Guidehouse

Clinical Supervisor

• Supervise, mentor, and develop a team of Clinical Appeals and Denials RNs.
• Conduct regular coaching sessions, performance reviews, and professional development planning.
• Monitor productivity, quality, and compliance metrics to ensure achievement of departmental goals.
• Facilitate team meetings, training sessions, and ongoing education initiatives.
• Manage staffing assignments, workload balancing, PTO coverage, and scheduling needs.
• Oversee the review and management of medical necessity, authorization, and clinical validation denials.
• Ensure timely preparation and submission of first-level, second-level, and external appeals.
• Guide staff in developing evidence-based appeal arguments utilizing clinical documentation, regulatory requirements, and nationally recognized guidelines such as InterQual and MCG.
• Review complex and high-dollar denials and provide escalation support as needed.
• Ensure all appeals meet payer-specific requirements and submission deadlines.
• Analyze denial trends and identify root causes impacting reimbursement.
• Collaborate with Revenue Cycle, Case Management, Utilization Review, CDI, HIM, and Operational Leadership to implement denial prevention strategies.
• Monitor recoveries, overturn rates, appeal success metrics, and financial outcomes.
• Develop action plans to address payer performance concerns and recurring denial patterns.
• Participate in client and leadership meetings to present denials performance and recommendations.
• Ensure adherence to organizational policies, regulatory requirements, and payer guidelines.
• Perform quality audits of appeal submissions and provide feedback to staff.
• Maintain expertise in CMS regulations, Medicare and Medicaid requirements, commercial payer policies, and industry best practices.
• Support audit readiness and compliance initiatives.
• Identify and implement process improvements that enhance efficiency, quality, and financial outcomes.
• Assist in developing standard operating procedures, workflows, and training materials.
• Utilize data analytics and reporting tools to monitor team effectiveness and operational performance.
• Support implementation of new clients, programs, and denial management initiatives.

Supervisor, Clinical Appeals/UM

Platform Engineer

• We are seeking a Power Platform Developer and an Innovation Specialist to support a modernization effort for Document Process Automation for a federal TSA client.
• This role is responsible for designing and building the document management architecture, automated processes and workflows.
• Build and maintain Power Automate workflows for inbox-driven task identification, action item routing, multi-step approvals, and exception handling.
• Automate document detection, ingestion, and periodic summarization into SharePoint to support centralized knowledge management.
• Design and configure SharePoint as a centralized repository for document retention, meeting records, briefs, and institutional knowledge.
• Build Microsoft Forms-based or Canvas App-based intake tools for standardized capture and routing of meeting requests and action items.
• Design and build Canvas Apps providing tailored, intuitive user experiences with guided workflows and embedded automation in lieu of standard form-based tools.
• Connect Canvas Apps to Dataverse, SharePoint, and third-party data sources via connectors and custom APIs.
• Implement RBAC, row-level security, and table permissions.
• Configure AI Builder, Copilot Studio, or Azure AI capabilities to support predictive task modeling, document summarization, and AI-assisted meeting documentation if needed.
• Support integration of Power BI dashboards for executive visibility into operational metrics and sprint progress.
• Modernize manual, email-based, and document-driven front office processes through targeted automation.
• Participate in sprint planning, backlog grooming, daily standups, milestone reviews, and retrospectives within an agile delivery cadence.
• Collaborate with the Business Systems Analyst to translate business requirements and current-state process documentation into sprint-ready development tasks.
• Ensure all solutions operate within the TSA's approved technology environment, minimizing security, accreditation, and sustainment risk.

Senior Power Platform Developer

• The GIS Solution Architect is the functional and technical authority for the end-to-end ArcGIS Utility Network solution design on a utility GIS modernization program.
• Own the ESRI ArcGIS Utility Network solution design: domain network definitions, tier configurations (radial, mesh), terminal assignments, containment associations, junction-edge connectivity rules, and network attribute definitions.
• Conduct Fit-Gap workshops comparing SmallWorld GDM schema and G/Technology module data models to ESRI UN target architecture; document design decisions and configuration rationale.
• Define network topology validation standards: connectivity tolerance rules, dirty area management, subnetwork validation criteria, and pre-go-live network tracing acceptance tests.
• Design and lead iterative mock migration cycles; define validation KPIs — connectivity rate, attribute completeness, tracing correctness, and spatial accuracy — and own defect remediation through go-live.

