Government Healthcare RN/Clinical Quality Consultant

Mercer is seeking candidates for the following position. Our primary GHSC offices are in Phoenix, Atlanta, Minneapolis, or Washington DC.Government Clinical Quality 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 todays 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 more 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.Whats in it for you?Mercer''s Health business has the worlds largest and most influential benefits brokerage and healthcare consulting capabilities.Work with the 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 cares 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.We will count on you to:Participate on multiple project teams as a subject matter expert in managed health 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 analysesCoordinate 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 entitiesCoordinate 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 clientsWork 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 expertiseSpend 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 programsDevelop intellectual capital; take your best thinking and lead or participate in the development of tools or processes that can be leveraged for multiple clientsIdentify topics for presentation in newsletters, webinars and at national conferences; participate in preparation and delivery of newsletter articles and presentations.What you need to have:BA/BS degree requiredLicensed Registered Nurse (RN) required (within continental U.S.)Minimum ten years of relevant experience requiredMedicaid experienceExperience with External Quality Review (EQR) analysis and evaluation of quality, timeliness, and accessExperience with HEDIS and other nationally recognized healthcare quality measuresCritical thinking and analytical problem-solving skillsExcellent interpersonal skillsAbility to manage, motivate, and mentor more junior level staffStrong oral and written communication skillsAbility to prioritize and handle multiple tasks in a demanding work environment with a proven track record in leading large, complex projectsAbility to work independently and on a teamAbility to work virtually and support team members who work fully-remoteWhat makes you stand out:Relentless curiosity and a desire for continuous learningDeep desire and experience solving complex problemsExperience with clinical informatics and/or experience using and interpreting health care data to build better health programsStrong mathematical skills; command of Excel a plusMedicaid Managed Care experience in a clinical or quality roleExpertise with special populations such as childrens health, long-term care, maternal-infant health, geriatricsTo learn more about Mercers GHSC practice, please visitbelieves in building brighter futures by redefining the world of work, reshaping retirement and investment outcomes, and unlocking real health and well-being. Mercers 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 worlds 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 Follow Mercer on Twitter @Mercer.The applicable base salary range for this role is $109,400 to $182,400.The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education. 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.

Created: 2025-11-15