Ray Ramach graduated from Highland High School in 1963. Ray was recruited for football to the University of Iowa but ultimately chose to attend Washington University in St. Louis with a extracurricular scholarship for sports. Ray graduated from Washington University in 1967 with a Bachelor of Arts in Mathematics. He was then accepted into the St. Louis University School of Medicine. After completing his medical degree, Ray spent two years at St. Louis University Hospital doing surgical residency. He entered the US Navy and finished his final three years of residency at the naval hospital in San Diego, California. Following residency, Ray served with the Navy by spending two years in Japan and one year at Camp Pendleton, California. In 1980 Ray settled in Denver, Colorado in a general surgical practice.

While in high school, Ray played football, basketball, track, and baseball, earning multiple letters in all sports. Ray was the quarterback/safety for the football team his junior and senior year that recorded the first winning seasons in years under new coach, Frank Prchal. Ray was chosen for several All-Area Teams in the St. Louis area both years. In baseball he was offered two minor league contracts but turned them down to attend college. Ray was voted Athlete of the Year during his senior year. At Washington University, Ray participated in and earned letters in football for three years, playing defensive halfback for three years and receiver his senior year. Ray was named All Conference his last two years and was part of a winning team that was ranked in the top ten in the NCAA small college division. Ray held the record for most interceptions in a season his senior year and won the award for top defensive back. Ray was lettered in track all four years, participating in up to eight events in each meet. His junior year he qualified for the NCAA regional in intermediate hurdles and won the event, earning a NCAA gold medal. He set the record for intermediate hurdles for Washington University his senior year. After graduating from college and while attending medical school he continued to participate in intramural basketball and AAU track meets during the summers. He also participated in flag football and softball teams that ranked in the top amateur leagues in the St. Louis area.

After starting his medical practice, Ray still participated in many 10K and half marathon races, bike trips and recreational basketball leagues. He is now retired, but remains active athletically with biking and golf. He completed a cross country bike trip from Oregon to Maine two years ago with fellow high school classmate, Chuck Beichel.