Guidehouse

Medical Billing and Coding

• Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10 and PCS Diagnosis codes
• Maintain a working knowledge of ICD-10 PCS, governmental regulations, and official coding guidelines
• Achieve and maintain 95% accuracy in coding while maintaining productivity standards
• Query physicians regarding conflicting or incomplete information in medical records
• Work closely with other members of the facilities coding and billing team
• Communicate problems or coding discrepancies to supervisor immediately
• Maintain HIPAA compliant workstations and patient privacy

Medical Coder – Inpatient

Software Engineer

• Guidehouse has an exciting opportunity for a Microsoft Dynamics Architect to support our client's Case Management system.
• You will work with the technical team to design and deliver the case management solution within a given time, identify risks and mitigate the risk during the design phase.
• You will be responsible for high-quality projects.
• You will work with the client, PM, and BA and streamline the communication between teams.
• Drive Dynamics 365 CE implementations through all project phases, including discovery, definition, build, test, and deploy.
• Lead data-centric discussions with the client through discovery meetings.
• Present tailored demonstrations of the technology solution.
• Relay of the solution design to the development team and provide technical guidance during development of the solution to the development team.
• Document technical risks and issues, and actively work to avoid, mitigate, resolve risks and technical debt.
• Develop technical solution designs and implementation plans and take full ownership of the Dynamics 365 CE solution.

Biz Apps Developer – Power Apps, MS Dynamics Architect

Manager

• Guidehouse supports the U.S. Department of Transportation (DOT) to execute its mission to ensure our nation has the safest, most efficient and modern transportation system in the world.
• In support of that mission, we are searching for a Senior Consultant to help DOT consolidate and improve its grants system.
• Develop operating concepts, operations models, and governance models
• Facilitate client meetings, interviews or work groups
• Work collaboratively in a team to develop solutions to solve organizational challenges and optimize the efficiency and effectiveness of operations
• Work with diverse stakeholder to drive towards consensus
• Lead the development of work products that clearly synthesize information into recommendations for client implementation
• Develop business process improvements to existing programs
• Provide change management recommendations to clients
• Develop communications and executive presentations for audiences such as agency leadership, the White House, and Congress
• Assume responsibility for managing client relations
• Provide guidance, coaching, and quality assurance to junior staff
• Manage project plans, budgets, and reports

Transportation Grants Manager

Analyst

• Guidehouse is seeking a Revenue Integrity Analyst (Medical Biller) with strong billing, coding, and revenue cycle expertise to support the modernization of MHS GENESIS, the DoD’s enterprise EHR.
• Ensure accurate billing, compliant charge capture, and efficient claim resolution by analyzing data, auditing documentation, and collaborating with clinical, coding, IT, and financial teams across the Military Health System.
• Optimize and validate MHS GENESIS / Cerner charge capture workflows, CDM logic, billing rules, and revenue cycle configuration.
• Conduct charge capture validation, reconciliation of clinical activity to billing outputs, and identification of DNFB risks and revenue leakage.
• Audit documentation and coding (ICD‑10‑CM, CPT/HCPCS, modifiers) to ensure NCCI, LCD/NCD, TRICARE, and DHA compliance.
• Investigate claim edits and denials using Alpha II, SSI, or related tools; identify root causes and implement sustainable solutions.
• Perform payer remittance analysis to uncover denial trends, modifier issues, bundling errors, and reimbursement gaps.
• Support UB‑04 and CMS‑1500 billing accuracy and troubleshoot errors impacting payer acceptance or reimbursement.
• Analyze clinical, financial, and operational data to identify trends and develop data‑driven recommendations for revenue improvement.
• Prepare executive‑level reporting and visualizations to communicate findings, risks, and remediation strategies.
• Partner with coding teams, clinicians, IT analysts, billing offices, and leadership to resolve issues and ensure standardized workflows.
• Participate in or lead enterprise-level remediation planning, including root cause analysis, corrective action tracking, and workflow optimization.
• Provide staff education on coding, documentation requirements, and revenue cycle best practices.
• Recommend and implement workflow improvements to reduce denials, increase first-pass payment rates, and enhance compliance.
• Identify and escalate systemic issues affecting charge capture, coding, billing, or payer processing.

Revenue Integrity Analyst, Medical Biller

Consultant

• 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.

