Senior Government Consultant - Risk Adjustment Specialist
MMC

Phoenix, Arizona

Posted in Consultancy


This job has expired.

Job Info


Mercer is seeking candidates for the following position based in our Atlanta, GA; Minneapolis, MN; or Phoenix, AZ offices

Senior Government Consultant - Risk Adjustment Specialist

Mercer's Government Human Services Consulting (GHSC) practice focuses on the unique and challenging needs of the public health care sector, providing a wide array of consulting services to local, state, and federal government agencies across the country. GHSC helps clients achieve better outcomes, develop and deploy defensible strategies, and reshape the delivery of health care.

What can you expect?

  • You will serve as the risk adjustment subject matter expert (SME) for large and complex projects and proposals.
  • You will lead the accurate and timely data and financial analysis on state managed health and welfare capitation projects.
  • You will mentor junior staff and be a trusted advisor for clients.

What is in it for you?
  • You will work for a global company with excellent benefits and a dynamic culture
  • The opportunity to surround yourself with other lifelong learners, while collaborating on meaningful work in a fast-paced, team environment.
  • You will have excellent growth/advancement opportunity

We will count on you to:
  • Provide/lead detailed financial and data analyses and communicate the results for small- to large-scale projects
  • Design procedures to validate operational performance and data quality metrics of financial and claims data and oversee the performance of those procedures
  • Collaborate with Actuarial/Financial and Informatics team members to successfully complete all steps of health plan risk score development, including claims data intake and validation, calculation and validation of risk scores, and client and health plan reporting
  • Develop and implement customized and innovative risk adjustment methodologies and models to fit the needs of each client and program
  • Design complex analyses leveraging risk adjustment analytics to support various aspects of capitation rate development and managed care programs
  • Project manage multiple tasks on different projects simultaneously to include the following: design project work flow and assign project tasks to staff; manage the quality and timeliness of project deliverables
  • Draft project communications and present results and analysis to clients and key stakeholders. During presentations, answer detailed and challenging questions
  • Direct the work of employees in a team and/or coach/mentor others

What you need to have:
  • BA/BS degree
  • Minimum seven years of health data, financial, predictive, or actuarial analysis or health plan/ managed care industry experience required
  • Risk adjustment analytics experience required; familiarity with common Medicaid risk adjustment model preferred
  • Thorough understanding of general health care concepts, government health and welfare field preferred
  • Strong critical thinking and analytical problem-solving skills; strong command of Excel

What makes you stand out?
  • Ability to prioritize and handle multiple tasks in a demanding work environment
  • Ability to lead teams to deliver project objectives
  • Ability to work independently and on a team

To learn more about Mercer's GHSC practice, please visit www.mercer-government.mercer.com

At Mercer, we make a difference in the lives of more than 110 million people every day by advancing their health, wealth, and careers. We're in the business of creating more secure and rewarding futures for our clients and their employees. Whether we're designing affordable health plans, assuring income for retirement or aligning workers with workforce needs. Using analysis and insights as catalysts for change, we anticipate and understand the individual impact of business decisions, now and in the future. We see people's current and future needs through a lens of innovation, and our holistic view, specialized expertise, and deep analytical rigor underpin each and every idea and solution we offer. For more than 70 years, we've turned our insights into actions, enabling people around the globe to live, work, and retire well. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. At Mercer, we say we Make Tomorrow, Today. Visit www.mercer.com for more information and follow us on LinkedIn and Twitter @Mercer

Marsh & McLennan Companies offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, domestic partnership benefits, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: http://www.mmc.com/. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. For more information, please visit us at: www.mmc.com/diversity.

Mercer LLC and its separately incorporated operating entities around the world are part of Marsh & McLennan Companies, a publicly held company (ticker symbol: MMC).


This job has expired.

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