Senior Government Consultant – LTSS/SUD Reimbursement 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. We deliver an individualized focus, powered by industry-leading experience, integrated capabilities and passionate people. GHSC has partnered with states and other stakeholder organizations for over 35 years to face the demands and pace of change with data driven pricing, clinically informed policy and trusted, reliable strategies to manage and deliver care.

Mercer is seeking candidates for the following position. Our primary offices are located in Phoenix, Atlanta, DC, and Minneapolis.

Senior Government Consultant – LTSS/SUD Reimbursement Specialist

What can you expect?

• The Senior Government Consultant (Fee-for-Service Reimbursement Specialist) will be a Principal in GHSC who will lead and manage relationships and engagements that are focused on the development of fee schedules in Medicaid fee-for-service programs. This may include long-term services and supports (LTSS), substance use disorders reimbursement, or facility reimbursement such as inpatient/outpatient hospital services and nursing facilities
• The individual in this role will collaborate across levels and specialty groups (sectors) to ensure that the project is completed with a high level of client satisfaction, as well as on time and within budget and scope
• Clients are primarily state Medicaid agencies and divisions within the agencies, (i.e., Acute Care, Substance Abuse, Long-Term Care, Developmentally Disabled, Managed Care and Fee-For-Service departments or SUD)
• Responsibilities include client management, client engagement and satisfaction, new and expanded business development, contract negotiation and scope, project management and team management

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

What you need to have:

• BA/BS degree
• Minimum 15 years of relevant LTSS OR SUD consulting experience required with 5 years of recent experience in governmental health care
• Minimum 5 years leading client relationships including acting as the relationship manager for all projects performed for a client as well as managing contract compliance
• Minimum 8 years’ knowledge and experience with Medicaid HCBS programs, including rate and/or reimbursement development
• Experience developing rate models for HCBS waiver programs
• Understanding of Medicare and Medicaid reimbursement for LTSS OR SUD, which may include cost reports or supplemental reporting forms

What makes you stand out?

• Strategic thinker and problem solver
• Takes charge and makes tough decisions. Demonstrates a “can do attitude”
• Proactive and fearless. Moves beyond his or her comfort zone in pursuit of Mercer’s vision
• Effective communicator, good listener with strong inter-personal skills
• Role model who engenders loyalty and longevity among team

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

Mercer 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 Marsh, Guy Carpenter and Oliver Wyman, Marsh & McLennan helps clients navigate an increasingly dynamic and complex environment. For more information, visit https://www.me.mercer.com/. Follow Mercer on Twitter @Mercer.

Marsh & McLennan Companies and its Affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.

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.