Healthcare Review/Audit Consultant

Guidehouse

Consultant for CMS project reviewing Affordable Care Act programs with a focus on program integrity. Conducting thorough reviews, data analysis, and reporting within a team setting.

Posted 5/19/2026full-timeIllinois, Maryland, Pennsylvania, Texas, Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $74,000 - $124,000 per yearWebsite

About the role

Key responsibilities & impact

Guidehouse is looking for a Consultant to work on a Centers for Medicare and Medicaid Services (CMS) project with the Office of Financial Management (OFM).
This role will help us ensure that we successfully conduct thorough reviews of CMS programs, specific to the Affordable Care Act.
The Consultant will work with a team of reviewers to support a CMS program integrity initiative.
The individual will be expected to analyze data and process documentation; identify policy and program updates; update program materials; verify error findings with stakeholders; document lessons learned; and contribute to development of program documents and reporting.
To succeed in this role, the individual should have some experience in conducting data validation and/or audits, excellent time management skills, and communication skills as he/she collaborates with the team and external stakeholders.
In addition, the individual will be responsible for supporting other firm-wide initiatives to support the growth of the firm.

Requirements

What you’ll need

Bachelor’s degree in health policy, public health, public policy, or other health, finance, accounting, or social science related field
1 – 3 years of professional experience in audit, compliance, research, program management, process improvement, or operations
Experience with and/or knowledge of data analysis
Strong writing and presentation skills
Ability to work independently as well as part of a team, with experience identifying and communicating key work issues to project and task leaders
Acute attention to detail, process-oriented, and strong work ethic
Ability to obtain a Public Trust clearance (US citizenship required)

Benefits

Comp & perks

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Student Loan PayDown
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Mobility Stipend

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

data analysisauditcomplianceprogram managementprocess improvementdocumentationdata validationreporting

Soft Skills

time managementcommunicationteam collaborationattention to detailprocess-orientedstrong work ethicwriting skillspresentation skills

Certifications

Bachelor’s degree