Category: Team-Investors

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Sarai McDowell

Enterprise Project Manager

As enterprise project manager, Sarai ensures all client projects are executed with excellence.


Utilizing key objectives, milestones and our project management solution, Sarai oversees delivery of all projects. She maintains overall enterprise project performance while also paying attention to the details of the project.

Working alongside the consultants and partners, she verifies and implements the timeline of the project, has an open line of communication with our project POC and our consultants.

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Steven Hedgepeth

Advising Technology, Health Plan, Provider and Investor Clients

Steven Hedgepeth, MBA has a strong operational and strategy implementation background with over fifteen years of experience working across the Human Service, Physical and Behavioral Health fields at both the local community and state/national levels.  As a founder and senior leader in multiple healthcare organizations, Steven is adept at setting a clear vision and strategy to navigate the challenges of a shifting healthcare landscape.  He has led organizations through significant Medicaid policy and payor changes, acquisitions, merger integrations, and implementation of Financial and EHR information systems.  Steven has experience creating innovative public/private partnerships to adapt to rapidly changing models of care across both for-profit and not for profit organizations.  His ability to quickly assess the needs of an organization and devise a plan for success has been honed advising a myriad of both public and private organizations.

Focus Areas
  • HHS technology
  • Behavioral health
  • Integrated care
  • Data analysis and systems

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Clay Farris

Founder and Practice Lead, Client Solutions

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 a Certified Internal Auditor.

Focus Areas
  • HHS technology (various)
  • Integrated care
  • Data analysis and systems

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Kris Vilamaa

Partner & Chief Growth Officer

Kris has twenty years of behavioral health, health information technology and health policy experience.  Clients include information technology and pharmaceutical companies, state health and behavioral health departments, state Medicaid agencies, managed care organizations, federally qualified health centers, safety net hospitals, large health systems and community health providers to enact meaningful initiatives. 

His past governmental experience includes state system transformation projects, planning for Medicaid Transformation, development of new behavioral health treatment standards, service definitions and leading large information technology system implementations. Prior to joining Mostly Medicaid, he was Director of Behavioral Health for Germane Solutions and the first Chief Information Officer for the Alabama Department of Mental Health.

Currently, as Partner and Chief Growth Officer for Mostly Medicaid, Kris leads the consulting and product sales team, serves as a senior project manager for key client engagements and a thought leader for behavioral health and health policy in the Medicaid space.

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