Senior Medicaid Consultant RN Clinical Consultant Job in Phoenix, AZ at Marsh And McLennan


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Marsh And McLennanPhoenix, AZ Full-time

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  • Government-Sponsored Healthcare Clinical Consultant (RN)
  • 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 explore and address today’s complex healthcare issues.
  • 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 while helping team members with critical workloads and making a difference to our clients
  • As part of Mercer, the Government Human Services Consulting 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 healthcare consulting capabilities
  • Work with a team that provides the optimal combination of local-market knowledge and nationally-driven healthcare best practices
  • Contribute to a multi-disciplinary team solving some of health care’s biggest challenges
  • 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 believe that diversity makes us better and we are deliberate in building a diverse workforce
  • Participate on multiple project teams as a subject matter expert in 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; and, healthcare analytics, clinical support for actuarial analyses
  • Coordinate and manage project teams, ensuring the team is within budget, on time and producing work consistent with the scope of work and ensuring communication with client, project team and senior client leader.
  • Have strong written and verbal communication skills with the ability to develop and present reports on project results to clients, managed care entities and related entities
  • Coordinate with client and sector leaders to develop new business, including defining the proposal strategy; leading the proposal process, drafting technical and financial proposals, conducting sales presentations and identifying opportunities for expanded revenue with existing clients
  • Work with the clinical sector leader to identify and secure resources, ensuring work is leveraged to the right skill and career level, and providing team members opportunity to develop skills and expertise
  • Spend time learning and staying current on market trends and the regulatory environment; considering 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
  • Identify topics for presentation in newsletters, webinars and at national conferences; participate in preparation and delivery of newsletter articles and presentations.
  • BA/BS degree required
  • Licensed Registered Nurse (RN) required (within continental U.S.)
  • Minimum ten years of relevant experience required
  • Medicaid or Managed Health Care experience
  • Critical thinking and analytical problem-solving skills
  • Excellent interpersonal skills
  • Ability to manage, motivate, and mentor more junior level staff
  • Strong oral and written communication skills
  • Strong mathematical skills; command of Excel a plus
  • Ability to prioritize and handle multiple tasks in a demanding work environment with a proven track record in leading large, complex projects
  • Ability to work independently and on a team
  • Expertise in long-term services and supports (LTSS) and home and community-based services (HCBS)
  • Expertise with special populations such as children’s health, long-term care, maternal-infant health, geriatrics
  • Relentless curiosity and a desire for continuous learning
  • Deep desire and experience solving complex problems
  • Experience with clinical informatics and/or experience using and interpreting health care data to build better health programs
  • Medicaid Managed Care experience in a clinical or quality role
  • Experience with HEDIS and other nationally recognized healthcare quality measures
  • To learn more about Mercer’s GHSC practice, please visit
  • believes in building brighter futures by redefining the world of work, reshaping retirement and investment outcomes, and unlocking real health and well-being.
  • Mercer’s more than 25,000 employees are based in 44 countries and the firm operates in over 130 countries.
  • Mercer is a business of Marsh & McLennan (NYSE: MMC), the world’s leading professional services firm in the areas of risk, strategy and people, with 76,000 colleagues and annual revenue of $17 billion.
  • Through its market-leading businesses including , and , Marsh & McLennan helps clients navigate an increasingly dynamic and complex environment.
  • For more information, visit.
  • Follow Mercer on Twitter.
  • Mercer LLC and its separately incorporated operating entities around the world are part of Marsh & McLennan Companies, a publicly held company (ticker symbol: MMC).



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