Sr. Government Healthcare Data Consultant (HEDIS)

Company:Mercer

Description:

We are seeking a talented Senior Government Data Consultant II to join our Government Consulting team at Mercer. In this role, you will serve as a data team leader on large, complex Medicaid projects, working directly with actuarial, financial, and data analysts, clinicians, and health policy consultants. You’ll partner with an experienced project leader to help oversee Mercer’s expanding portfolio of Medicaid quality measurement work.

This position will play a key role on engagements involving HEDIS measures, the CMS Core Set of Medicaid measures, and Section 1115 demonstration measures (including SUD and SMI/SED waiver programs). The work involves interpreting technical specifications, building and validating measure logic, identifying methodology issues and client-specific nuances, and translating complex analytic findings into clear guidance for clients.

What you'll do

• Serve as the technical lead on measure methodology for large multi-year projects with state Medicaid agencies, partnering with client teams to define scope and ensure work aligns with HEDIS, CMS Core Set, and 1115 waiver specifications.
• Translate technical specifications into accurate, efficient code against large claims datasets, and review the code produced by junior analysts to ensure quality and consistency.
• Oversee all data processing activities and provide on-going review and guidance throughout the process. Inform client and project teams on the reasons and impacts of data anomalies, exceptions on the analysis, and formulate solutions.
• Thrive and be motivated by an environment that embraces AI and technology-enabled tools.
• Work with clients to develop and finalize methodologies, document deviations from specifications, and help them understand how their own data infrastructure impacts measure results.
• Identify growth and development opportunities for junior data analysts. Provide guidance, oversight, and mentoring to support their progression.

What you need to have

• BA/BS or equivalent experience
• 10+ years working with healthcare claims data
• Hands-on experience with SAS, SQL, Python, Databricks, or an equivalent programming language
• Experience leading project teams
• Experience programming healthcare quality measures from published technical specifications

What makes you stand out

• Experience coding and/or validating HEDIS measures, CMS Core Set measures, or 1115 demonstration measures (SUD, SMI/SED, or similar)
• Deep familiarity with Medicaid claims data, including experience navigating common data quality and completeness challenges
• Direct experience taking measures through NCQA's HEDIS Measure Certification process — preparing submissions, working with auditors, and resolving findings
• Proven track record of managing large, complex projects, ideally in a consulting environment
• Ability to translate technical findings for clinical and policy audiences
• Strong critical thinking and a comfort prioritizing across competing demands

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 impact for 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.

Marsh (NYSE: MRSH) is a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow us on LinkedIn and X.Marsh is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting View email address on aiapply.co is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.The applicable base salary range for this role is $115,200 to $230,400.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.