We are seeking a talented individual to join our
Government Health Services Consulting (GHSC) team at
Mercer, a Marsh business. This can be based anywhere near a Mercer office and offers a hybrid work arrangement, requiring a minimum of three days per week in the office.
As a
Government Consultant - Systems and Encounters Specialist, you will play a vital role as a core team member providing expert insights on complex projects for clients, which 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:- Learn and analyze how systems and processes function across different information technology domains
- Support structured assessments and audits, including Information Systems Capabilities Assessments (ISCA) and Encounter Data Validation (EDV), document findings with clarity and precision
- Analyze, validate, and troubleshoot encounter data across multiple systems to ensure accuracy, completeness, and regulatory compliance
- Contribute to client deliverables, presentations, and project documentation, taking on increasing ownership over time
- Manage the quality and timeliness of client deliverables, communicating regularly and effectively with project teams
- Collaborate with cross-functional teams to understand how regulatory requirements translate into system and data processes
- Engage and collaborate with stakeholders, including Medicaid leadership, providers, and beneficiaries, to gather feedback and inform program recommendations
- Become a trusted contributor on project teams by delivering accurate, timely, and insightful analysis
- Continuously build expertise in healthcare systems, data structures, and regulatory requirements
- Ask intellectually curious questions to drive data-driven projects and structured assessments
- Document observations, findings, and recommendations for improvement as needed
What you need to have: - Bachelor's degree in Information Systems, Computer Science, Healthcare Administration, Data Analytics, or related field
- 1-3+ years of experience with healthcare systems, data and system analysis, or consulting
- Knowledge of Medicaid and/or Medicare policies, regulations, and program operations, including encounter data submission processes and regulatory requirements
- Familiarity with managed care organizations (MCOs), state healthcare systems, or other government healthcare programs
- Experience working with healthcare data systems such as encounter data, claims systems, or EHR platforms
- Proficiency in data quality assessment, validation techniques, and reconciliation processes
- Strong problem-solving and critical thinking abilities
- Ability to translate technical findings into clear, client-friendly insights
- Experience in a consulting, client-facing, or project-based environment
- Strong organizational skills with the ability to manage multiple priorities effectively
What makes you stand out? - Hands-on experience with encounter data in Medicaid or managed care environments
- Experience with CMS, state Medicaid agencies, or healthcare consulting firms
- Exposure to system implementation or migration projects
- Ability to bridge technical teams and business stakeholders, presenting findings clearly to non-technical audiences
- Strong stakeholder management skills, including experience engaging Medicaid leadership, providers, and beneficiaries
- Strategic mindset with a track record of developing innovative solutions to complex challenges
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 an impact on 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.
The applicable base salary range for this role is $68,500 to $137,000.
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.
