Gay works for the FL Agency for Health Care Administration as the Bureau Chief, responsible for managing the Florida Medicaid Fiscal Agent contract currently held by Hewlett Packard. Her experience is in executive leadership with technical and healthcare knowledge. Gay served as Director at the FL Department of Children and Families, worked 11 years for Xerox, specializing in Medicaid, and spent 14 years at HP. Gay has implemented large scale Medicaid systems, and managed multimillion dollar budgets.