Government Consultant – ProgramWaiver Evaluation Specialist
Phoenix, NM - USA
Job Summary
Company:
MercerDescription:
We are seeking a talented individual to join our Government Health Services Consulting (GHSC) team at Mercer a Marsh business. This can be based anywhere near a Mercer office and offers a hybrid work arrangement requiring a minimum of three days per week in the office.
As a Government Consultant Program/Waiver Evaluation Specialist you will play a vital role as a core team member providing expert insights on complex projects for clients which are primarily state Medicaid and Childrens Health Insurance Program (CHIP) agencies and related state agencies responsible for Medicaid and CHIP fee-for-service and managed care programs. This is a great opportunity to join a global company known for its dynamic culture excellent benefits and commitment to professional growth where you can experience meaningful work alongside supportive leaders dedicated to your success!
We will count on you to:
- Design and conduct research studies to evaluate the effectiveness of Medicaid programs including 1115 demonstration waivers in alignment with Centers for Medicare & Medicaid Services (CMS) guidelines and best practices
- Collaborate with the CMS as directed by clients to develop and implement evaluation designs for Section 1115 demonstrations state-directed payments and other Medicaid programs
- Collect analyze and interpret quantitative and qualitative data from multiple sources to assess program implementation outcomes and impacts on target populations
- Investigate and document facilitators or barriers to program implementation generating insights that inform current and future programs improvements
- Utilize CMS-developed tools to assist states and independent evaluation teams in preparing comprehensive high-quality evaluation reports
- Provide technical assistance to states and independent evaluation teams throughout the evaluation process facilitating effective use of CMS resources and tools
- Develop clear data-driven reports and presentations on 1115 waiver performance supporting clients in meeting CMS reporting timelines and standards
- Offer strategic recommendations for improving 1115 waiver and other program design and implementation
- Engage and collaborate with stakeholders including Medicaid leadership providers and beneficiaries to gather feedback and inform program recommendations
- Manage the quality and timeliness of client deliverables communicating regularly and effectively with project teams
- Assist with developing and presenting project results to clients and stakeholders
- Stay current on market trends and regulatory changes affecting client programs
What you need to have:
- Bachelors degree
- 3-5 years of experience evaluating Medicaid programs
- Knowledge of Medicaid policies regulations and program operations
- Strong expertise in research design data collection and statistical analysis (SAS experience preferred)
- Strong critical thinking and analytical problem-solving skills with the ability to interpret both quantitative and qualitative data
- Excellent written verbal and interpersonal communication skills
- Proven ability to manage multiple priorities across large complex projects in a fast-paced environment
- Excellent attention to detail organization and time management skills
- Demonstrated ability to collaborate effectively and build relationships across teams and leadership
What makes you stand out
- Masters degree in public health health policy health services research or a related field with statistical analysis
- Experience evaluating 1115 waivers including SMI/SPMI SUD SED justice-involved (JI) and/or health-related social needs (HRSN) waivers
- Experience working with Medicaid claims data
- Familiarity with quasi-experimental program evaluation methods (e.g. interrupted time series difference-in-differences)
- Understanding of waiver design and implementation including amendments budget neutrality and program structure
- Experience working with CMS state Medicaid agencies or healthcare consulting desired
- Strategic mindset with the ability to develop innovative solutions to complex challenges
- Strong stakeholder management skills with experience engaging Medicaid leadership providers and beneficiaries
- Project management experience or credentials
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 an impact on 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.
Required Experience:
IC