Guidehouse

Account Manager

• Contacts third party payers and guarantors via payer websites or by phone to resolve account balances on all assigned accounts
• Work all correspondence within 24 hours or receipt
• Detail notes regarding correspondence must be entered into the client’s system
• Works all denials taking necessary actions to obtain account resolution
• Submits appeals, as appropriate, for all non-clinical denials
• Monitors all denials for trends and issues and reports findings to supervisor
• Bills or re-bills claims as necessary
• Ensures the client follows all state and federal rules and regulations both billing and HIPAA
• Completes assigned special projects within the time frames given
• Attend training sessions and seminars offered by the Client and Third-Party Payers
• Appropriately documents each account worked in client practice management system
• Makes necessary corrections in client practice management system
• Resolves or forwards all address and/or plan changes as appropriate to ensure the integrity of the insurance master is maintained
• Updates patient accounts with corrected demographic or insurance information
• Posts adjustments based on standard operating procedures or as directed by leadership
• Handles all customer calls both internal and external in a professional and courteous manner

Patient Account Representative – Physician Claims

• The Insurance Patient Account Representative is an extension of a client’s business office staff
• Representatives are responsible for taking in-coming and making out-going calls to patients and insurance companies to resolve account balances
• Facilitates the billing and collection processes of outstanding accounts receivable
• Communicates with internal and external contacts to explain primary, secondary and tertiary billing, collection and resolution of claims including Medicare and other government and nongovernment accounts
• Monitors daily queues for customer services/quality and productivity to maintain acceptable level as established by the departments; alerts management of high call volume patterns
• Handles incoming and outgoing billing correspondence and phone inquiries relating to patient, third party administrators, attorneys, vendors and other insurance payers
• Documents conversations and/or actions taken to support all claims inquiries, review and/or reconsiderations; streamlines the follow-up process of team members assisting on the file
• Analyzes claims to determine compliant and accurate coding, charging; reviews file to confirm demographic and billing information is updated
• Works to resolve any claim or billing concerns and takes appropriate action to escalate issues to management when appropriate
• Performs follow-up processes on accounts to work towards a zero balance
• Files a timely reconsideration or review of claim with supporting documentation such as a corrected claim, medical records and letter of explanation as necessary; communicates with departments to gather information needed to resolve the claim
• Performs balance transfers UB-04 & CMS 1500
• Complete all business-related requests and correspondence from patients and insurance companies
• Responsible for working on average 35 Accounts Per Day
• Complete all assigned projects in a timely manner
• Assist client and patients in all requested tasks
• Communicate to Guidehouse management areas of concern or areas of improvement
• Research and respond to all patient inquiries received by telephone and mail
• Update patient demographic information and initiate account adjustments
• Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections

Patient Account Representative – Medicare, Medicaid, Commercial Claims

Risk

• Lead governance workstreams and small delivery teams to design and implement data/AI governance programs that are actionable and sustainable.
• Own client relationships for your workstream by setting expectations, facilitating executive discussions, and driving alignment across business, IT, privacy, security, and legal stakeholders.
• Design and operationalize governance operating models including council structures, data stewardship models, decision escalation paths, and integrated controls across data, analytics, and AI.
• Define implementation roadmaps that connect strategy to execution, including sequencing, dependency management, change management, and measurable adoption outcomes.
• Establish AI governance and responsible AI guardrails such as model and use case inventory, risk management workflow, review boards, documentation standards, third-party oversight, and ongoing compliance reporting.
• Institute tactical and functional governance operations and controls that assist in operationalizing program and product-level governance.
• Translate governance needs into scalable enablement including templates, playbooks, training, and communications that improve adoption and reduce operational friction.
• Contribute to growth and pursuits by supporting proposal development, scoping, staffing plans, and the creation of reusable assets and accelerators.
• Ability to travel as needed based on client and project needs.

