Government Healthcare Provider Rate Setting Consultant
Mercer · Phoenix, AZ · 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.
- 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.
Qualifications
- BA/BS degree
- 10+ years of healthcare financial analysis experience, including Medicaid managed care, rate analysis, and provider payment modeling
- Experience presenting financial analyses to executive leadership and state Medicaid stakeholders
- 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 comes from being a part of a client team and contributing to its success
Requirements
- Previous consulting experience
Benefits
- Competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs
Pay
- The applicable base salary range for this role is $115,200 to $230,400.
Schedule
- All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week.