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Sebastion Williams

Advising Health Plan Clients

Clay has advised CMS administrators, state Medicaid Directors, health plan CEOs, technology COOs and a wide range of other clients in the healthcare industry.  His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges. His Weekly Medicaid Roundup is read and loved by more than 10,000 professionals in the Medicaid industry.

His experience includes policy making at both the federal (CMS) and state levels (State of Georgia), management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics.

He currently leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is also a Certified Internal Auditor.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems
Career Highlights
  • State Mental Health CIO
  • Consulting practice leadership
  • 3

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Charlyn Shepherd

Advising Government Clients

Ms. Shepherd is a Certified Public Accountant and Certified Fraud Examiner.  She has devoted her career to accountability in state and federal government programs as an auditor, consultant, forensic auditor, innovator, and leader.  She has more than 25 years of experience performing and leading state and federal program financial, cost report, and compliance audits for health care and social programs under Medicaid, Medicare, and Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).  She has been a project manager providing professional services to state clients for programs such including Skilled Nursing Facilities, Intermediate Care Facilities, Promoting Interoperability, Certified Community Behavioral Health Clinics, State Innovation Model Grants, Recovery Audit Contractor, Long Term Services and Supports, Durable Medical Equipment, Physician Services, Pharmacy Program, Non-Emergency Transportation, and Home and Community-Based Services. She has performed audits in accordance with Generally Accepted Government Audit [Yellow Book] Standards (GAGAS), Generally Accepted Audit Standards GAGAS), and OMB Uniform Guidance. Having an understanding of the claim payment process and underlying data, she has developed analyses to identify data trends and anomalies in both Fee for Services claims and Managed Care encounters.  She was Georgia’s first Chief Auditor of the Medicaid Fraud Control Unit at its inception in 1995 and performed investigative audits and provided expert testimony in high profile Skilled Nursing Facility and Home Health Agency cost report fraud trails, resulting in over $30 million in recoveries for the Medicare and Medicaid programs.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems
Career Highlights
  • State Mental Health CIO
  • Consulting practice leadership
  • 3

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Rob Ribidou

Advising Health Plan Clients

Rob is a health care executive with expertise managing the startup of managed-care organizations and the ability to develop and implement strategy in a rapidly changing health care environment. He is a skilled operations leader with a record of success managing the various areas of operations within a health plan including network development, provider relations, claims, call center, system configurations and provider information.

Rob has been part of the executive team leading the successful startup of two pediatric managed-care organizations. As Vice President of Operations with Children’s Medical Center Health Plan, he was instrumental in readying the plan to accept members, including developing a strategy and securing a Medicaid contract. He structured and negotiated contracts with vendors to provide vision and behavior health services, pharmacy benefit manager (PBM), and health risk assessment software. He also oversaw Network Development, Provider Relations, Systems Configuration, Credentialing, Network Administration, Claims, Marketing, Outreach, and Call Center operation.

Previously, as Director of Network Development for Cook Children’s Health Plan, Rob was part of the executive team managing the startup, led staff in the implementation of the CHIP and STAR programs, chaired the Delegation Oversight Committee, and served on Process Improvement, Medical Management, Quality, and Corporate Compliance Committees. He was also a founding member of the Texas Association of Community Health Plans (TAHP), a consortium of provider-owned or community-sponsored health plans that jointly contracted with vendors.

Rob also has served as Director, Managed Care Contracting, Network Development for Cook Children’s Health Care System, as one of five initial employees hired for the development of the Children’s Health Care System Managed Care Department. In that capacity, he helped develop a contracting strategy and managing relationships between national and regional managed-care organizations and Cook Children’s Health Care System. He also developed relationships and negotiated contracts for CCHCS’s Bone Marrow to become a Center of Excellence program.

Rob holds a Bachelor of Science in Business Administration and Management from Kansas State University.

Rob has served as a Board Member and President of the DFW Alliance for Healthcare Excellence and on the Navitus Client Advisory Board. He is also a recognized national speaker on managed-care contracting and provider-relationship development, presenting at key industry conferences, including the Medicaid Innovations Forum, World Congress, Institute for International Research, and Network Development Congress.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems
Career Highlights
  • State Mental Health CIO
  • Consulting practice leadership
  • 3

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Erica Sahm

Advising Government and Technology Clients

Clay has advised CMS administrators, state Medicaid Directors, health plan CEOs, technology COOs and a wide range of other clients in the healthcare industry.  His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges. His Weekly Medicaid Roundup is read and loved by more than 10,000 professionals in the Medicaid industry.

His experience includes policy making at both the federal (CMS) and state levels (State of Georgia), management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics.

