Government Healthcare Provider Rate Setting Lead Consultant

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. The Consultant 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 and interacts with credentialed actuaries and financial executives to ensure Medicaid dollars are being utilized efficiently. This role provides you with an opportunity to work in a team environment to ensure client recommendations contain multiple points of view. Beyond the in-depth training provided, new employees are included on client teams immediately, providing unique opportunities to learn more while helping team members with critical workloads and making a difference to our clients.

As part of Mercer, the Government Human Services Consulting (GHSC) team offers its expertise within a small business atmosphere.

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

Work with client and team project managers to clearly define the scope, timelines and deliverable(s) of the project; ensure development and proposes essential project documents, including the budget and work plans

Translate actuarial results and medical cost trends into policy and reimbursement recommendations

Analytics & Technical Tools

• Thrive and be motivated by an environment that embraces AI and technology-enabled tools
• Review cost trend and utilization analysis, financial forecasting and revenue adequacy analysis

What you need to have:

• 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 makes you stand out:

• Previous consulting experience