Senior Government Consultant I - Program Integrity Specialist

About the role

Marsh's Government Health Consulting (GHC) team is looking for a Senior Government Consultant I - Program Integrity Specialist. The role works on complex projects for clients who 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. It is based near a Marsh office with a hybrid arrangement of at least three days per week in the office.

Key responsibilities

• Provide project leadership, thought leadership and targeted business development, and lead client deliverables, presentations and project documentation.
• Collaborate with cross-functional teams to turn regulatory requirements into changes to programs, services and quality reporting.
• Lead client projects on fraud, waste and abuse prevention, compliance monitoring, risk assessment and external audit coordination.
• Manage project teams, keeping them within budget and on time, and coordinate subcontractor/vendor collaboration and reporting.
• Secure staffing resources with Division and Sector leadership and mentor team members.
• Apply Medicaid policy, federal and state requirements and the Code of Federal Regulations, and advise clients on new policy trends.
• Gather stakeholder feedback from Medicaid leadership, managed care entities, providers and beneficiaries.
• Develop tools and processes that can be reused across clients.

Required profile

• High school diploma, bachelor's degree, five years of experience, or a combination of education and experience.
• Knowledge of Medicaid program integrity, fraud, waste and abuse prevention, provider oversight, claims review, audit support or compliance monitoring.
• Preferred: experience at a state Medicaid agency or Medicaid managed care entity, or previous Medicaid consulting experience.
• Preferred: professional certification (CPC, CFE, CPMA, CIA, AHFI) or project management/project leadership credentials.

Required skills

• Critical thinking and analytical problem solving.
• Strong written and oral communication and presentation skills.
• Ability to manage, motivate and mentor early-career staff.
• Prioritizing multiple tasks and handling several project deadlines in a fast-paced environment.

What we offer

• Base salary range of $88,000 to $176,000, depending on experience, skills, location and certifications.
• Health and welfare benefits, tuition assistance, 401K and other retirement programs, and employee assistance programs.
• Performance-based incentives may apply.