Government Consultant - EQR Project Specialist - Marsh McLennan : Job Details

We are seeking a talented individual to join our Government Human Services Consulting (GHSC) team at Mercer. This role can be based anywhere near a Mercer office, but preferably in Phoenix, Minneapolis, or Atlanta where our primary GHSC offices are located. This is a hybrid role with the requirement of working at least three days a week in the office.

As a Government Consultant - EQR Project Specialist, you will support and contribute to complex projects with Mercer Government's clients. Our clients are primarily State Medicaid and Children's Health Insurance Program (CHIP) agencies and related state agencies responsible for Medicaid and CHIP fee-for-service and managed care programs.

We will count on you to:

• Actively support a multi-disciplinary team to complete specific projects related to External Quality Review assessment of quality, timeliness, and access to health care services provided by a managed care organization (MCO), prepaid inpatient health plan (PIHP), prepaid ambulatory health plan (PAHP) to Medicaid or CHIP recipients.
• Be responsible for motivating and encouraging team members while contributing to a positive and collaborative team culture.
• Identify client needs, potential project risks, and monitor implementation of assigned tasks.
• Work closely with the Project Leader to track and document day-to-day milestones.
• Drive action and support decision-making.
• Take the lead/ownership of assigned tasks and be accountable to deliver high-quality work within established timelines.
• Follow protocols for peer review and consistent quality assurance.
• Contribute to discussions that lead to innovative strategies to resolve project challenges and manage client expectations effectively.
• Monitor associated project scope and timelines closely.
• Communicate progress and results and facilitate discussions with team members and clients to resolve issues timely and to achieve project results.
• Provide real-time feedback to team members to support their growth and to maintain quality performance.
• Solicit feedback regularly regarding your performance and take steps to develop/grow based on feedback from colleagues.

What you need to have:

• Bachelor's or master's degree in business, health policy, public policy, health management, public health or other relevant, related fields
• Minimum 3 years of relevant experience in healthcare quality monitoring or metrics
• Demonstrated experience in working with Medicaid programs
• Experience working on external quality review (EQR) projects or as part of an external quality review organization (EQRO)
• Excellent time management, project management and interpersonal skills
• Commitment to working within a team and demonstrated experience in building positive working relationships
• Strong written and oral communication skills, as well as presenting information to clients/groups
• Comfortable working in a fast-paced environment and managing demanding project deadlines
• Critical thinking skills
• Excellent attention to detail and organization

What makes you stand out?

• Certified Professional in Healthcare Quality (CPHQ) credentials
• Project management credentials
• Six Sigma credentials
• Subject matter expertise in aspects of Medicaid managed care (e.g., policy, clinical, quality, pharmacy, operations, information systems)
• Experience working within a State Medicaid or other state agency's quality department
• Experience working within a Managed Care Organization's quality department
• Experience working with CMS in a quality-related role

Why join our team:

• We help you be your best through professional development opportunities, interesting work and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.