Senior Government Consultant - Client Manager

Marsh Government Consulting is seeking a seasoned leader in Medicaid to join our Government Medicaid practice. This role combines deep Medicaid expertise with proven consulting leadership, P&L and sales accountability, and the ability to lead complex engagements. Locations: Remote or based in Atlanta, Minneapolis, Phoenix, or Washington, D.C. (role is typically hybrid; office presence expectations vary by office and business needs and may include at least three days/week).

Responsibilities

• Lead and participate in multi-disciplinary client engagements across Medicaid and CHIP programs.
• Own and grow a portfolio: maintain and expand a book of business with high-yield and/or large accounts, meet personal sales targets, and support client sales efforts.
• Manage a client including staffing, budgeting, and long-term strategy to deliver profitable client relationships.
• Work with executive Medicaid leaders in government; contribute to thought leadership and represent the firm at industry events.
• Apply expertise in Medicaid to shape state program strategies and advance client goals.
• Own P&L accountability for a client or portfolio of clients, including budgeting, financial performance, and staffing decisions.
• Lead large, complex client engagements: design strategic solutions, direct project teams, resolve delivery issues, and ensure high-quality outcomes.
• Advise on client retention and expansion best practices; develop and execute Medicaid market/industry-specific expansion and marketing strategies.
• Develop methodologies for client account and opportunity prioritization informed by market insights, competitor positioning, and internal strategy.
• Approve delegation decisions and intervene on escalated or at-risk clients.
• Deliver tailored solutions for clients and advise on solution design to meet client objectives.
• Manage human capital strategy: develop and manage talent; mentor consultants and build high-performing teams.
• Build and maintain a professional network through industry participation.

Requirements

• BA/BS required.
• Minimum 20+ years of relevant experience in Medicaid.
• Proven leadership experience with P&L responsibility or demonstrated fiscal acumen in a consulting or government-facing environment.
• Track record managing large, high-stress government clients (e.g., Governors’ offices, Medicaid directors) and leading complex projects.
• Strong project management, interpersonal, and communication skills.

Preferred Experience

• Consulting experience, or similar State Medicaid agency or CMS experience.
• Experience working with Medicaid actuaries and familiarity with the government health landscape.
• Demonstrated ability to grow business via client relationships, cross-selling, and strategic initiatives.
• Strong writing skills, learning agility, and a problem-solving mindset; comfortable navigating ambiguity.
• Experience mentoring and developing consultants and a demonstrated market presence.

Travel and other expectations

• Regular travel to client sites and industry events as needed.
• Active participation in Medicaid market and firm initiatives to drive business growth and thought leadership.

Benefits

• Opportunity to work on meaningful programs that support vulnerable populations as part of multi-disciplinary teams.
• Professional development, growth and advancement opportunities, and strong peer support.
• Thrive and be motivated by an environment that embraces AI and technology-enabled tools.
• A vibrant, inclusive culture within a global firm offering competitive benefits and rewards.
• 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 $212,000 to $318,000. 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. In addition to the base salary, this position may be eligible for performance-based incentives.