Sr. Government Healthcare Medical Consultant bei Mmc
Mmc · Phoenix, Vereinigte Staaten Von Amerika · Hybrid
- Senior
- Optionales Büro in Phoenix
Company:
MercerDescription:
We are seeking a talented individual to join our Government Healthcare Consulting team at Mercer. This is a hybrid role that has a requirement of working at least three days a week in the office.
We are looking for an experienced individual to join our Mercer Government Human Services Consulting (GHSC) team who is a registered nurse with deep experience and knowledge related to Medicaid managed care programs.
Senior Medical Consultant II (Registered Nurse)
We will count on you to:
- Participate on multiple project teams as a subject matter expert in Medicaid and/or military health managed care programs and operations. Our projects are diverse and include strategic planning; program design; managed-care procurement; performance-based contracting; managed-care readiness and post implementation reviews; managed care reporting, monitoring and performance management; briefing documents; focused studies; healthcare analytics; and advanced clinical support for actuarial analyses.
- Coordinate and effectively support or manage project teams, ensuring the team is within budget, on time, and producing work consistent with the scope of the project.
- Coordinate with clients and sector leaders to support development of new business, including contributing to the proposal process (e.g., drafting technical material, peering/editing material, supporting budget development); conducting sales presentations and identifying opportunities for expanded revenue with existing clients.
- Stay current on market trends and the regulatory environment; consider the implication of new trends or changes in policies or regulations on clients’ programs.
- Develop intellectual capital; take your best thinking and lead or participate in the development of tools or processes that can be leveraged for multiple clients.
What you need to have:
- BA/BS degree required; master’s degree preferred
- Licensed Registered Nurse (RN) required (within continental U.S.)
- Minimum ten years of relevant experience required
- Managed care leadership experience in a clinical or quality role required
- Demonstrated critical thinking and analytical problem-solving skills
- Excellent interpersonal skills
- Ability to manage, motivate, and mentor more junior level staff
- Excellent oral and written communication skills
- Experience with HEDIS and other nationally recognized healthcare quality measures and External Quality Review processes and protocols
- Experience with clinical informatics and/or experience using and interpreting health care data to build better health programs
What makes you stand out?
- Expertise with special populations such as children’s health, long-term care, maternal-infant health, geriatrics, and/or behavioral health
- Having experience as a seasoned consultant in the Medicaid and/or military health space
- Relentless curiosity and a desire for continuous learning
- Deep desire and experience solving complex problems
Why join our team:
- We help you be your best through professional development opportunities, interesting work and supportive leaders.
- We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
- Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.