Senior Medical Consultant - Pharmacist

Marsh McLennan•Washington, DC
•$132,500 - $265,000•Hybrid

About The Position

Marsh is seeking a Senior Medical Consultant II – Pharmacist to join its Government Health Consulting (GHC) team. The role supports clients primarily consisting of 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 expert guidance on complex projects involving Medicaid pharmacy program design, policy, federal authorities, program operations, and financial and budgeting considerations. The position provides project and thought leadership, contributes to business development, and leads client deliverables and project teams. It includes supporting states as they develop, implement, and improve Medicaid and CHIP programs, including reimbursement rate support. The consultant coordinates project teams and resources, manages quality, scope, budget, and timelines, and collaborates with clients, stakeholders, and colleagues. The role also contributes to reusable tools and intellectual capital, stays current on market and regulatory developments, and mentors team members. The position can be based near a Marsh office and follows a hybrid arrangement, with at least three days per week in the 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 role may also include health and welfare benefits, tuition assistance, 401(k) savings and other retirement programs, and employee assistance programs.

Requirements

  • Hold an independent and unrestricted pharmacist license (RPh).
  • Have at least 5 years of relevant experience.
  • Have state-level Medicaid pharmacy management experience, including experience with regulations, waivers, state plan amendments, and/or state operations.
  • Have expertise analyzing large data sets and be comfortable using Excel.
  • Have experience identifying, designing, recommending, and implementing efficient, innovative business solutions to complex pharmacy-related client challenges.
  • Have knowledge of Medicaid policies, regulations, and program operations.
  • Demonstrate strong critical thinking and analytical problem-solving skills.
  • Have excellent interpersonal skills.
  • Be able to manage, motivate, and mentor early-career staff.
  • Have strong written and oral communication skills, including the ability to present information to clients and groups.
  • Be able to prioritize and pivot among multiple tasks in a demanding work environment, with a proven track record supporting or leading large, complex projects.
  • Be comfortable working in a fast-paced environment and managing multiple project deadlines.
  • Demonstrate 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 states as they develop, implement, and improve Medicaid and CHIP programs, including managed care and fee-for-service reimbursement rate support.
  • Serve as a client expert on Medicaid pharmacy program design, including policy, federal authorities, program operations, and financial and budgeting aspects.
  • Assess the implications of policy, legal, political, and other changes on state Medicaid pharmacy programs.
  • Coordinate and manage project teams to meet budget, schedule, and scope requirements, while ensuring effective communication with clients, project teams, and client managers.
  • Coordinate with client managers and other 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, match work to appropriate skill and career levels, and support team members’ development.
  • Monitor market trends and the regulatory environment, evaluate their implications for client programs, and provide forward-looking strategic counsel.
  • Deliver accurate, timely, and insightful analysis as a contributor to project teams.
  • Engage 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 with project teams.
  • Develop intellectual capital and lead or participate in creating tools or processes that can be used across multiple clients.
  • Motivate and encourage team members, manage project team dynamics, and foster collaboration, including with subcontractors and vendors.
  • Provide real-time feedback to team members to support development and quality performance.

Benefits

  • Health and welfare benefits.
  • Tuition assistance.
  • 401(k) savings and other retirement programs.
  • Employee assistance programs.
  • The position may be eligible for performance-based incentives.
  • Professional development opportunities.
  • Career opportunities and rewards intended to enhance well-being.
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