Senior Medical Consultant - Pharmacist

Marsh McLennan•Phoenix, AZ

14d•Hybrid

About The Position

Marsh is seeking a Senior Medical Consultant II – Pharmacist to join its Government Health Consulting team. The role supports clients primarily comprising state Medicaid and Children’s Health Insurance Program (CHIP) agencies and related state agencies responsible for fee-for-service and managed care programs. The consultant provides expertise on complex projects involving Medicaid pharmacy program design, policy, operations, reimbursement, and financial and budget matters. The position provides project and thought leadership, contributes to business development, leads client deliverables, and coordinates project teams and resources. The consultant monitors policy, regulatory, market, legal, and political developments and advises internal teams and clients on their implications. The role also supports stakeholder engagement, development of reusable tools and processes, and the coaching and development of team members. The position can be based near a Marsh office and follows a hybrid arrangement, with at least three days per week in a local office or onsite with clients. Remote work requests are considered case by case. The base salary range is $132,500 to $265,000, with possible performance-based incentives. The rewards package includes health and welfare benefits, tuition assistance, 401(k) savings and other retirement programs, and employee assistance programs.

Requirements

Independent and unrestricted pharmacist license (RPh).
At least 5 years of relevant experience.
State-level Medicaid pharmacy management experience, including experience with regulations, waivers, state plan amendments, and/or state operations.
Expertise in analyzing large data sets and comfortable working with Excel.
Experience identifying, designing, recommending, and implementing efficient, innovative business solutions to complex client pharmacy-related challenges.
Knowledge of Medicaid policies, regulations, and program operations.
Strong critical-thinking and analytical problem-solving skills.
Excellent interpersonal skills.
Ability to manage, motivate, and mentor early-career staff.
Strong written and oral communication skills, including presenting information to clients and groups.
Ability to prioritize, handle, and pivot among multiple tasks in a demanding work environment, with a proven track record supporting or leading large, complex projects.
Comfort working in a fast-paced environment and managing multiple project deadlines.
Excellent attention to detail, organization, and time-management skills.

Nice To Haves

Doctor of Pharmacy degree (PharmD).
Previous Medicaid consulting experience.
Master’s degree in health policy, public policy, public health, business administration, or a related field.
Pharmacy benefit management (PBM) experience.
340B drug pricing experience.
Subject matter expertise in value-based purchasing, alternative payment methodology, Medicaid managed care rate development, and/or Medicaid PBM procurement, including CMS certification.
Project management and/or project leadership credentials.
Experience working with Medicaid actuaries.

Responsibilities

Provide project leadership, thought leadership, project team leadership, and targeted business development.
Lead and contribute to client deliverables, presentations, and project documentation, taking on increasing ownership over time.
Participate in and help lead projects supporting the development, implementation, and improvement of state Medicaid and CHIP programs, including managed care and fee-for-service reimbursement rate support such as AAC, MAC, COD surveys, and trend analysis.
Serve as a client expert on Medicaid pharmacy program design, including policy, federal authorities, program operations, and financial and budgeting aspects of Medicaid and CHIP programs.
Assess how policy, legal, political, and other changes may affect state Medicaid pharmacy program operations.
Coordinate and manage project teams to keep work within budget and on schedule, meet the scope of work, and maintain effective communication with clients, project teams, and client managers.
Coordinate with client managers and leaders on business development, including proposal strategy, technical proposals, and opportunities to expand work with existing clients.
Work with Division and Sector leadership to identify and secure staffing resources, allocate work at appropriate skill and career levels, and support team members’ development.
Monitor market trends and the regulatory environment and advise internal teams and clients on implications for client programs.
Deliver accurate, timely, and insightful analysis as a contributor to project teams.
Engage and collaborate with Medicaid leadership, managed care entities, providers, beneficiaries, and other stakeholders to gather feedback and inform program recommendations.
Manage the quality and timeliness of client deliverables and communicate regularly and effectively with project teams.
Develop intellectual capital and lead or participate in creating tools and processes that can be used across multiple clients.
Motivate and encourage team members, manage project team dynamics, and foster collaboration, including among subcontractors and vendors.
Provide real-time feedback to team members to support their growth and maintain quality performance.