Healthcare Review/Audit Consultant

Operations

• Lead stakeholder engagement and technical delivery for efforts supporting federal agencies with IT controls assessments and program evaluations
• Performing rigorous assessments of IT controls using industry-standard guidance and leading practices
• Conducting walkthrough interviews and maintaining communication with various client stakeholders
• Requesting, obtaining, reviewing, and analyzing artifacts to assist in executing IT controls testing
• Evaluating the design and operating effectiveness of IT controls
• Documenting the results of IT controls test work in a consistent and high-quality manner
• Summarizing and communicating IT controls assessment results to clients including senior leadership
• Planning and executing day-to-day activities of IT controls assessments
• Working with clients to analyze known IT control weaknesses and develop remediation plans
• Providing subject matter expertise on IT controls and responding to ad-hoc IT controls requests

Process Improvement Managing Consultant

Platform Engineer

• Lead SharePoint Online administration and enterprise governance strategy across the Microsoft 365 tenant
• Drive Microsoft Power Platform implementations through discovery, architecture, build, testing, deployment, and governance alignment
• Conduct current-state assessments and develop structured governance frameworks, operating models, and modernization roadmaps
• Design enterprise information architecture, taxonomy, metadata strategy, site hierarchy, and role-based access models
• Establish and enforce governance standards including site provisioning, lifecycle management, retention policies, compliance controls, and security administration
• Implement and manage the Power Platform Center of Excellence CoE framework
• Serve as Microsoft 365 and Power Platform SME for architecture, configuration, and security management
• Develop governance documentation, administrative procedures, and knowledge transfer materials
• Conduct stakeholder workshops and executive briefings
• Support production environments and resolve governance or administrative issues
• Participate in Agile or Hybrid-Agile ceremonies and provide status reporting

Power Platform Engineer

Technical Project Manager

• Lead end-to-end delivery of complex healthcare IT programs, including EPIC integrations, clinical systems modernization, and enterprise platform implementations
• Translate ambiguous healthcare business challenges into structured product roadmaps and actionable execution plans
• Drive high-quality, on-time delivery using Hybrid Agile and SAFe frameworks
• Oversee scope control, financial governance, integrated schedules, and executive reporting
• Identify and mitigate delivery risks through structured RAID management
• Institutionalize Agile and SAFe frameworks across enterprise healthcare initiatives
• Own and prioritize EPICs and features, partnering with Scrum teams
• Lead EPIC implementations and/or enhancements
• Ensure compliance with HIPAA, ACA, GCP, GMP, and GCLP regulatory requirements
• Partner with enterprise architects, data engineers, and application teams to deliver cloud-enabled healthcare solutions
• Serve as a trusted advisor and liaison between executive stakeholders, enterprise architecture teams, and IT delivery organizations
• Contribute to enterprise PMO strategy, roadmap development, and digital transformation initiatives

Technical Project Manager – Health, EPIC

Artificial Intelligence

• We are seeking an experienced Associate Director to join our growing AI and Data practice, with a dedicated focus on Evaluation, Measurement & Verification (EM&V) of utility energy efficiency and demand side management (DSM) programs for commercial energy providers.
• This individual will be a hands-on leader, responsible for overseeing evaluations for complex portfolios of DSM programs and driving business growth through proactive sales efforts.
• The Associate Director will oversee cross-functional teams and collaborate directly with client executives and business leaders to drive value through cutting-edge evaluation of programs including load management and demand response, energy efficiency, renewable, EV, energy storage, decarbonization, and electrification.
• Lead client engagements end-to-end from strategy through implementation, which can include supporting program design, defining evaluation methodologies, overseeing execution of the evaluation, presenting results including the translation of findings into meaningful and actionable recommendations, and developing regulatory filings.
• Develop and document evaluation methodologies using best practice, leading-edge techniques.
• Oversee and collaborate with team members and take ownership of project schedules, budgets, and delivery excellence.
• Drive new business opportunities by identifying client needs, shaping proposals, and expanding relationships into strategic partnerships.
• Develop and maintain relationships with key clients and stakeholders to build grow accounts and influence buying decisions.
• Drive end-to-end solution development leveraging AI and advanced analytics, with a strong emphasis on utility customer program evaluation methodologies.
• Stay ahead of industry trends and emerging technologies to inform solution development and position offerings competitively in the market.
• Mentor and lead multi-disciplinary consulting teams including data scientists, engineers, and business consultants.
• Own business development activities including pipeline generation, proposal development, and strategic pursuits to meet growth targets.
• Contribute to recruiting, talent development, and thought leadership within the practice.

