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The Team

Blue Clay is built by operators drawn from Google Health, Mayo Clinic, the U.S. Department of Health and Human Services, the U.S. Navy, and the academic medical centers that trained them.

Founders

Chris Riley

Co-Founder & Chief Executive Officer

Harvard MBA
U.S. Naval Academy
Co-Founder, Guzman Energy
Former US Naval Warship Captain

Chris is the Co-Founder and CEO of Blue Clay. Previously, he was Co-Founder and CEO of Guzman Energy, which he built from scratch into a recognized force in U.S. competitive wholesale power markets, delivering hundreds of millions of dollars in savings to rural, tribal, and municipal communities and driving the FERC proceedings that opened competitive wholesale markets to distribution cooperatives across the country.

Before Guzman, Chris served as a career officer in the U.S. Navy, including as commanding officer of the USS Sirocco. He holds an MBA from Harvard Business School and a B.S. from the U.S. Naval Academy.

Chris founded Blue Clay after his son suffered a massive stroke at thirteen. The family spent the following years crossing three states inside a clinical system where orders routinely contradicted his son's own medical history, buried layers deep in the record. The insight was architectural: medicine is the only high-stakes industry without a verification layer between intent and action.

Garth Graham, MD, MPH, FACP, FACC

Co-Founder & Chief Medical Officer

Yale MD/MPH
Johns Hopkins Cardiology
National Academy of Medicine
Former U.S. Deputy Assistant Secretary for Health

Dr. Graham is the Co-Founder and Chief Medical Officer of Blue Clay. He is a practicing cardiologist, a two-administration federal health official, a technology executive who built clinical strategy at the scale of two billion users, and an elected member of the National Academy of Medicine.

Most recently, Dr. Graham served as Director and Global Head of Healthcare and Public Health at YouTube and Google, where he led clinical strategy for a health content platform reaching over two billion users and built the governance frameworks for health information at global scale. Earlier, he served as Vice President and Chief Community Health Officer at CVS Health and as President of the Aetna Foundation.

Dr. Graham served as Deputy Assistant Secretary for Health at the U.S. Department of Health and Human Services under both the Bush and Obama administrations, leading the Office of Minority Health and directing development of the federal government's first National Health Disparities Plan.

He earned his MD and MPH simultaneously at Yale University, completed his internal medicine residency at Massachusetts General Hospital, and completed his cardiology fellowship at Johns Hopkins. He is board-certified in Internal Medicine and Cardiology and holds Fellowship designations from both the American College of Physicians (FACP) and the American College of Cardiology (FACC).

Ajai Sehgal

Co-Founder & Chief Technology Officer

Former CDAO, Mayo Clinic
Founding Team, Expedia
Royal Canadian Air Force

Ajai is the Co-Founder and Chief Technology Officer of Blue Clay. He is the architect of the Blue Clay platform, the TEFCA and FHIR interoperability infrastructure, the AI pipeline, and the data governance framework behind OrderGuard.

Ajai was the Chief Data and Analytics Officer at Mayo Clinic, where he was the executive responsible for the ethical governance and strategic use of 150+ years of longitudinal patient data. He built the enterprise cloud data foundation in partnership with Google, established Mayo's data governance program, and stood up the AI enablement infrastructure behind 160+ algorithms in the FDA software-as-medical-device (SAMD) pathway, including AI models deployed in live clinical use.

Earlier, he was a member of the founding team at Expedia within Microsoft, scaling it into the largest travel agency in the world. He subsequently served as CTO/CIO at Hootsuite and then at EagleView, building data infrastructure where accuracy has direct legal and financial consequence.

Ajai served for sixteen years as an officer in the Royal Canadian Air Force.

Advisor

Dr. Danielle Bitterman

Executive Advisor

Mass General Brigham
Harvard Medical School

Radiation oncologist at Mass General Brigham and Assistant Professor at Harvard Medical School. Clinical lead for Data Science and AI at Mass General Brigham Digital. Published in Nature Medicine, JAMA Oncology, and The Lancet Digital Health.