Data Governance Lead

Solutions Engineer

• Guidehouse has an exciting opportunity for a Microsoft Dynamics Developer to support our client's Case Management systems.
• As an experienced Developer, you will work with the technical team to design and deliver the case management solutions within a given time, identify risks and mitigate the risk during the design phase.
• You will be responsible for high-quality project outcomes.
• You will work with the client, Project Leads, Architects and Business Analysts and support the communication between teams.
• Gather technical requirements and propose solutions based on client’s architectural and business needs.
• Contribute to Dynamics CRM implementations through all project phases, including discovery, definition, build, test, and deploy.
• Contribute to data-centric discussions with the client through discovery meetings.
• Translate concepts into user flows, wireframes, system diagrams, and prototypes.
• Develop integrations and customizations to Dynamics CRM.
• Design and support the system architecture process to create, define specifications for, and implement customizations for any custom code or data migration requirements.
• Conduct tailored demonstrations of the technology solution.
• Refine project specifications and develop technical solution designs and implementation plans for the Dynamics 365 solution.
• Enhance efficiency of development, testing and release process; develop tools and frameworks to ensure robust and high-quality delivery of Dynamics 365 Implementations.
• Document technical risks and issues, and actively work to avoid, mitigate, resolve risks and technical debt.
• Travel to multiple customer locations for demos and meetings when required.

Senior Sales Solution Engineer

Software Engineer

• We are looking for a hands-on senior software engineer with deep knowledge of Microsoft Power Apps, including Microsoft Dynamics 365 developer.
• An expert on Power Apps to design, configure and develop custom solutions in Microsoft Power platform.
• The candidate will take an active role in supporting and building on the MPP application.
• The candidate will have excellent presentation, communication, leadership, and client development skills to effectively present information to C-level management, public groups, and/or the board of directors.
• The candidate should have excellent organizational and multi-tasking skills, attention to quality, self-motivation and a strong desire to succeed.

Senior Microsoft Dynamics Developer

Financial Crime

• Support complex U.S. Government financial crime and illicit finance investigations by assisting with investigative research, analysis, and documentation related to money laundering, terrorist financing, proliferation financing, cyber‑enabled financial crime, and related threats.
• Conduct investigative research and analysis under the guidance of senior staff, using Bank Secrecy Act (BSA) data, law enforcement reporting, intelligence, open‑source, and commercially available sources to support ongoing illicit finance investigations.
• Assist with the development administrative records, evidentiary memoranda, and supporting documentation for special collections actions (e.g., Section 311 actions, Geographic Targeting Orders, Demand Letters, 5318(k) subpoenas, Section 314(a) requests), incorporating direction and feedback from senior investigators.
• Assist in analyzing financial and investigative information to identify patterns, typologies, and indicators of illicit activity.
• Contribute to the preparation of briefing materials, talking points, presentations, and written products for senior government stakeholders, ensuring accuracy, clarity, and adherence to quality standards.
• Assist with data collection, organization, and validation activities, helping ensure information is complete and structured for investigative and analytical use.
• Maintain accurate documentation of work performed and support reporting and quality control processes.
• Build subject‑matter expertise as an investigator while increasing independence over time.

Senior Financial Investigations Consultant

Data Scientist

• Guidehouse is seeking a Director in our Health AI and Data Science practice to lead the delivery of data products, AI-enabled solutions, and scientific support that help healthcare leaders make better, faster decisions grounded in data.
• In this role, you will own end-to-end client delivery across multiple accounts and capabilities — partnering with executives and product owners to translate priority decisions into clear use cases, governed metrics, and a roadmap of analytics, decision intelligence, and AI capabilities.
• You will provide day-to-day delivery leadership (scope, schedule, staffing, risk, and quality), guide multidisciplinary teams (data science, data engineering, analytics, and UX/visualization), identify and support capture of new business, and ensure solutions are secure, scalable, and adopted in the client’s operating cadence.
• Lead end-to-end delivery of multiple concurrent AI, data science (including qualitative/qualitative scientific support), and data product engagements, ensuring on-time, high-quality outcomes across public and commercial health workstreams, vendors, and client teams.
• Co-lead scientific support service line to support hypothesis-driven research, statistical analyses, peer-review manuscript publication, and data-driven storytelling targeted to diverse audience personas (executives, community, etc.)
• Partner with client executives and product owners to define decision-centric use cases and success measures, translating strategy into a prioritized roadmap of data products, analytics, and AI capabilities.
• Translate executive decisions into clear product requirements and governance (KPI definitions, metric logic, decision thresholds, scenarios, and action triggers), ensuring outputs are trusted, repeatable, and decision-ready.
• Direct analytics and model development across teams—framing hypotheses, guiding quantitative and qualitative methods, validating assumptions, and driving from root cause to opportunity sizing, prioritization, and quantified value cases.
• Develop and quality-assure executive-ready deliverables (decision memos, briefs, and exhibits) that clearly communicate the “so what,” tradeoffs, and recommended actions for C-suite and senior government audiences.
• Lead senior stakeholder engagement and delivery governance, running working sessions and executive readouts; synthesizing inputs; aligning decision-makers; managing risks and dependencies; and driving timely decisions across client and internal leadership.
• Build, staff, and grow high-performing delivery teams through an apprenticeship model—coaching consultants through associate directors, setting clear expectations, and ensuring the right mix of functional, technical, and domain skills.
• Drive business development and account expansion (with emphasis on federal health accounts), leading proposals and capture efforts; shaping solution approaches; and developing reusable delivery accelerators and data product assets.
• Establish delivery standards for scalable, secure data products, including data quality practices, documentation, and responsible AI considerations appropriate for executive decision-making.
• Own engagement financial and operational performance—managing scope, budgets, staffing, and margins; monitoring delivery health; and proactively mitigating risks to ensure sustainable, repeatable delivery.

