Senior Government Consultant — Medicaid Policy and State Operations

Company:

Description:

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. We are seeking individuals with expertise in how federal Medicaid rules and waivers can be applied to advance state Medicaid program goals.

Candidates can be remote or hybrid-based, depending on proximity to one or our Mercer offices.

Senior Government Consultant — Medicaid Policy and State Operations

What can you expect?

• The Senior Government Consultant will participate in and help lead 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 options and operational expertise, project management, team management, client management and business development

What is in it for you?

• Work as part of multi-disciplinary teams across multiple Medicaid and CHIP programs
• Help support vulnerable populations through the development of meaningful programs 
• Work for a global company with excellent benefits and a dynamic culture 
• Excellent growth/advancement opportunity and strong peer support

We will count on you to:

• Be viewed by state clients as a specialist in Medicaid managed care policy, including payment policy and/or Medicaid waivers.
• Participate as a team member and help lead projects to help states develop, implement and improve their Medicaid and CHIP programs.
• 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 options.
• Develop policy summaries on legislation, regulations and Medicaid authorities.
• Coordinate projects and resources to support Medicaid policy research, program development, and implementation of Medicaid initiatives.

What you need to have: 

• Master’s degree in health policy, public policy, health management, public health or related field
• Minimum 7+ years of relevant experience required
• Demonstrated experience in application of Medicaid managed care rules and the authorities to waive these rules
• Demonstrated experience in successfully managing complex projects and navigating challenging policy topics
• Excellent project management and interpersonal skills
• Commitment to work within a team
• Strong written and oral communication skills, as well as presenting information to clients/groups
• Comfortable working in a fast-paced environment and managing multiple project deadlines

What makes you stand out?

• Policy expertise in Medicaid managed care payment, directed payments, and value-based payment design
• Expertise with managed care procurement and readiness reviews
• Experience with parity compliance analyses
• Experience working within a State Medicaid or other state agency responsible for managing public health care services
• Experience working within a Managed Care Organization
• Experience with 1115 demonstration waivers, including with recent innovative waivers focused on health related social needs and justice-involved populations.
• Experience with CMS, either through employment or direct interaction (e.g., waiver negotiation)
• Experience working with Medicaid actuaries

Application deadline: April 19, 2024

Mercer believes in building brighter futures by redefining the world of work, reshaping retirement and investment outcomes, and unlocking real health and well-being. Mercer’s approximately 25,000 employees are based in 43 countries and the firm operates in over 130 countries. Mercer is a business of Marsh McLennan (NYSE: MMC), the world’s leading professional services firm in the areas of risk, strategy and people, with more than 85,000 colleagues and annual revenue of over $23 billion. Through its market-leading businesses including Marsh, Guy Carpenter and Oliver Wyman, Marsh McLennan helps clients navigate an increasingly dynamic and complex environment. For more information, visit mercer.com. Follow Mercer on LinkedIn and X.

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity o