Ralph Choate

Ralph Choate is a Medicaid operations and transformation executive who brings more than two decades of Medicaid leadership and more than three decades of operational experience across eligibility, program integrity, provider operations, audit readiness, and large-scale public-sector transformation. His work spans Medicaid eligibility, PERM and MEQC, program integrity, MMIS, member and provider operations, regulatory performance, vendor governance, and large-scale transformation. He has led statewide Medicaid operations serving more than 1.7 million members and administering more than $20 billion annually. Ralph founded PERM Insights & Perspectives to provide independent analysis of Medicaid policy, eligibility accuracy, accountability, operational risk, and fiscal exposure. He brings an operator’s perspective to the intersection of policy and implementation and is available for conferences, panels, executive briefings, podcasts, and other speaking engagements.