Government Healthcare Provider Rate Setting Consultant
About The Position
Mercer is seeking candidates for the Government Healthcare Provider Rate Setting Consultant position. 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 Government Healthcare Financial 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 organization 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.
Requirements
- 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
Nice To Haves
- Previous consulting experience
Responsibilities
- 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
- Review cost trend and utilization analysis, financial forecasting and revenue adequacy analysis
Benefits
- health and welfare benefits
- tuition assistance
- 401K savings and other retirement programs
- employee assistance programs
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
