Mercer is seeking candidates for the Government Healthcare Provider Rate Setting Lead Consultant position.
Government Healthcare Provider Rate Setting Lead Consultant
What can you expect?
We specialize in assisting government-sponsored programs in becoming more efficient purchasers of health services. We bring the best critical thinkers forward in helping our clients address their issues
The Consultant partners with state governments to examine financial reports in order to understand emerging Medicaid health care experience as well as the financial performance of managed care organization and interacts with credentialed actuaries and financial executives to ensure Medicaid dollars are being utilized efficiently
This role provides you with an opportunity to work in a team environment to ensure client recommendations contain multiple points of view
Beyond the in-depth training provided, new employees are included on client teams immediately, providing unique opportunities to learn more while helping team members with critical workloads and making a difference to our clients
As part of Mercer, the Government Human Services Consulting (GHSC) team offers its expertise within a small business atmosphere
What’s in it for you?
Mercer's Health business has the world’s largest and most influential benefits brokerage and consulting capabilities
Work with the team that provides the optimal combination of local-market knowledge and nationally-driven best practices
We run many social and new-hire events, outings, and employee networks. Having fun in the work you do comes from being a part of a client team and contributing to its success
We will count on you to:
Work with client and team project managers to clearly define the scope, timelines and deliverable(s) of the project; ensure development and proposes essential project documents, including the budget and work plans
Translate actuarial results and medical cost trends into policy and reimbursement recommendations Analytics & Technical Tools
Thrive and be motivated by an environment that embraces AI and technology-enabled tools.
Review cost trend and utilization analysis, financial forecasting and revenue adequacy analysis
What you need to have:
BA/BS degree
10+ years of healthcare financial analysis experience, including Medicaid managed care, rate analysis, and provider payment modeling
Experience presenting financial analyses to executive leadership and state Medicaid stakeholders
Advanced Excel financial modeling skills
What makes you stand out:
Previous consulting experience