Government Consultant – Systems and Encounters Specialist

Mercer, a Marsh business, is seeking a Government Consultant – Systems and Encounters Specialist to join their Government Health Services Consulting team. This role involves providing expert insights on complex projects for state Medicaid and CHIP agencies, including analyzing systems and processes, managing client deliverables, and collaborating with stakeholders to ensure regulatory compliance.

Responsibilities

• 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

Skills

• 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
• 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

Benefits

• Performance-based incentives
• Health and welfare benefits
• Tuition assistance
• 401K savings and other retirement programs
• Employee assistance programs
• Hybrid work arrangement, requiring a minimum of three days per week in the office

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