GIS Solution Architect – Director

Analyst

• This FM Transformation Analyst will work in Guidehouse’s Financial Management (FM) practice supporting Department of War clients.
• You will support initiatives that transform core financial management functions and operations.
• Our finance transformation consultants help our clients across the Department of War optimize all elements of their technical data structures and automations by transforming business processes and enhancing the efficiency of technical data operations.
• This role focuses on driving finance and accounting excellence through leveraging technology solutions to deliver actionable insights, enhance operational efficiency, enable auditability, and modernize financial processes in alignment with federal standards.

FM Transformation Analyst

Systems Engineer

• Guidehouse is seeking Aerospace Systems Engineers, from Consultant through Associate Director levels, to sustain an operational system for orbital warfare that ingests and fuses data from multiple sensors across multiple classification domains and disseminates it to enable space domain awareness and time‑critical decision‑making.
• Implement and manage sustainment of the end‑to‑end system architecture, including resilience design for two independently operational sites (primary and alternate)—ensuring high availability, fault tolerance, and continuity of operations.
• Drive configuration management (CM) and disciplined change control; maintain defect/deficiency tracking, provisioning artifacts, technical data packages, and formal test plans required for operational baselines and accredited releases.
• Plan and execute recurring upgrades and integrations of new mission capabilities—coordinating release trains, regression testing, and performance validation across enclaves and classification levels.
• Manage architectures and communications across domains, including Cross Domain Solutions (CDS), ensuring policy‑compliant data flows, interface control, and cyber‑hardened pathways between networks.
• Lead multi‑disciplinary teams (systems, software, network, cybersecurity, T&E) through agile sprints to deliver sustainment, patching, troubleshooting, and continuous improvement aligned with mission priorities.
• Execute special activities in classified environments, including capacity planning studies, cyber‑terrain mapping, cloud innovation within accredited environments, and containerization approaches to enhance portability and resilience.
• Coordinate with government stakeholders on RMF/ATO artifacts, zero‑trust alignment, operational test readiness, and site acceptance—maintaining meticulous documentation for audit and mission assurance.
• Measure, report, and optimize availability, latency, throughput, and mission effectiveness; use data‑driven dashboards to inform risk, issue, and performance management.

Aerospace Systems Engineer

Account Manager

• The Patient Account Representative – Self Pay - Patient Relations is an extension of a client’s business office staff.
• Representatives are responsible for taking in-coming and out-going calls to patients and insurance companies to resolve patient accounts.
• All client policies and procedures are followed.
• Representatives will perform any and all job-related duties as assigned.
• Individuals must be able to work an eight hour shift between the hours of 8:00 AM CT - 5:30 PM CT.
• Inbound calling emphasis.
• Account Review.
• EOB knowledge.
• Assist patients with policy statuses and insurance verifications.
• Customer Service.
• Account Updates.
• Strong Verbal / Written Communication Skills.
• Complete all business-related requests and correspondence from patients.
• 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.

Patient Account Representative – Self-Pay, Patient Relations

Full-stack Engineer

• Build and enhance full stack application components across front-end, back-end, and integration layers, under the guidance of senior engineers supporting enterprise solution delivery, including initial releases and iterative enhancements.
• Contribute to solutions using an AI-first mindset, incorporating AI-enabled workflows and automation where appropriate and supportable within IT standards.
• Develop and support API-based integrations and batch/mass data processing workflows under established architectural patterns.
• Assist with data modeling, database design, and data structuring to support scalable and maintainable solutions.
• Collaborate with senior engineers, business stakeholders, and IT delivery partners in a cross-functional, FDE model to move solutions from concept to production.
• Support testing, deployment, and post-release sustainment activities, including defect resolution and minor enhancements.
• Follow enterprise standards and controls (e.g., security, access, change/release, testing), including additional controls for systems subject to ITGC/SOX where applicable.
• Learn and apply enterprise platforms and emerging AI-enabled capabilities aligned to the broader application ecosystem.

