Sr. Government Client Relationship Manager

Senior Government Consultant — Client Manager

Locations:
Remote or based in Atlanta, Minneapolis, Phoenix, or Washington, D.C. (role is typically hybrid; office presence expectations vary by office and business needs and may include at least three days/week).

Summary:

Marsh Government Consulting is seeking a seasoned leader in Medicaid to join our Government Medicaid practice. This Client Manager role combines deep Medicaid expertise with proven consulting leadership, P&L and sales accountability, and the ability to lead complex engagements. You will advise state clients, grow and defend accounts, and drive strategic market growth while managing teams and financial performance.

• Lead and participate in multi-disciplinary client engagements across Medicaid and CHIP programs.
• Own and grow a portfolio: maintain and expand a book of business with high-yield and/or large accounts, meet personal sales targets, and support client sales efforts.
• Manage a client including staffing, budgeting, and long-term strategy to deliver profitable client relationships.
• Work with executive Medicaid leaders in government; contribute to thought leadership and represent the firm at industry events.

• Apply expertise in Medicaid to shape state program strategies and advance client goals.
• Own P&L accountability for a client or portfolio of clients, including budgeting, financial performance, and staffing decisions.
• Lead large, complex client engagements: design strategic solutions, direct project teams, resolve delivery issues, and ensure high-quality outcomes.
• Thrive and be motivated by an environment that embraces AI and technology-enabled tools.
• Advise on client retention and expansion best practices; develop and execute Medicaid market/industry-specific expansion and marketing strategies.
• Develop methodologies for client account and opportunity prioritization informed by market insights, competitor positioning, and internal strategy.
• Approve delegation decisions and intervene on escalated or at-risk clients.
• Deliver tailored solutions for clients and advise on solution design to meet client objectives.
• Manage human capital strategy: develop, and manage talent; mentor consultants and build high-performing teams.
• Build and maintain a professional network through industry participation.

• BA/BS required.
• 15+ years of relevant experience in Medicaid.
• Proven leadership experience with P&L responsibility or demonstrated fiscal acumen in a consulting or government-facing environment.
• Track record managing large, high-stress government clients (e.g., Governors’ offices, Medicaid directors) and leading complex projects.
• Strong project management, interpersonal, and communication skills.

• Consulting experience, or similar State Medicaid agency or CMS experience.
• Experience working with Medicaid actuaries and familiarity with the government health landscape.
• Demonstrated ability to grow business via client relationships, cross-selling, and strategic initiatives.
• Strong writing skills, learning agility, and a problem-solving mindset; comfortable navigating ambiguity.
• Experience mentoring and developing consultants and a demonstrated market presence.

• Opportunity to work on meaningful programs that support vulnerable populations as part of multi-disciplinary teams.
• Professional development, growth and advancement opportunities, and strong peer support.
• A vibrant, inclusive culture within a global firm offering competitive benefits and rewards.

• Regular travel to client sites and industry events as needed.
• Active participation in Medicaid market and firm initiatives to drive business growth and thought leadership.

Mercer is a business of Marsh (NYSE: MRSH), 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 about Mercer, visit , or follow us on Linked In and X.

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