Director – Health AI, Data Science

Full-stack Engineer

• Guidehouse is seeking a Full Stack Engineer to support the design, development, testing, and deployment of a secure, AI-enabled analytic and decision-support platform for DoW, federal, and enterprise stakeholders.
• This role will help build the user-facing application, backend services, APIs, data integrations, dashboards, and workflow capabilities needed to move the solution from prototype to production.
• The Full Stack Engineer will work closely with AI engineers, functional SMEs, architects, product managers, UX designers, and data teams to ensure the platform is intuitive, reliable, secure, and aligned to real operational workflows.
• This role is focused on delivering production-quality software that supports analyst productivity, transparent outputs, and secure integration with enterprise systems.
• Design, build, test, and deploy full stack application capabilities for a secure analytic and decision-support platform.
• Develop responsive, user-friendly web interfaces that support analyst workflows, scenario inputs, review steps, dashboard views, and report outputs.
• Build backend services, APIs, and integration layers that connect the application to data sources, AI services, model outputs, and enterprise systems.
• Support implementation of workflows for scenario management, assumptions management, review comments, approvals, audit trails, and user-facing validation logic.
• Develop dashboards, visualizations, forms, and reporting views that present analytical outputs clearly to technical and non-technical stakeholders.
• Integrate AI-enabled capabilities into the application experience, including model outputs, explanations, confidence indicators, citations, traceability, and human-in-the-loop review points.
• Implement role-based access controls, authentication, authorization, data protections, and secure application patterns appropriate for DoW and federal environments.
• Support data ingestion, transformation, and validation workflows in coordination with data engineers, AI engineers, and functional SMEs.
• Build reusable front-end and back-end components that can support future enhancements and related Guidehouse delivery efforts.
• Participate in system design, sprint planning, code reviews, testing, deployment readiness, and user acceptance activities.
• Implement automated testing, CI/CD practices, documentation, logging, monitoring, and error handling to support production readiness.
• Troubleshoot defects, performance issues, integration challenges, and user experience gaps across the full application stack.
• Collaborate with stakeholders to translate functional requirements into technical designs and working software.

Full Stack Engineer – Cleared

• Design, build, and modernize Microsoft Business Applications solutions
• Develop and maintain Dynamics 365 Customer Engagement solutions, including Sales, Customer Service, and Marketing modules
• Build enterprise-grade Power Platform solutions using Model-Driven Apps, Canvas Apps, and Power Automate
• Develop backend services and integrations using C# (.NET) plugins, Azure Functions, and REST/SOAP APIs
• Author and review technical architecture diagrams and solution topologies
• Monitor, troubleshoot, and resolve issues within Dynamics 365 environments
• Collaborate with functional leads, architects, and client stakeholders in Agile or Hybrid-Agile delivery models

Senior Dynamics CRM Developer

Financial Planning and Analysis

• The Financial Management and Internal Controls Specialist provides support to NASA’s Office of the Chief Financial Officer (OCFO).
• Executing A-123 / internal control assessment.
• Supporting audit preparation activities, such as developing/updating process documentation (e.g., narratives, flow charts, etc).
• Testing or designing internal controls.
• Having knowledge of Generally Accepted Accounting Principles (GAAP).
• Apply federal accounting, financial management, and audit knowledge/expertise when assisting with the development of solutions and providing recommendations to client.

