Sr. Government Healthcare Medical Consultant

Company:

Mercer

Description:

We are seeking a talented individual to join our Government Healthcare Consulting team at Mercer. This is a hybrid role that has a requirement of working at least three days a week in the office.

We are looking for an experienced individual to join our Mercer Government Human Services Consulting (GHSC) team who is a registered nurse with deep experience and knowledge related to Medicaid managed care programs.

Senior Medical Consultant II (Registered Nurse)

We will count on you to:

• Participate on multiple project teams as a subject matter expert in Medicaid and/or military health 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 support or 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 support development of new business, including 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.
• 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.

What you need to have:

• BA/BS degree required; master’s degree preferred
• Licensed Registered Nurse (RN) required (within continental U.S.)
• Minimum ten years of relevant experience required
• Managed care leadership experience in a clinical or quality role required
• Demonstrated critical thinking and analytical problem-solving skills
• Excellent interpersonal skills
• Ability to manage, motivate, and mentor more junior level staff
• Excellent oral and written communication skills
• Experience with HEDIS and other nationally recognized healthcare quality measures and External Quality Review processes and protocols
• Experience with clinical informatics and/or experience using and interpreting health care data to build better health programs

What makes you stand out?

• Expertise with special populations such as children’s health, long-term care, maternal-infant health, geriatrics, and/or behavioral health
• Having experience as a seasoned consultant in the Medicaid and/or military health space
• Relentless curiosity and a desire for continuous learning
• Deep desire and experience solving complex problems

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.

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 revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow 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 of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by