Senior Medical Consultant III (RN)
Phoenix - E. Camelback, United States
Company:
MercerDescription:
We are seeking a talented individual to join our Government Consulting team at Mercer. This role will be based in Phoenix, Minneapolis, Atlanta or Washington DC. This is a hybrid role that has a requirement of working at least three days a week in the office.
Senior Medical Consultant III (RN)
We specialize in assisting State and Federal government-sponsored programs in becoming more efficient purchasers of health services. We bring the best critical thinkers forward in helping our clients explore and address today’s complex healthcare issues.
We will count on you to:
- Participate on multiple project teams as a subject matter expert in Medicaid managed care programs and operations. Our projects are diverse and include strategic planning; program design; managed-care procurement; performance-based contracting; managed-care readiness and post implementation reviews; managed care reporting, monitoring and performance management; briefing documents; focused studies; healthcare analytics; and advanced clinical support for actuarial analyses.
- Coordinate and effectively manage project teams, ensuring the team is within budget, on time, and producing work consistent with the scope of the project.
- Coordinate with clients and sector leaders to develop new business, including defining proposal strategies; leading or contributing to the proposal process (e.g., drafting technical material, peering/editing material, supporting budget development); conducting sales presentations and identifying opportunities for expanded revenue with existing clients.
- Create opportunities for and ensure that mid-level and junior staff grow and develop. Coach and train others. Ensure work is leveraged to the right skill and career level and providing team members opportunity to develop skills and expertise.
- Stay current on market trends and the regulatory environment; consider the implication of new trends or changes in policies or regulations on clients’ programs.
- Develop intellectual capital; take your best thinking and lead or participate in the development of tools or processes that can be leveraged for multiple clients.
- Participate in webinars and present at national conferences; participate in preparation and delivery of newsletter articles and presentations.
What you need to have:
- BA/BS degree required; master’s degree preferred
- Licensed Registered Nurse (RN) (within continental U.S.)
- Minimum twelve years of relevant experience
- Medicaid Managed Care leadership experience in a clinical or quality role
- Ability to manage, motivate, and mentor more junior level staff
- Excellent oral and written communication skills
- Ability to prioritize and handle multiple tasks in a demanding work environment with a proven track record in leading large, complex projects
- Ability to work virtually and support team members who work fully remote
- Strong mathematical skills; a command of Excel is a plus
What makes you stand out?
- Expertise in long-term services and supports (LTSS) and home and community-based services (HCBS)
- Expertise with special populations such as children’s health, long-term care, maternal-infant health, geriatrics
- Having a strong network and/or nationally recognized reputation
- Having experience as a seasoned consultant in the Medicaid space
- Relentless curiosity and a desire for continuous learning
- Deep desire and experience solving complex problems
- Expertise with clinical informatics and/or experience using and interpreting health care data to build better health programs
- Expertise with HEDIS and other nationally recognized healthcare quality measures
Why join our team:
- We help you be your best through professional development opportunities, interesting work and supportive leaders.
- We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
- Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.
Job Profile
Fully remote Hybrid role Hybrid work Minimum three days in office
Benefits/Perks401k savings Career opportunities Development opportunities Disability Employee Assistance Programs Flexible work Flexible work environment Fully remote Health and welfare Health and welfare benefits Hybrid work Inclusive culture Interesting work Medical Professional development Professional development opportunities Supportive leaders Training Tuition Assistance
Tasks- Coach junior staff
- Develop new business
- Develop tools and processes
- Lead project teams
- Manage client relationships
- Present at conferences
- Stay current on market trends
- Train
- Training
Actuarial Advising Analytics Clinical Informatics Collaboration Communication Consulting Design Editing Excel Healthcare Analytics HEDIS Law Leadership Mathematical Medicaid managed care Mentoring Performance Management Power Problem-solving Project Management Proposal Development Regulatory knowledge Reporting Retirement programs Sales Sales presentations Strategic planning Strategy Training Written communication
Experience12 years
EducationB.A. BA/BS BA/BS degree B.S. Business Degree Master Master's Relevant experience
Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-4 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9