Financial Management and Internal Controls Specialist

Technical Project Manager

• Guidehouse is hiring an IT Project Manager to join one of our Department of State teams
• Lead and enhance governance processes across the public diplomacy technology portfolio
• Oversee the monitoring and continuous improvement of the IT governance lifecycle
• Lead IT project management activities across the portfolio
• Drive CPIC activities such as investment planning and performance tracking
• Develop, refine, and report on metrics and key performance indicators
• Coordinate requirements gathering sessions and document system/business requirements
• Identify, assess, and manage project and portfolio-level risks
• Support the integration of TBM practices to improve transparency into IT spend
• Provide strategic insights to align projects with evolving organizational goals
• Collaborate with government counterparts and cross-functional teams

IT Project Manager

Consultant

• Guidehouse’s State Health team strives for a more resilient and sustainable community health infrastructure, guiding state and federal decision makers in program implementation, stakeholder engagement, and workforce optimization.
• We help state-run programs with infrastructure and regulatory compliance, waiver and state policy, monitoring, and operational effectiveness.
• Our experts assist clients in financial budgeting and reporting, rate development and value-based payment, supplemental payments, waiver neutrality, and cost sharing.
• Consultants support project teams both on client engagements (on and off-site) and internal projects.
• Responsibilities will include client and project management, data and information analysis, solution implementation and generation of project results.
• As a Consultant, a key function of your role will be to support the development and creation of quality deliverables that support essential project workstreams.
• You will gather and analyze data, identify gaps and trends, and make recommendations related to baseline performance and structure, as well as established best practices and benchmarks.

Health and Human Services Consultant

Data Analyst

• Provide strategic data analysis support for U.S. Government financial crime and illicit finance investigations by preparing, analyzing, and interpreting large financial and investigative data sets related to money laundering, terrorist financing, proliferation financing, cyber‑enabled financial crime, and other illicit activity.
• Support investigations by preparing, cleansing, structuring, and validating large financial and investigative data sets collected through special authorities and other sources to ensure data quality, integrity, and usability.
• Perform data analysis to identify patterns, trends, typologies, and investigative leads related to illicit finance, supporting both known targets and the identification of new investigative targets.
• Pair and integrate BSA‑derived data with other data sources, including open‑source information, financial data, and information provided by government or law enforcement partners, to enhance analytical insight.
• Conduct documented and repeatable analytical workflows, ensuring methods, assumptions, and outputs are clearly recorded and reproducible by others.
• Support investigators by translating analytical results into clear written findings, visualizations, or briefing materials in support of investigative and policy decisions.
• Utilize government‑provided analytical tools and environments to query, analyze, and visualize financial transaction data.
• Maintain accurate documentation of analytical work, support tracking and reporting requirements, and contribute to quality control processes for analytical deliverables.
• Collaborate closely with investigators and government counterparts to align analytical efforts with investigative priorities and mission needs.

Financial Investigations Data Analyst

Director

• Working under the general direction of the Account Leadership Partner, the Vice President of Revenue Cycle/Executive Director serves as the primary liaison between the Revenue Cycle Operations teams and assigned Client(s) for all aspects of the Revenue Cycle.
• Responsible for the proactive oversight of the Revenue Cycle process and maintain a successful client relationship and client strategies.
• Develop a deep understanding of the Client’s Revenue Cycle to ensure KPI’s and quality measures are met at both their assigned location and at EBO.
• Supervise on site Project Supervisors and project staff.
• Monitor compliance with State and Federal laws and guidelines.
• Identify opportunities for revenue cycle improvement initiatives and partner with the Client and EBO leadership to develop and execute these plans.
• Possess both technical and business skills to recommend, engage and manage their client’s strategic initiatives.
• Perform any and all job-related duties as assigned.

Executive Director – Hospital Revenue Cycle

Security Analyst

• Provide support for risk assessments and risk analysis tasks
• Assist with control reviews and compliance activities
• Gather and organize audit evidence and documentation
• Coordinate escalations and support requests during U.S. business hours
• Help maintain consistent and scalable GRC workflows as programs grow.