Associate Director, AI & Data – Energy Providers EM&V

Director

• Lead Workday deployments as the Delivery Director overseeing all delivery efforts and activities.
• Be responsible for advising clients on cloud computing systems and other available service-based technologies.
• Review, plan, and provide assistance to clients in end-to-end customer relationship management and human capital system implementation activities.
• Create, review, and advise on digital roadmaps from conception to post-implementation assessment.
• Plan, develop, and implement work processes and methodologies to support deployment.
• Have expert level knowledge and skills within a specific job area and robust understanding of the impact of work on other practices across the organization

Workday HCM Delivery Director

• We are seeking a Managing Consultant to join our growing AI and Data Team.
• Support utility clients in applying data-driven analysis to complex planning, regulatory, and operational challenges.
• Help clients make informed decisions related to grid modernization, decarbonization, customer programs, and system reliability.
• Support all phases of analytic work product development, from the identification of key business questions, through data collection and ETL.
• Perform analyses and use a wide range of statistical, machine learning, and applied mathematical techniques to deliver insights to decision-makers.
• Translate client objectives and regulatory requirements into rigorous analytical approaches and scalable solutions.
• Provide day-to-day leadership, mentoring junior staff, and ensuring high-quality delivery across engagements.

Managing Consultant, AI & Data

• Guidehouse Life Sciences is an engine of innovation, helping pharmaceutical, biotech, medical device, and diagnostic companies develop custom solutions that tackle today’s challenges, while anticipating tomorrow’s opportunities.
• You will have an immediate impact by partnering with our clients, across all levels, to deliver product planning, pricing, reimbursement, product commercialization, and regulatory and compliance solutions.
• Consultants work with Guidehouse Life Sciences teams providing support through all aspects of project work.
• Your specific tasks include the following: scheduling and conducting interviews with physicians, payers, and other thought leaders in healthcare; gathering and analyzing medical literature, healthcare market reports and databases; and participating in document writing, production, and client presentations.
• Our Life Sciences practice encourages career development and hiring for the long term. Consultants follow a clearly defined career path and continue to deepen their knowledge in the field of healthcare and the practice of consulting. As Consultants develop project management skills they progress to the position of Senior Consultant.

Consultant – Life Sciences Advisory, Health Segment

Solutions Engineer

• Be a hands-on HCM Payroll, Absence, Time Tracking, and/or Scheduling Architect on assigned projects helping to streamline client process.
• Facilitate Design Sessions, capture client requirements, configure creative solutions, and mentor other consultants.
• Responsibilities include documentation, configuration, testing support, go-live support, and post-production (hypercare) support.
• Participate in an innovative, teaming culture for the PATTS team to enable constant innovation.
• Strong ability to team with project leadership to communicate challenges and improvements to project processes.
• Demonstrate consultative skills.
• Have a passion for high customer satisfaction levels.

Workday Payroll, Absence, Time Tracking Solution Architect

Architect

• Identity Architecture & Engineering
• Architect and deploy enterprise Okta Identity Engine implementations, including SSO, MFA policies, federation, lifecycle management, SCIM provisioning, and Okta Workflows automation.
• Implement phishing‑resistant MFA using FIDO2/WebAuthn, platform authenticators, roaming security keys, passkeys, and government‑grade credentials per CISA/OMB guidance.
• Design and integrate IGA + PAM capabilities (SailPoint IIQ/IDN, CyberArk, Delinea/Thycotic, BeyondTrust) to enforce least privilege, JIT access, and robust access governance.
• Produce engineering deliverables: architecture diagrams, configuration standards, build/run books, migration plans, and cutover strategies.
• Mentor engineers and consultants; lead workshops with business & technical stakeholders; support pursuit teams with solutioning and orals.

Identity and Access Management Architect

Compliance

• Review hospital websites to locate files and pricing tools to assess compliance with the CMS Hospital Price Transparency Final Rule
• Assess hospital compliance using a pre-set list of testing criteria and automation tools
• Provide evidence of compliance in a web-based platform using screenshots and written narrative
• Attend regularly scheduled team calls to discuss trends in reviews and troubleshoot how we can avoid errors in reviews