
NERA Economic Consulting
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25 days ago

Senior Government Consultant - Medicaid Managed Care Procurement and Contracting Specialist 4 Locations
$151k - $302kNERA Economic Consulting
Atlanta, GAUSRemotePhoenix, AZMinneapolis, MN
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 Government’s clients.
- Our clients are primarily State Medicaid and Children’s Health Insurance Program (CHIP) agencies and related agencies responsible for Medicaid and CHIP fee-for-service and managed care programs.
- Responsibilities of this role include providing Medicaid and CHIP policy-related guidance, options and operational expertise; team management; client relationship management; and business development.
What is in it for you?
- Work within multi-disciplinary 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 opportunities and 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 state’s 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 mid-level and early career colleagues.
- Have a leadership and solution-oriented mindset.
What you need to have:
- Master’s 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 fast-paced environment and managing multiple project deadlines
What makes you stand out?
- Juris Doctor (JD) degree
- Expertise in Medicaid managed care payment, value-based 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