Guidehouse

Support Engineer

• Guidehouse is seeking a MHS GENESIS Application Support Analyst to support the Defense Health Agency (DHA) by developing, maintaining, and delivering advanced analytics across Health Data Intelligence (HDI) and Oracle analytics platforms.
• This role focuses on back-end revenue cycle data extracts, financial and compliance reporting, and uncovering data-driven insights that support Revenue Cycle Modernization and Innovation (RCMI) initiatives.
• Investigate, triage, and help resolve application/data issues impacting revenue cycle, registration, patient access, and scheduling workflows.
• Develop, maintain, and optimize CCL/Discern queries and reusable extracts to support analytics and operational reporting within MHS GENESIS systems.
• Conduct back-end configuration reviews and diagnostics to identify root causes affecting billing, claims, or encounter workflows and coordinate durable remediation.
• Use CCL, SQL, Tableau, Power BI, Python, SAP BO, and other analytics tools to extract, analyze, and interpret financial and operational data across MHS data platforms.
• Develop, optimize, and maintain Vertica SQL queries, view, and reusable datasets supporting revenue cycle analytics (billing, collections, denials, A/R).
• Monitor and support the development of KPIs across Revenue Cycle Initiatives.
• Partner with clinical, coding, billing, IT, and finance teams to ensure integrated revenue cycle operations.
• Collaborate with system administrators to ensure the EHR supports required business processes.
• Serve as a liaison between Guidehouse, DHA, and MTF operational stakeholders.
• Produce professional deliverables: analytic readouts, executive summaries, methodology documentation, and data dictionaries for cross-DHA collaborations.
• Perform data validation, lineage analysis, and quality checks across federal data sources to ensure analytical accuracy and audit readiness.
• Participate in support testing and validation for analytic releases.
• Investigate and help resolve user-reported issues related to charge capture, billing edits, registration errors, or data discrepancies.
• Conduct system impact assessments and work with Oracle Health/Cerner, CDAO, and RCMI technical teams to implement fixes.
• Support upgrades, interface changes, testing, and release validations; communicate operational impacts to stakeholders.
• Participate in ITSM processes (incident, problem, change management).

MHS GENESIS Application Support Analyst

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.
• The role ensures 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.
• Support and optimize MHS GENESIS revenue cycle configuration, including charge capture workflows, billing rules, and work queues.
• Validate charge accuracy, coding logic, modifiers, and payer requirements; troubleshoot system and workflow issues.
• Analyze financial, clinical, and operational data to identify trends, charge variances, and revenue improvement opportunities.
• Investigate claim edits and denials, identify root causes, and coordinate corrections with clinical and coding teams.
• Reconcile clinical activity to billing outputs and improve charge capture and CDM workflows.
• Perform chart‑to‑bill audits to ensure documentation, coding (CPT, ICD‑10, HCPCS), and billing compliance.
• Educate staff on proper coding, documentation, and revenue cycle best practices; support multidisciplinary workgroups.
• Recommend process and workflow improvements to reduce denials, enhance compliance, and support system‑wide standardization.

Revenue Integrity Analyst, Medical Biller

DevOps Engineer

• Architect, automate, and operate enterprise analytics platforms leveraging Terraform, GitHub, Kubernetes, and GitOps to deliver secure, repeatable, and scalable cloud environments.
• Design and build next‑generation analytics infrastructure, modernizing legacy deployments and implementing hardened CI/CD workflows aligned with Zero Trust and cloud governance best practices.
• Develop reusable modules, templates, and reference architectures to accelerate product teams and improve platform standardization.
• Integrate and operationalize third‑party libraries, APIs, and partner technologies into end‑to‑end cloud solutions.
• Contribute to engineering excellence through code commits, PR reviews, automation improvements, and platform observability enhancements.
• Improve containerized workloads on both Azure and AWS and enhance workload efficiency across analytic platforms such as Databricks, Posit Workbench, and Posit Connect.
• Collaborate across IT and security organizations to ensure compliance, resiliency, and policy alignment.
• Leverage tools such as GitHub, Jira, and ServiceNow as part of a mature DevSecOps operating model.

Full Stack DevOps Engineer, Analytics

Medical Billing and Coding

• Code for Multispecialty Surgery physicians primarily Single Path Coding
• Accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting
• Maintain a working knowledge of coding principles, governmental regulations, official coding guidelines, and third-party requirements
• Achieve and maintain 97% accuracy in coding while maintaining a high level of productivity
• Provide accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request
• Notify administrative staff if standards cannot be met
• Communicate problems or coding principle discrepancies to their supervisor immediately

Multispecialty Medical Coder

ServiceNow

• Lead ServiceNow initiatives with a primary focus on IT Service Management (ITSM), including Incident, Problem, Request, and Knowledge Management workflows.
• Engage with help desk agents, support teams, and business stakeholders to gather functional requirements and translate them into scalable ServiceNow solutions.
• Design, develop, and enhance ServiceNow applications that improve the end‑user support experience, streamline triage processes, and strengthen organizational knowledge practices.
• Analyze current-state Service Desk operations to identify gaps, recurring issues, and areas for improvement; define future‑state support processes that align with ITIL best practices.
• Maintain continuous engagement with help desk teams and ServiceNow users to ensure solutions are intuitive, efficient, and well‑adopted.
• Collaborate closely with technical teams to configure ITSM modules, build knowledge articles, optimize search, and enhance request catalog items.
• Stay current on ServiceNow ITSM, Knowledge Management, and automation capabilities to recommend innovative enhancements that improve Service Desk efficiency.
• Conduct system assessments and provide expert recommendations to streamline existing ServiceNow implementations, with emphasis on ticket routing, SLA management, and self‑service.
• Develop functional work products such as process flows, knowledge governance plans, user guides, communication materials, and operational documentation.
• Support user acceptance testing, knowledge base audits, and training efforts to ensure successful rollout of new features and updates.
• Create technical and functional documentation for ServiceNow workflows, configuration changes, and knowledge management processes.

