Gary Jessee

Managing Director

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Texas State University, MA, Interdisciplinary Studies
Texas State University, BS, Sociology

Current Responsibility

Gary Jessee leads the firm’s efforts to build a sustainable and growing National Medicaid Consulting practice by overseeing the firms’ service delivery and outreach, particularly in the area of managed long term services and supports. As a former Medicaid Director, Gary is recognized as a national leader and continues to attract peer professionals from around the country to join the successful and growing consulting practice he oversees.


Gary is the recent former Deputy Executive Commissioner for Medical and Social Services in Texas, the largest division in the Health and Human Services System. In that position Gary oversaw four departments and a $50 billion budget, bringing together client services, including eligibility services, Medicaid/CHIP services and functions, and community programs under one coordinated division. Prior to this, Gary served as the State Medicaid Director where he was responsible for overseeing services and supports for more than four million Texans across the state. He also previously served as the Chief Deputy Director for Program Operations in the Medicaid/CHIP Division. Before joining Texas Health and Human Services Commission, Gary served as Assistant Commissioner for the Access and Intake Division at the Department of Aging and Disability Services, where he was responsible for overseeing functions of the Area Agencies on Aging, Local Intellectual and Developmental Disability Authorities, Community Services and Program Operations, Community Living Assistance and Support Services, Contracts, Guardianship services and other specialized programs. Gary is the  past President of the Board of Directors of National Association of States United for Aging and Disabilities (NASUAD).