Senior Software Engineer

AI Engineer

• You will contribute to the design, development, testing, and deployment of full-stack web applications on AWS, integrating workflow orchestration, relational data systems, analytics, and accessible user interfaces.
• Working with cross-functional teams—including senior engineers, data scientists, product managers, and mission stakeholders—you will help deliver high-impact solutions that combine modern engineering practices with Artificial Intelligence capabilities.
• Develop and maintain application components spanning frontend interfaces, backend services, APIs, workflow orchestration, and relational database layers.
• Build and enhance accessible, user-friendly web interfaces using ReactJS and related frontend technologies, supporting Section 508 and usability standards.
• Develop backend services using Java or Python, including RESTful APIs, business logic, integrations, unit tests, and support for microservices-based architectures.
• Support the design and maintenance of RDBMS-based data models and SQL queries using technologies such as PostgreSQL, MySQL, or Amazon Aurora.
• Implement workflow and process automation capabilities to support business and mission operations.
• Develop data visualization and analytics features, including dashboards, charts, reports, and interactive UI components that support decision-making.
• Support implementation of AI-enabled features such as intelligent search, chatbots, document processing, summarization, semantic search, or agent-assisted workflows.
• Use Generative AI–assisted development tools, such as GitHub Copilot, Cursor, or Claude Code, for code generation, debugging, testing, refactoring, and documentation while following code quality and security practices.

AI Software Engineer

Compliance

• Provide scientific and laboratory research support to evaluate and improve analytical screening methods for chemical food contaminants
• Develop, implement, and evaluate analytical chemistry methods for contaminant detection
• Support single & multi-laboratory validation studies to assess analytical method performance and reproducibility
• Conduct laboratory analyses using established instrumentation and methodologies in accordance with approved safety, quality, and regulatory protocols
• Analyze experimental data and perform scientific evaluations to support regulatory decision-making and research objectives
• Ensure proper collection, documentation, and integrity of laboratory data, including maintaining accurate records and traceability
• Collaborate with interdisciplinary teams, laboratories, and stakeholders to support method development, validation, documentation (i.e. SOP's, technical guides, etc.) and implementation activities.
• Prepare technical reports, summaries, and presentations to communicate research findings to stakeholders
• Participate in cross-agency coordination efforts supporting analytical method standardization and regulatory implementation
• Attend relevant program, laboratory, and organizational meetings in support of project execution
• Provide monthly status reports to program leadership and project stakeholders including research findings, project schedule and milestone updates; Complete all corporate and client mandatory training and maintain required credentials.

Regulatory Chemical Researcher

• Business Analysts are responsible for bridging the gap between IT and the business by assessing and improving the organization's processes and systems by analyzing data and identifying improvement opportunities
• Elicit, analyze, document, and validate business, policy, technical, and functional requirements
• Develop and maintain user stories, acceptance criteria, functional specifications, process documentation, and requirements traceability
• Collaborate with business stakeholders and technical teams throughout discovery, design reviews, and project delivery activities
• Support backlog refinement, prioritization, and management activities to align solution delivery with business objectives and stakeholder needs
• Guide teams in the application of Agile principles and practices throughout project delivery, fostering an Agile mindset through team planning, collaboration, and continuous improvement
• Support Scrum ceremonies, stakeholder engagement, and coordination across project teams
• Analyze business processes, business metrics, and related data to identify issues, gaps, inefficiencies, and opportunities for improvement and automation
• Support system testing, user acceptance testing, and data validation activities
• Maintain system documentation, project documentation, and project metrics
• Assist in the development and execution of IT strategies that support business goals and assure adherence to project processes, format, and documentation standards.

