Jay Ludlam Jay Ludlam is the Assistant Secretary for Medicaid and leads the transformation of the $14 billion North Carolina Medicaid and NC Health Choice programs from fee-for-service to a managed care delivery system for DHHS. Ludlam’s vision for Medicaid transformation is to develop a person-centered, integrated managed care structure that builds on what works well in North Carolina while improving the sustainability and financial predictability of the Medicaid program. Before Ludlam joined DHHS in August 2017, he was the Acting Director of the Missouri HealthNet (Medicaid) Division where he led budget and fiscal operations, information services, provider and participant support and Medicaid program administration. Prior to this role, Ludlam was the Missouri HealthNet Deputy Division Director, acting as the executive lead for implementing a statewide Medicaid Managed Care program expansion that affected over 750,000 participants. Ludlam has managed claims operations for Aetna and WellCare, and oversaw Aetna’s compliance function. He served as the Assistant Attorney General for the Missouri Medicaid Fraud Unit, recovering more than $3 million through negotiated plea agreements, civil settlements and summary judgments. Ludlam received his law degree from University of Missouri-Kansas City School of Law and his Bachelor of Science degree in social psychology from Grinnell College.