He currently leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is also a Certified Internal Auditor.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems
Career Highlights
  • State Mental Health CIO
  • Consulting practice leadership
  • 3

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Mark Washington

Advising Health Plan and Government Clients

Clay has advised CMS administrators, state Medicaid Directors, health plan CEOs, technology COOs and a wide range of other clients in the healthcare industry.  His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges. His Weekly Medicaid Roundup is read and loved by more than 10,000 professionals in the Medicaid industry.

His experience includes policy making at both the federal (CMS) and state levels (State of Georgia), management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics.

He currently leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is also a Certified Internal Auditor.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems
Career Highlights
  • State Mental Health CIO
  • Consulting practice leadership
  • 3

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Chuck Collins

Advising Pharmaceutical Clients

Mr. Collins has over 30 years of career experience in the Pharma Industry.  He has a long history across multiple therapeutic areas and works across all managed market channels and helps to develop our customized managed market solutions.  He serves as a Sr. Fellow to Medonomics, a nonprofit, nonpartisan think tank specializing in health policy, finance, and operations.   He has provided strategic managed markets consultation and tactical implementation to multiple major pharma clients.  In previous roles, he led the managed markets strategic counsel efforts providing insight and execution for commercial, Medicare, Medicaid, long-term care, and retail pharmacy chains.  He currently speaks on a national basis regarding healthcare delivery disparities at AMCP, NASP, and ASEMBIA. Mr. Collins participated in the strategic launch of American Health & Drug Benefits and, as a founding member of the editorial board, contributed actively for several years. He currently serves on the Saint Joseph’s University Haub School of Business Pharmaceutical & Healthcare Marketing MBA Program Board of Advisors. Mr. Collins graduated with a bachelor’s degree in chemistry from Virginia Commonwealth University. Mr. Collins additionally holds a master’s degree in clinical chemistry from Old Dominion University and a master’s degree of business administration in pharmaceutical marketing from Saint Joseph’s University in Philadelphia.

Chuck is also Principal and President, Healthcare Stakeholder Solutions™ LLC, a managed market consultancy in its 9th year focusing on the healthcare delivery disparities across multiple therapeutic areas

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems
Career Highlights
  • State Mental Health CIO
  • Consulting practice leadership
  • 3

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Steven Hedgepeth

Advising Technology, Health Plan, Provider and Investor Clients

Clay has advised CMS administrators, state Medicaid Directors, health plan CEOs, technology COOs and a wide range of other clients in the healthcare industry.  His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges. His Weekly Medicaid Roundup is read and loved by more than 10,000 professionals in the Medicaid industry.

His experience includes policy making at both the federal (CMS) and state levels (State of Georgia), management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics.

He currently leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is also a Certified Internal Auditor.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems
Career Highlights
  • State Mental Health CIO
  • Consulting practice leadership
  • 3

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Lauretta Converse

Advising Government and Technology Clients

Clay has advised CMS administrators, state Medicaid Directors, health plan CEOs, technology COOs and a wide range of other clients in the healthcare industry.  His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges. His Weekly Medicaid Roundup is read and loved by more than 10,000 professionals in the Medicaid industry.

His experience includes policy making at both the federal (CMS) and state levels (State of Georgia), management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics.

He currently leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is also a Certified Internal Auditor.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems
Career Highlights
  • State Mental Health CIO
  • Consulting practice leadership
  • 3

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Jeff Myers

Advising Rx and Health Plan Clients

Clay has advised CMS administrators, state Medicaid Directors, health plan CEOs, technology COOs and a wide range of other clients in the healthcare industry.  His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges. His Weekly Medicaid Roundup is read and loved by more than 10,000 professionals in the Medicaid industry.

His experience includes policy making at both the federal (CMS) and state levels (State of Georgia), management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics.

He currently leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is also a Certified Internal Auditor.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems
Career Highlights
  • State Mental Health CIO
  • Consulting practice leadership
  • 3

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Kip Piper

Advising Government and Pharmaceutical Clients

Clay has advised CMS administrators, state Medicaid Directors, health plan CEOs, technology COOs and a wide range of other clients in the healthcare industry.  His unique blend of management consulting, project management, policy making and analytics help deliver on-time, actionable results for a wide array of business challenges. His Weekly Medicaid Roundup is read and loved by more than 10,000 professionals in the Medicaid industry.

His experience includes policy making at both the federal (CMS) and state levels (State of Georgia), management consulting for large organizational change initiatives, big data solution sales and implementation and cutting-edge analytics.

He currently leads key project components related to consultation design, Medicaid subject matter expertise and project management. He has a masters in Health Policy from the Johns Hopkins Bloomberg of School of Public Health and is also a Certified Internal Auditor.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems
Career Highlights
  • State Mental Health CIO
  • Consulting practice leadership
  • 3