Hybrid Senior Government Healthcare Medical Consultant

Posted 2 months ago

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About the role

  • Senior Medical Consultant II developing Medicaid managed care strategies for Mercer. Collaborating on diverse projects while leading teams through planning and execution in a hybrid work environment.

Responsibilities

  • Participate on multiple project teams as a subject matter expert in Medicaid and/or military health managed care programs and operations
  • 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
  • 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

Requirements

  • 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
  • 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

Benefits

  • Health and welfare benefits
  • Tuition assistance
  • 401K savings
  • Other retirement programs
  • Employee assistance programs

Job title

Senior Government Healthcare Medical Consultant

Job type

Experience level

Senior

Salary

$132,500 - $265,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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