Senior Government Consultant - Medicaid Managed Care Procurement and Contracting Specialist
Phoenix - E. Camelback, United States
Company:
MercerDescription:
Mercer is seeking candidates for the following position. We are looking for an individual to join our Mercer Government Human Services Consulting (GHSC) team who is a policy specialist in Medicaid managed care procurement and contracting development and oversight.
Senior Government Consultant — Medicaid Managed Care Procurement and Contracting Specialist
What can you expect?
- The Senior Government Consultant will lead and/or participate in projects with Mercer Government’s clients.
- Our clients are primarily State Medicaid and Children’s Health Insurance Program (CHIP) agencies and related agencies responsible for Medicaid and CHIP fee-for-service and managed care programs.
- Responsibilities of this role include providing Medicaid and CHIP policy-related guidance, options and operational expertise; team management; client relationship management; and business development.
What is in it for you?
- Work within multi-disciplinary teams across multiple State Medicaid and CHIP programs.
- Help support vulnerable populations through the development of meaningful Medicaid managed care programs.
- Work for a global company with excellent benefits and a dynamic culture.
- Enjoy excellent growth/advancement opportunities and strong peer support.
We will count on you to:
- Be recognized by our state clients as a deep subject matter specialist in Medicaid managed care policy, procurement and contracting including payment policy and/or Medicaid waivers.
- Participate as a team member and help lead projects to help states design, develop, implement and improve their Medicaid and CHIP programs to achieve their goals using effective contract tools.
- Develop innovative strategies to resolve complex issues where policy guidance is still unclear and policy solutions require deeper analysis.
- Consider the implication of policy, legal, political or other changes on the operation of a state’s Medicaid program.
- Communicate results and facilitate discussions with clients and other stakeholders as needed to help clients develop their desired policy and program options.
- Develop articles, thought pieces, analyses and policy summaries.
- Plan, direct, and coordinate projects and resources to support Medicaid policy research, program development, and implementation of Medicaid initiatives.
- Participate in firm business development and marketing activities including proposal and pitch writing, product development, relationship building and other activities as requested.
- Contribute to growth, both in terms of revenue and the growth/development of our mid-level and early career colleagues.
- Have a leadership and solution-oriented mindset.
What you need to have:
- Master’s degree in health policy, public policy, health management, public health or related field
- Minimum 12+ years of relevant experience required
- Demonstrated experience and success in leading Medicaid managed care procurement, contracting, and oversight activities
- Demonstrated experience and success in managing complex projects and navigating challenging Medicaid policy topics
- Excellent project management, project leadership, and interpersonal skills
- Commitment to work within a team
- Excellent written and oral communication skills, as well as comfort with public presentations
- Comfortable working in a fast-paced environment and managing multiple project deadlines
What makes you stand out?
- Juris Doctor (JD) degree
- Expertise in Medicaid managed care payment, value-based payment design, and technology to support oversight and monitoring
- Expertise with targeted monitoring in areas such as: readiness reviews, parity compliance, and program integrity
- Experience working (a) within a State Medicaid agency and/or (b) at the Center for Medicare and Medicaid Services (CMS) in roles focused on Medicaid managed care contracting and oversight
- Experience with Medicaid State Plans and waivers
- Experience working with Medicaid actuaries
Job Profile
Hybrid work
Benefits/Perks401k savings Disability Dynamic culture Employee Assistance Programs Excellent benefits Excellent growth opportunities Flexible work Flexible work environment Health and welfare Health and welfare benefits Health insurance Hybrid work Performance-based incentives Professional development Strong peer support Training Tuition Assistance
Tasks- Client Relationship Management
- Coordinate projects
- Develop strategies
- Lead projects
- Manage client relationships
- Participate in business development
- Project management
- Provide policy guidance
- Research
- Training
Advising Analysis Business Business Development Client relationship management Collaboration Communication Compliance Consulting Contracting Design Health policy Insurance Interpersonal Law Leadership Managed Care Marketing Medicaid policy Policy analysis Power Presentations Product Development Program development Project Management Public health Public Policy Relationship building Relationship Management Research Retirement programs Strategy Team Management Technology Training Writing
Experience12 years
EducationBusiness Degree Insurance Juris Doctor Marketing Master Master's degree Public health Public Policy Related Field Relevant experience
Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9