank brings a wealth of leadership expertise to her role, driven by a dedication to improving health outcomes for all Utahns. From 2022-2024, she served on the Salt Lake County Board of Health.
Dr. Bank was most recently a physician lead at Sacred Circle Healthcare and before that was the medical director at the University of Utah Intensive Outpatient Clinic. Born and raised in Salt Lake City, Dr. Bank completed her undergraduate studies at the University of Utah and earned her medical degree from Georgetown University School of Medicine. Throughout her career, she has consistently championed healthcare access, focusing on the needs of vulnerable populations and addressing disparities in healthcare delivery.
In her new role, Dr. Bank is excited to engage in community outreach across the state, assess the health needs of Utah's diverse communities, and advocate for all populations. Her goal is to foster collaboration, improve health and wellness, and strengthen the public health infrastructure across Utah.
Tonya Hales, deputy director, Healthcare Administration
Tonya Hales was appointed as deputy director in October 2025. For the preceding 4 years, she served as the Assistant Deputy Director of the Healthcare Administration Section. Prior to that, for 22 years, Tonya held various leadership roles in Utah Medicaid and served as an assistant Medicaid director with the Utah Department of Health. Throughout her career she has designed and implemented Medicaid policies and many long-term services and support programs for children, older adults, and individuals with disabilities, including Medicaid’s autism spectrum disorder services, the New Choices Waiver, and the Medically Complex Children’s Waiver. Additionally, Tonya is a registered nurse of 31 years who has utilized clinical expertise in her oversight of Medicaid’s healthcare coverage policy over the years.
David Litvack, deputy director, Community Health & Well-Being
David Litvack began his service as deputy director for the Utah Department of Human Services in April 2021. He brings policy and programming experience from serving in various levels of government. He was director of the Criminal Justice Advisory Council (CJAC) in the Salt Lake County Mayor’s Office, and both deputy chief of staff and, most recently, senior policy advisor in the Salt Lake City Mayor’s Office. Litvack also served in the Utah State House of Representatives from 2000 to 2012. He is a graduate of Westminster College and received a Master of Arts in Social Sciences from the University of Chicago.
Nathan Winters, deputy director, Operations
Nate Winters was appointed deputy director of DHHS over operations with the merger of the Department of Health and the Department of Human Services in July 2022. Prior to that he assisted with the merger of the two departments as an assistant deputy director. He was recently assistant division director for the Utah Department of Human Services (DHS) Division of Juvenile Justice Services with a primary focus in finance, budget, and operations. Previously, Nate held roles as director of finance, compensation, and benefits for the Utah Department of Human Resource Management, and budget director for DHS. Nate holds a Bachelor’s degree in Economics and a Master’s degree in Business Administration (MBA).
Heather R. Borski, assistant deputy director, Community Health & Well-Being
Heather Borski, MPH, MCHES, has worked for the Utah Department of Health for more than 25 years, and currently serves as a deputy director. Prior to serving as a deputy director, Heather directed the Division of Disease Control and Prevention from 2016-2020, directed the Bureau of Health Promotion from 2007-2016 and managed the Tobacco Prevention and Control Program from 2001-2007. Heather has an undergraduate degree in Health Education and a Masters of Public Health from the University of Utah. She is also a Master Certified Health Education Specialist, and is an alumna of both the Great Basin Public Health Leadership Institute and National Public Health Leadership Institute. Heather has served on several professional boards, including for the Utah Public Health Association (Board President, 2017-2018), Get Healthy Utah, National Association of Chronic Disease Directors, Directors of Health Promotion and Education (Board President, 2014-2015), Utah Partners for Healthy Weight, and Health Education Association of Utah (Board President, 2001-2002).
Amanda Slater, assistant deputy director, Operations
Amanda Slater serves as the Assistant Deputy Director of DHHS, overseeing operations. She was appointed to this leadership role in July 2022 following the merger of the Department of Health and the Department of Human Services. With the department for over 10 years, Amanda is dedicated to breaking down systemic barriers to ensure individuals receive the essential services necessary to safely thrive and succeed. Her prior experience includes developing policy and contracts, managing budgets, and serving as the Director of the Office of Licensing from 2019 to 2022. Amanda holds a Bachelor’s degree in Business Administration and Finance from Weber State University and is a certified Quality Process Analyst. She is currently pursuing an MBA from Southern Utah University (SUU).