Senior Government Consultant - Medicaid Managed Care Procurement and Contracting Specialist
Senior Government Consultant - Medicaid Managed Care Procurement and Contracting Specialist
Posted on :
11-04-2025
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1 Vacancy
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Job Description
Company:
MercerDescription:
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 procurement and contracting development and oversight.
Senior Government Consultant Medicaid Managed Care Procurement and Contracting Specialist
What can you expect
- The Senior Government Consultant will lead and/or participate in projects with Mercer Governments clients.
- Our clients are primarily State Medicaid and Childrens Health Insurance Program (CHIP) agencies and related agencies responsible for Medicaid and CHIP feeforservice and managed care programs.
- Responsibilities of this role include providing Medicaid and CHIP policyrelated guidance options and operational expertise; team management; client relationship management; and business development.
What is in it for you
- Work within multidisciplinary teams across multiple State Medicaid and CHIP programs.
- Help support vulnerable populations through the development of meaningful Medicaid managed care programs.
- Work for a global company with excellent benefits and a dynamic culture.
- Enjoy excellent growth/advancement opportunitiesand strong peer support.
We will count on you to:
- Be recognized by our state clients as a deep subject matter specialist in Medicaid managed care policy procurement and contracting including payment policy and/or Medicaid waivers.
- Participate as a team member and help lead projects to help states design develop implement and improve their Medicaid and CHIP programs to achieve their goals using effective contract tools.
- 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 states Medicaid program.
- Communicate results and facilitate discussions with clients and other stakeholders as needed to help clients develop their desired policy and program options.
- Develop articles thought pieces analyses and policy summaries.
- Plan direct and coordinate projects and resources to support Medicaid policy research program development and implementation of Medicaid initiatives.
- Participate in firm business development and marketing activities including proposal and pitch writing product development relationship building and other activities as requested.
- Contribute to growth both in terms of revenue and the growth/development of our midlevel and early career colleagues.
- Have a leadership and solutionoriented mindset.
What you need to have:
- Masters degree in health policy public policy health management public health or related field
- Minimum 12 years of relevant experience required
- Demonstrated experience and success in leading Medicaid managed care procurement contracting and oversight activities
- Demonstrated experience and success in managing complex projects and navigating challenging Medicaid policy topics
- Excellent project management project leadership and interpersonal skills
- Commitment to work within a team
- Excellent written and oral communication skills as well as comfort with public presentations
- Comfortable working in a fastpaced environment and managing multiple project deadlines
What makes you stand out
- Juris Doctor (JD) degree
- Expertise in Medicaid managed care payment valuebased payment design and technology to support oversight and monitoring
- Expertise with targeted monitoring in areas such as: readiness reviews parity compliance and program integrity
- Experience working (a) within a State Medicaid agency and/or (b) at the Center for Medicare and Medicaid Services (CMS) in roles focused on Medicaid managed care contracting and oversight
- Experience with Medicaid State Plans and waivers
- Experience working with Medicaid actuaries
Required Experience:
Senior IC
Employment Type
Full-Time
Key Skills
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