Medicaid Rate Methodology Specialist

Mercer

Base: $115,200 to $230,400; bonus/equity: performa...
Hybrid
Medicaid facility reimbursement design
Rate setting and implementation
Client-facing consultant
Mercer is seeking a Medicaid Rate Methodology Specialist to join their Provider Rates Team within the Government Healthcare Services Consulting practice. The role involves collaborating with state governments to develop and implement Medicaid facility reimbursement methodologies, requiring extensive experience in Medicaid and provider reimbursement

Job Summary

  • The Medicaid Rate Methodology Specialist will partner with state governments to design and develop facility methodologies and rates, working closely with clients, team members and external stakeholders.
  • This role provides you with an opportunity to work in a team environment to ensure client recommendations contain multiple points of view.
  • We help you be your best through professional development opportunities, interesting work and supportive leaders.

Matching Summary

Match Score: 85

Mercer is seeking a Medicaid Rate Methodology Specialist to join their Provider Rates Team within the Government Healthcare Services Consulting practice. The role involves collaborating with state governments to develop and implement Medicaid facility reimbursement methodologies, requiring extensive experience in Medicaid and provider reimbursement.

Salary

Base: $115,200 to $230,400; Bonus/Equity: Performance-based incentives; Benefits: Health and welfare benefits, tuition assistance, 401K savings and other retirement programs, employee assistance programs

Skills & Requirements

Must-have

  • Medicaid facility reimbursement design
  • rate setting and implementation
  • client-facing consultant
  • stakeholder partnering
  • data validation and analysis

Nice-to-have

  • innovations and interventions
  • Medicaid Managed Care quality incentive programs
  • vibrant and inclusive culture

Key Requirements

  • Bachelor’s degree
  • 5+ years Medicaid facility reimbursement leadership
  • 7+ years Medicaid experience
  • Experience with rate development components
  • Experience engaging stakeholders
  • Experience with Medicaid claims data preferred
  • Experience with federal and Medicare reporting preferred

Work Rights

Not specified

Tailored Resume

Cover Letter