Government Healthcare Provider Rate Setting Consultant

At Mercer, our purpose is to make a positive difference in people’s lives by helping advance their health, wealth, and careers.

Mercer is seeking candidates for the Government Healthcare Provider Rate Setting Consultant position.

Government Healthcare Provider Rate Setting Consultant

What can you expect?

• 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

What’s in it for you?

• Mercer's Health business has the world’s largest and most influential benefits brokerage and consulting capabilities
• Work with the team that provides the optimal combination of local-market knowledge and nationally-driven best practices
• We run many social and new-hire events, outings, and employee networks. Having fun in the work you do comes from being a part of a client team and contributing to its success

We will count on you to:

• 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 Analytics & Technical Tools
• Thrive and be motivated by an environment that embraces AI and technology-enabled tools.
• Review cost trend and utilization analysis, financial forecasting and revenue adequacy analysis

What you need to have:

• 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

What makes you stand out:

• Previous consulting experience

Mercer is a business of Marsh (NYSE: MRSH), a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective. For more information about Mercer, visit mercer.com, or follow us on LinkedIn and X.

Marsh is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting [email protected].

Marsh is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

The applicable base salary range for this role is $115,200 to $230,400.

The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.

We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.