Jobs · Minnesota

Government Healthcare Provider Rate Setting Consultant

Mercer · Minneapolis, MN · 3 days ago
Hybrid$115k–$230k/yrFull-time

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.

Responsibilities

  • 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 organizations.
  • Interacts with credentialed actuaries and financial executives to ensure Medicaid dollars are being utilized efficiently.
  • Provides opportunities to work in a team environment to ensure client recommendations contain multiple points of view.
  • Includes in-depth training and immediate inclusion on client teams to provide unique learning opportunities and contribute to client success.
  • Works with client and team project managers to clearly define the scope, timelines, and deliverables of the project; ensures development and proposes essential project documents, including the budget and work plans.
  • Translates actuarial results and medical cost trends into policy and reimbursement recommendations.
  • Reviews cost trend and utilization analysis, financial forecasting, and revenue adequacy analysis using advanced Excel financial modeling skills.

Qualifications

  • Bachelor’s degree (BA/BS)
  • 10+ years of healthcare financial analysis experience, including Medicaid managed care, rate analysis, and provider payment modeling
  • Advanced Excel financial modeling skills

What’s in it for you?

  • Work with the team that provides the optimal combination of local-market knowledge and nationally-driven best practices.
  • Run many social and new-hire events, outings, and employee networks.
  • Have fun in the work you do by contributing to the success of a client team.

Requirements

  • Previous consulting experience

Benefits

  • Competitive total rewards package including health and welfare benefits, tuition assistance, 401K savings and other retirement programs, and employee assistance programs.

Pay

The applicable base salary range for this role is $115,200 to $230,400. 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 basis.

Schedule

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.

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