Sign in

Secretary Budget Analyst

Providence, RI
November 30, 2022

Contact this candidate


Eugene I. Gessow

*** ***** ******

Providence, Rhode Island 02906

***-***- ****

Recent Professional Experience

**/** – 11/13 Fiscal Advisor, Rhode Island State Senate, Providence, Rhode Island.

11/11 – 12/12 Assistant Commissioner for Field Operations, Massachusetts Department of Transitional Assistance, Boston, Massachusetts.

1/10 – 11/11 Director, Division of Medical Services, Arkansas Department of Human Services, (ADHS) Little Rock, Arkansas. The Director is responsible for the Arkansas Medicaid Program and for the State‘s Survey and Certification Unit for long term care facilities (nursing and Intermediate Care Facilities for Individuals with Mental Retardation (ICF/MR). The Arkansas Medicaid program has an average monthly enrollment of 650,000 individuals and an annual budget of approximately $4.0 billion.

9/08 – 4/09 Director, Iowa Department of Human Services (IDHS), Des Moines, Iowa. IDHS is the largest department in Iowa State Government. It is responsible for: all Medicaid covered services (including institutional and home and community- based long-term care services), cash assistance (TANF), food assistance (except WIC), child welfare, child and adult protective services, childcare licensing and assistance, and child support enforcement. IDHS also operates nine institutions, including the State’s two largest ICF/MR facilities; four mental health hospitals, two state training schools for delinquent children, and Iowa’s Civil Commitment Unit for Sexual Offenders. It is also the state’s Mental Illness and Mental Retardation Authority. IDHS has approximately 5,700 employees and a budget of $4.7 billion.

As Director I focused on:

Recession related budget challenges. Working through the implications for SFY09, SFY010 and SFY011;

Improvements to protective services for dependent adults;

Addressing the disproportional representation of minority youth and families in Iowa’s child welfare system;

Building a new model for coordinating departmental program activities.

6/03 – 9/08 Iowa Medicaid Director, Iowa Department of Human Services, Des Moines, Iowa. Responsible for managing the operations of one of the largest health insurance organizations in Iowa with more than 300,000 covered lives, including some of the highest need populations in the State. (Iowa Medicaid payments currently exceed $2.4 billion a year for preventive, acute, and rehabilitative care, long-term institutional care and, increasingly, home and community-based care.)

As Director:

Designed and implemented the Iowa Medicaid Enterprise (IME). The IME, which began operations in July 2005, is a national model for performance-based Medicaid business organizations;

Turned Federal challenges into Iowa opportunities for program improvement through initiatives such as IowaCare (which covers single individuals) and home and community-based waivers for children with serious emotional disorders and adults with chronic mental illness

10/00 – 6/03 Director, Bureau of Medical Services, Maine Department of Human Services, Augusta, Maine. Responsible for managing the State of Maine’s Medicaid, Certificate of Need (acute care facilities), Pharmacy Assistance and Hospital & Nursing Home Survey and Certification programs.

As Director:

Developed significant pharmacy management and pharmacy assistance initiatives;

Secured section 1115 waiver to expand coverage to single individuals.

1/00 – 9/00 Deputy Secretary for Finance, New Mexico Human Services Department, Santa Fe, NM. Chief Financial Officer for State department responsible for Medicaid, TANF, food stamps and child support enforcement.

11/98 – 12/99 Budget Director, Massachusetts Division of Medical Assistance (DMA), Boston, MA. DMA ran the Massachusetts Medicaid program and was part of the Office of the State Secretary of Human Services. Began working in DMA as a Budget Analyst 11/97.

4/93 - 9/97 Director of Research, Rhode Island Public Expenditure Council (RIPEC), Providence, RI. RIPEC is a largely business supported public interest group focusing primarily on budget and management issues in Rhode Island State Government.

4/92 – 12/92 Legal Counsel, Finance Committee, Rhode Island House of Representatives, Providence, RI.


1983 – 1984 MPA, Kennedy School of Government, Harvard University, Cambridge, MA.

1976 – 1977 LL.M. in Taxation, New York University School of Law, New York, NY.

1972 – 1975 JD, University of Denver College of Law, Denver, CO.

1965 – 1969 BA (Economics), University of Wisconsin, Madison, WI.

Cover Letter

I have served as the Medicaid Director for Maine, Iowa and Arkansas.

I have a BA, JD, LLM and MPA. Although not currently a member of any bar, I took and passed the bar examinations for DC, MA, RI and NY.

I have worked in DC as an aid to several members of Congress and as the Assistant Director for Policy at the Democratic National Committee.

I also worked as Director of Research for the Rhode Island Public Expenditure Council.

I worked for now Senator, then Maine Governor, Angus King and for now Secretary of Agriculture and then Iowa Governor Vilsack – both of whom may remember me – and can be reached through their DC offices. I was a very active Medicaid Director. Kevin Cannon ( was the Director of Human Services in both Iowa and Maine and was my boss in both states. Kevin was also Deputy Secretary of Agriculture for Food and Nutrition under Secretary Vilsack in the Obama Administration and recommended me to the Governor of Arkansas – where I served as Medicaid Director.

After retiring I planned going to medical school. I had a 15 year plan that would have given me the opportunity to work for at least ten years for Doctors without borders. I began to take the necessary science courses at CCRI. But my grades were not high enough to hope for entrance to Med School. I then spent some time working as a VISTA volunteer - but the flu cut that short. I also applied to the Peace Corps and was accepted for a posting in Africa pending passage of the medical exam. I did not pass the medical.

I also worked very briefly for the National Indian Health Board in Washington - but they didn't really have anything for me to do that utilized my skills, education and experience and I have no patience for a job that doesn't challenge me – especially one which kept me away from my family in Providence.

I then began thinking of going back to school for a doctorate in American history - or writing a new textbook on American history especially designed for an MPA program - and began reading history in depth for that purpose. That is what I am working on now.

I decided recently that a hard, challenging, problem facing job is what I really wanted most of all.

Eugene Gessow

Contact this candidate