Jay Ludlam

Deputy Secretary, NC Medicaid at NC Department of Health and Human Services

Jay Ludlam is an experienced healthcare executive with a robust background in Medicaid administration, currently serving as Deputy Secretary for NC Medicaid and previously as Assistant Secretary for Medicaid Transformation at the NC Department of Health and Human Services. With a proven track record in strategic program design, Jay has successfully led North Carolina’s Medicaid Transformation initiative, transitioning millions of individuals to managed care while enhancing operational capabilities. Prior experience includes roles such as Acting Medicaid Director in Missouri, where Jay managed Medicaid operations for approximately 975,000 beneficiaries, and valuable contributions to Missouri Care and the Missouri Attorney General's Office, with a strong emphasis on compliance, operational improvements, and innovative legal strategies. Jay holds a J.D. from the University of Missouri-Kansas City and a B.S. in Social Psychology from Grinnell College.

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