Business Analyst – Eligibility Systems

Medical Billing and Coding

• Coding OB/GYN surgeries for an Academic Medical Center
• Coding GYN/ONC procedures for an Academic Medical Center
• Communicating codes to the provider with official source rationale

Part-Time OB/GYN Coder

Financial Planning and Analysis

• Preparing, analyzing, and briefing financial reporting and pricing analyses and other measurements of performance
• Managing accounting lines and expenditures, including monthly/quarterly financial statements and accruals, and coordinating SLA creation and ongoing monitoring
• Creating and maintaining cost-based and market-based pricing models for Business Enterprise services, ensuring models reflect actual costs, forecasted demand and costs, and strategic opportunities (synergies or efficiencies)
• Work closely with Controllers and Finance staff, breaking down products and services into cost pools (labor, materials, overhead, and indirect expenses), and tracking expenses to derive annual forecasts
• Manipulating financial reporting submissions and pricing models in Excel to align with Business Enterprise budgets and long-term financial plans
• Identifying inefficiencies in pricing and billing processes, and recommending improvements

Financial Reporting and Analysis Manager

Data Analyst

• Evaluate and analyze data from legacy systems and disparate sources to assess quality, completeness, and consistency
• Develop and apply practical approaches to profile complex datasets, including structured and semi-structured data
• Identify data gaps, anomalies, and structural issues that may impact reporting, analytics, or system migration
• Recommend data quality improvements and remediation actions that are aligned to both current-state use and future-state system needs
• Support data readiness efforts for modernization and system replacement, including migration considerations
• Collaborate with stakeholders to validate findings and align on data priorities and remediation strategies
• Document data issues, patterns, and recommendations in a clear, actionable format
• Partner with program and technical teams to improve data usability for reporting and analytics

Senior Analyst – Data Profiling Specialist

Solutions Engineer

• Lead the design, development, and deployment of data integration solutions within Palantir Foundry and related data platforms.
• Architect and implement end-to-end data pipelines, including ingestion, transformation, validation, and delivery of structured and unstructured data.
• Develop and maintain ontology models, data schemas, and relationships to support analytics, search, and operational use cases.
• Integrate data across multiple systems and platforms using scalable and secure patterns.
• Collaborate with cross-functional teams to ensure seamless system interoperability and data consistency.
• Implement data validation, quality assurance, and governance processes.
• Support development of AI-enabled capabilities by enabling high-quality, well-structured data pipelines.
• Operate within an Agile delivery model, contributing to sprint planning, backlog refinement, user story development, and iterative delivery of technical solutions.

Integration Engineer

People Operations

• Lead the Execution of the People Strategy
• Operationalize the People Strategy set by the CPO, translating strategic priorities into actionable programs and initiatives
• Partner with People leadership and business leaders to align talent strategy with growth objectives and financial goals
• Confirm alignment between People, Corporate Strategy, and VCP initiatives to drive enterprise impact
• Lead execution of IPO-related People initiatives, including workforce strategy, governance, and readiness activities
• Serve as a strategic advisor to the CPO and executive leadership on organizational effectiveness and workforce strategy
• Lead the day-to-day operations of the People organization, driving efficiency, consistency, and scalability across segments and geographies
• Design and optimize HR operating models, service delivery frameworks, and core People processes
• Lead workforce change initiatives, including restructuring, transformation, and M&A integration support
• Drive effective communication and execution of change across the enterprise, supporting leaders through complex transitions
• Build and lead a high-performing People Operations function with strong program management, execution rigor, and accountability
• Support executive leadership and Board readiness through talent reporting, workforce insights, and leadership transition support
• Partner with the CIO and technology teams to implement and optimize HR technology platforms, including HRIS and workforce analytics tools
• Drive the integration of AI, automation, and digital solutions to modernize HR processes and improve service delivery
• Lead workforce analytics and reporting, developing dashboards and insights to inform decision-making (e.g., QBRs, MBRs)
• Use data to identify workforce trends, risks, and opportunities, enabling proactive management of talent and organizational health
• Drive continuous improvement across People processes through technology, data, and operational innovation
• Establish scalable infrastructure and processes to support a growing, global, and increasingly complex organization