Senior Government Consultant – EQR Project Specialist

Company:

Mercer

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 has experience and knowledge related to Medicaid managed care and external quality review (EQR). We are seeking individuals with expertise in managing complex projects and leading multi-disciplinary project teams to help states achieve their Medicaid program goals.

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

Senior Government Consultant – EQR Project Specialist

What can you expect?

• The Senior Government Consultant I will help lead complex projects with Mercer Government’s clients.
• Our clients are primarily State Medicaid and Children’s Health Insurance Program (CHIP) agencies and related state agencies responsible for Medicaid and CHIP fee-for-service and managed care programs.
• Responsibilities of this role include providing project leadership, team management, and vendor oversight.

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. 
• Benefit from excellent growth/advancement opportunities and strong peer support.

We will count on you to:

• Guide a team to completion of specific projects. Be responsible for leading, motivating, and encouraging team members.
• Manage project team dynamics. Nurture collaboration amongst team members.
• Identify client needs, bring sufficient staff and resources to a project, and monitor overall project implementation.
• Work closely with the overall Project Leader, to track and document day-to-day milestones.
• Drive action and decision-making.
• Take the lead/ownership and be accountable to proactively lead the team.
• Follow protocols for quality assurance.
• Develop innovative strategies to resolve project challenges and to manage client expectations effectively.
• Monitor project scope, budget, and timelines closely.
• Communicate progress and results and facilitate discussions with team members and clients to resolve issues timely and to achieve project results.
• Provide real time feedback to team members to support their growth and to maintain quality performance.

What you need to have: 

• Bachelor’s or master’s degree in business, health policy, public policy, health management, public health or related field
• Minimum 5 years of relevant experience
• Demonstrated experience in working with Medicaid in a leadership role
• Demonstrated experience in successfully managing and leading complex, multidisciplinary projects and navigating challenging situations
• Excellent project management and interpersonal skills
• Commitment to working within a team and demonstrated experience in building relationships and team/people development
• 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
• Critical thinking skills
• Excellent attention to detail, organization, and time management skills

What makes you stand out?

• Project management and/or project leadership credentials
• Six Sigma credentials
• Subject matter expertise in aspects of Medicaid managed care (e.g., policy, clinical, quality, pharmacy, operations, information systems)
• Experience working on external quality review (EQR) projects or as part of an external quality review organization (EQRO)
• 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 CMS, either through employment or direct interaction (e.g., waiver negotiation)
• Experience working with Medicaid actuaries 

Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual r