As the transactional perspective on occupation continues to evolve (Dickie, Cutchin, & Humphry, 2006; Bailliard, Aldrich, & Dickie, 2012; Cutchin, Dickie & Humphry, 2017), the epistemological advances toward a more communal/less individual-centered understanding of occupation beckon thoughtful methodological shifts, as well. Early research methodology associated with the transactional perspective on occupation included ethnography and participant observation, both of which continue to be widely employed and extended through new forms of qualitative inquiry and analysis. This study builds on the advancements of research grounded in the transactional perspective on occupation and makes an argument for and demonstrates the use of a methodology developed within implementation science known as a practice profile (Metz, 2016). Practice profiles are increasingly used to support implementation and/or program improvement efforts, particularly in public service domains like education and health care. In the civic forum, advantages of practice profiles over other innovation and continuous quality improvement models begin with a focus on community engagement. In addition, flexibility and responsiveness to current practice demands, clarity on required infrastructure for implementation (e.g., funding, policy, staffing), and direct linkages to measurable implementation also lend methodological power to practice profiles. Within occupational science and the transactional perspective, practice profiles offer a methodology specifically designed to examine complex group and/or organizational occupations. The organizational occupation in this study is school-based Medicaid claiming, for which a practice profile does not currently exist, and where efforts to support excellence and innovation have mainly targeted the knowledge, skills, and dispositions of individual practitioners. Study methods included interviews, literature and document reviews, group vetting to develop the initial practice profile, and usability testing to make final refinements. Findings resulted in a practice profile for implementing school Medicaid claiming and revealed unexpected affective aspects of these reimbursement programs. The study also provided space for analyzing methodological decisions in occupational science and offered suggestions for enhancing the theoretical underpinnings of implementation science through an analysis of its alignment with pragmatism. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]