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Sarah Miller

PartnerSeattle

Co-leads Medicaid, broader health and human services work for public sector clients

Sarah is a partner in McKinsey’s Seattle office and co-leads the firm’s Medicaid unit in the United States. Sarah focuses on state Medicaid and social services programs, public sector data, and technology. She has over 28 years of experience in state and local healthcare programs in government and corporate settings. Sarah specializes in engaging across organizational boundaries to prevent and resolve conflicts, working directly with leaders across agency lines, or departments within agencies, ensuring that common ground can be found in decision-making—delivering results for residents who need the services of these mission-critical programs.

Some of her recent client work includes the following:

  • supporting a coalition of seven health and human services agencies as they develop a shared IT vision and strategy; and establish a portfolio of projects to implement that strategy and operationalize a joint agency governance model
  • completing a landscape assessment of behavioral health programs across four state agencies to identify critical gap areas across the continuum of behavioral health services
  • developing a statewide plan for a single electronic health record system across three public sector agencies
  • creating an inventory of use cases for partnership between health information exchanges and state Medicaid agencies

Before joining McKinsey, Sarah was COO for Technology and the Integrated Eligibility Project Director for the Oregon Department of Human Services. She is passionate about helping state agencies solve problems that get in the way of providing services to some of this country’s most vulnerable citizens.

Sarah is active in her home community and was the founder of a public charter Montessori school in Silverton, Oregon.

Published Work

As more Americans ask for public aid, could integrated benefits help?,” Mckinsey & Company, June 2022

PAST EXPERIENCE

Audacious Inquiry
Vice President of State Government Services

Oregon Department of Human Services
COO for Technology & Integrated Eligibility Project Director

Education

Idaho State University
MPH, health care administration

Carroll College
BA, biology and chemistry

Project Management Institute
Certified Project Management Professional