Applications for the Rhodes Scholarship 2026 are open! Click here to learn more.

Applications for the Rhodes Scholarship 2026 are open! Click here to learn more.

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Paul Markovich

North Dakota & University 1989

Born in Grand Forks, North Dakota in 1966, Paul Markovich attended Colorado College before going to Oxford to read for a second BA in PPE (Philosophy, Politics and Economics). After a period working as a strategic consultant for Booz Allen Hamilton, Markovich moved to work for the healthcare plan Blue Shield of California. He left the organisation for a period of time, founding MyWayHealth, and then returned to Blue Shield of California, where he rose to become President and CEO. While continuing to hold this role, he also co-chaired California’s COVID-19 testing task force and went on to spearhead the rollout of vaccines in the state. In January 2025, Paul became the President and Chief Executive Officer of Ascendiun, a nonprofit parent company to Blue Shield of California.  This narrative is excerpted from an interview with the Rhodes Trust on 3 May 2024.  

‘The community would really pull together’ 

I really enjoyed growing up in Grand Forks. There was a strong sense of community there which valued work ethic, humility, honesty, and authenticity. Grand Forks is right along the banks of the Red River, and typically, every spring, the river would flood. I remember when that happened, we would all go fill sandbags and try to help, irrespective of whether they were our houses or not. The community would really pull together.  

My parents both eventually taught at the University of North Dakota, although my mom didn’t actually start teaching there until she got her PhD just before I went into high school. It was a real middle-class upbringing, and I was the middle child of three. My kindergarten teacher shared with my parents that she thought I was slow, and my mom was upset by that. I remember one of the things my mom wanted to do after the Rhodes announcement came out was track down my kindergarten teacher to let her know! 

I went to a Catholic elementary school, and, although it was never heavy-handed, there was always this sense of morality and the need for compassion towards your fellow man. I remember that feeling was core to everything that went on there. At school, I was always active playing sports, and when it was winter, my friends and I would just spend the day skating. I kept up that interest in athletics, and I also took my academics seriously. The hard math and science always came pretty naturally to me, and I liked anything where there was a natural logic and it was rules-based. I also really enjoyed civics and politics and history.  

I started off thinking I wanted to be a professional hockey player, and that stayed with me until the end of high school. Then I began to realise that, although I wanted to play in college, I probably didn’t have enough talent to become a professional. I thought about academia, because I saw my parents doing that, and I also wondered whether I could run for political office, because I knew I had an interest in and talent for leadership.  

On applying for the Rhodes Scholarship 

I chose Colorado College because it had the perfect combination of academics and athletics. I wanted the academic experience as well as the hockey experience, and that’s what I got there. It was a great school. You always got taught by a professor in a small-class environment, and at the same time, I was able to develop my hockey playing and eventually join the team. Then, I was injured, and I had to have some surgeries and do a lot of rehabilitation, and although I did carry on playing, it was difficult. I think it was an important learning experience for me, that sometimes, perseverance and persistence alone can’t get you where you’d like to be.  

My parents had mentioned the Rhodes Scholarship to me quite a few times, but I wasn’t that interested at first. Then, I was talking to them about how I was looking to go to graduate school and would be interested in studying overseas and they said, again, ‘Well, there’s this great scholarship…’ So, I threw my hat in the ring in earnest. In the interview, I remember being asked, ‘What’s the world’s fight for you?’ and the question really stuck with me. I had been thinking for some time about how we all have an obligation to make the world a better place, and I was only just beginning to think about how I could do that, so being asked that question very much crystallised my focus.  

‘Oxford was different and fascinating’ 

When I got to Oxford, I was still thinking that I might go into either politics or academia, but while I was there, things started to shift for me. As I was studying in a more advanced way in each of economics and politics, it was becoming less and less interesting to me, in part because it wasn’t that practical. I remember sitting in a discussion of exactly how poverty should be defined and thinking, ‘Why are you spending all of this energy on how to fix the definition? We know there’s poverty in the world. What are we going to do about it?’ So, I got a little disenchanted with the idea of more education, and I also began to realise that politics might not be a space where I could use all of my time to solve problems.  

Oxford was different and fascinating for me. The combination of English culture and academic culture made it a far more formal place than I had experienced before. Also, the buildings are so historic that it’s almost like you’re walking into some version of a castle: these beautiful, pristine quads and ancient buildings. The downside, though, was that the fixtures were old too. And the food at that time in college was not so great. I was saved by the fact that there was such good and reasonably priced food outside college, especially Indian food, but I did still find myself wondering why the English would call a dish ‘Toad in the hole!’ 

‘It was just so rewarding’ 

When I left Oxford, I went to work for Booz Allen Hamilton. I learned so much, working across a number of sectors, and then I got asked to join a group that was trying to figure out how the healthcare space was going to deal with these things that were just emerging called Health Maintenance Organizations. When I looked at the materials, the whole ‘Fighting the world’s fight’ question just clicked in for me, because I realised this was a system that wasn’t working as it should be working. And I saw that if you could improve healthcare, you could truly impact lives. 

I took up the role at Blue Shield of California because I liked their approach and what they were trying to do as a mission-driven non-profit. For a time, later on, I moved away and went through the experience of founding a startup, but eventually, I realised that if I wanted to make big changes in healthcare, I needed to do it from inside an organisation that had clout and market share. I was promoted through the organisation, and eventually I became President and CEO, but I learned a lot along the way about how I needed to do things differently. For a long time, I was primarily in my head, looking at strategy and driving improvements. It took me a while to realise that making things work is about relating to people and bringing your heart into your work too. I’m not saying I’m brilliant at it now, but I’m certainly a lot better than I used to be.  

My work during the COVID-19 pandemic came about just because I could see that there were problems that needed to be solved: California wasn’t testing nearly enough people fast enough, and later, the same problem emerged with the vaccination programme. For both testing and vaccination, we were able to boost capacity massively. It was an incredibly intense period of time, but when I saw the 2023 study about how around 20,000 lives were most probably saved by the speed of the California vaccine rollout, that was just so rewarding.  

‘Fulfilment comes from feeling like, “My work, my life, has meaning”’ 

One of my hopes for the Scholarship is that it will systematically help Scholars with their own journey to answer that question of, ‘What’s the world fight?’ There is an infinite number of ways you can have a positive impact on the world, and I would really encourage all Scholars to dig deep and find out what matters to them and what makes them feel fulfilled. That isn’t just about our time at Oxford: that question should stay with us, at every stage in our lives, and reflecting on it is hugely powerful.  

So often, I see people seeking out what society thinks they should, whether that’s the next promotion or a certain amount of money. But happiness is priceless. Figure out what makes you happy. I’m very happy what I’m doing in my professional life, and my family is the light of my life, for sure. I’ve got an incredible partner and best friend in my wife, Lisa, and she and our children mean the world to me. I’ve been so blessed in my life. I think that happiness comes from being fulfilled, and fulfilment comes from feeling like, ‘My work, my life, has meaning.’ 

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