Government Consultant – Systems and Encounters Specialist

Company:

Mercer

Description:

We are seeking a talented individual to join ourGovernment Health Services Consulting (GHSC)team atMercer a Marsh business. Thiscan be based anywhere near a Mercer officeand offers a hybrid work arrangement requiring a minimum of three days per week in the office.

As aGovernment Consultant Systems and Encounters Specialistyou willplay a vital role as a core team memberproviding expert insights on complex projects forclients which are primarily state Medicaid andChildrens Health Insurance Program (CHIP) agenciesand related state agencies responsible for Medicaid and CHIP fee-for-service and managed care isa great opportunityto joina global company known for its dynamic culture excellent benefits and commitment to professional growthwhere you can experience meaningful work alongside supportive leaders dedicated to yoursuccess!

We will count on you to:

• Learn and analyze how systems and processes function across different information technology domains
• Support structured assessments and audits including Information Systems Capabilities Assessments (ISCA) and Encounter Data Validation (EDV) document findings with clarity and precision
• Analyze validate and troubleshoot encounter data across multiple systems to ensure accuracy completeness and regulatory compliance
• Contribute to client deliverables presentations and project documentation taking on increasing ownership over time
• Manage the quality and timeliness of client deliverablescommunicatingregularly and effectively with project teams
• Collaborate with cross-functional teams to understand how regulatory requirements translate into system and data processes
• Engage and collaborate with stakeholders including Medicaid leadership providers and beneficiaries to gather feedbackand informprogram recommendations
• Become a trusted contributor on project teams by delivering accurate timely and insightful analysis
• Continuously build expertise in healthcare systems data structures and regulatory requirements
• Ask intellectually curious questions to drive data-driven projects and structured assessments
• Document observations findings and recommendations for improvement as needed

What you need to have:

• Bachelorsdegreein Information Systems Computer Science Healthcare Administration Data Analytics or related field
• 1-3 years of experience with healthcare systems data and system analysis or consulting
• Knowledge of Medicaid and/or Medicare policies regulations and program operations including encounter data submission processes and regulatory requirements
• Familiarity with managed care organizations (MCOs) state healthcare systems or other government healthcare programs
• Experience working with healthcare data systems such as encounter data claims systems or EHR platforms
• Proficiency in data quality assessment validation techniques and reconciliation processes
• Strong problem-solving and critical thinking abilities
• Ability to translate technical findings into clear client-friendly insights
• Experience in a consulting client-facing or project-based environment
• Strong organizational skills with the ability to manage multiple priorities effectively

What makes you stand out

• Hands-on experience with encounter data in Medicaid or managed care environments
• Experience with CMS state Medicaid agencies or healthcare consulting firms
• Exposure to system implementation or migration projects
• Ability to bridge technical teams and business stakeholders presenting findings clearly to non-technical audiences
• Strong stakeholder management skills including experience engaging Medicaid leadership providers and beneficiaries
• Strategic mindset with a track record of developing innovative solutions to complex challenges

Why join our team:

• We help you be your best through professional development opportunities interestingworkand supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to createnew solutionsand havean impactoncolleagues clientsand communities.
• Our scale enables us toprovidea range of career opportunities as well as benefits and rewards to enhance your well-being.

Mercer is a business of Marsh (NYSE: MRSH) a global leader in risk reinsurance and capital people and investments and management consulting advising clients in 130 countries. With annual revenue of over $27 billion and more than 95000 colleagues Marsh helps build the confidence to thrive through the power of perspective. For more information about Mercer visit or follow us on LinkedIn and X.

Marsh 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 contacting

Marsh is committed to hybrid work which includes the flexibility of working remotely and the collaboration connections and professional development benefits of working together in the office. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one anchor day per week on which their full team will be together in person.

The applicable base salary range for this role is $68500 to $137000.

The base pay offered will be determined on factors such as experience skills training location certifications education and any applicable minimum wage requirements. Decisions will be determined on a case-by-case addition to the base salary this position may be eligible for performance-based incentives.

We are excited to offer a competitive total rewards package which includes health and welfare benefits tuition assistance 401K savings and other retirement programs as well as employee assistance programs.