Help Desk Support – ServiceNow

Solutions Engineer

• Guidehouse has an exciting opportunity for a Microsoft Dynamics Architect to support our client's Case Management system.
• As an Architect, 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.
• Gather technical requirements and propose solutions based on client’s architectural and business needs.
• Drive Dynamics CRM implementations through all project phases, including discovery, definition, build, test, and deploy.
• Lead 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 lead the system architecture process to create, define specifications for, and implement customizations for any custom code or data migration requirements.
• Present tailored demonstrations of the technology solution.
• Work with technology and business groups to define project specifications.
• Develop technical solution designs and implementation plans and take full ownership of the Dynamics 365 solution.
• Interact with both prospective and current customers during product demos/evaluations.
• 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.
• Relay of the solution design to the development team and provide technical guidance during development of the solution to the development team.
• Travel to multiple customer locations for demos and meetings when required.

Technical Sales Solution Architect, Microsoft Dynamics CE

Affiliate Manager

• Lead business development of Strategy pursuits within their territory/market
• Lead advisory and delivery teams on high-impact transformative client engagements
• Build a book of business through senior client relationship management
• Sell and generate at least $10 million/year in true strategy consulting
• Manage teams consisting of consulting experts and advisory personnel
• Oversee and manage contract growth
• Lead client management and growth in performance excellence
• Interface, manage, and expand relationships with client CEOs, CFOs, CTOs and other senior executives
• Own and build critical business and industry relationships
• Advise clients based on knowledge of operations best practices and industry trends

Healthcare Partner, Enterprise Strategy

• Develop, configure, and enhance ServiceNow applications, ensuring alignment with business objectives and best practices.
• Stay current with ServiceNow products, features, and industry trends to drive innovation.
• Perform unit, system, and integration testing.
• Debug and fix technical problems.
• Support the development of detailed technical documentation.
• Provide demonstrations of developed applications to product owners and end users.
• Participate in platform upgrade activities, including regression testing and reconfiguration.

Junior Developer, ServiceNow

Product Designer

• We are actively searching for a UX/UI Designer to support our on-going Federal program.
• Design and conduct user research in the way which is in compliance with steps and methods in the design thinking process
• Convert research findings, user needs and feedback, and business requirements into actionable tasks
• Ideate features from scratch and develop intuitive user interfaces from low-fidelity wireframes through high-fidelity interactive prototypes
• Collaborate and communicate the user experience and findings with the project stakeholders including UX Designers, Researchers, Engineers, Product Owners, Business Analysts, and Product Managers throughout the design process
• Organize and maintain files for easy handoff to developers using Zeplin
• Support development of design system and style guides with team collaboration
• Maintain user-interface and design patterns based on live style guides
• Ensure implementations follow web standards, accessibility, and usability best practices

UX/UI Designer

Business Analyst

• Work closely with the Platform Architect to ensure technical designs and development address requirements in the most effective and secure manner for the overall Dynamics CRM ecosystem.
• Designs and configures Dynamics 365/Power Apps applications and services to deliver new functionality and capabilities
• Perform requirements gathering, Business Process Analysis
• Understand customer requirements and advise project team on highly specialized, complex solutions architecture and implementation
• Participate as the technical expert in proposal development and presentations to prospective clients
• Deliver presentations to all levels of management

Business Analyst, Microsoft Dynamics 365

Customer Support

• Proactively partner with State and Local Government (SLG) market leadership to develop and execute on administrative and operational tasks
• Provide insights to enhance delivery models & outcomes to further the market's goals
• Build & maintain relationships with key stakeholders covering various internal business sectors
• Collaborate with implementation & business development teams to enhance service delivery
• Understand, meet, and exceed the assigned market's operational key performance indicators
• Provide project-specific support on invoicing, budget tracking, revenue forecasts, and project setup

Operations Support Specialist

• As a ServiceNow Subject Matter Expert with deep experience in regulatory compliance, you will devise strategies, design, implement, and optimize governance, risk, and compliance solutions for clients using the ServiceNow Platform
• Translate complex risk, controls, and regulatory compliance business needs into integrated ServiceNow GRC and similar solutions to address client requirements
• Lead and design ServiceNow platform GRC solutions, including Risk Management, Policy and Compliance, and Audit Management modules
• Configure and extend ServiceNow solution components to automate compliance processes, integrations, and reporting
• Provide technical guidance on ServiceNow GRC best practices and advise on regulatory compliance use cases
• Design compliance monitoring and reporting capabilities within ServiceNow
• Collaborate with legal, risk, and compliance teams to understand regulatory obligations

ServiceNow Solutions Architect

Security Operations

• Lead vulnerability management and secure configuration operations, ensuring alignment with federal cybersecurity mandates.
• Manage, monitor, and report vulnerabilities across NIH/HHS systems using tools such as Tenable.sc / Tenable.io and coordinate timely remediation activities.
• Develop vulnerability prioritization models based on risk, exposure, and asset criticality.
• Develop secure configuration baselines and monitoring processes based on CIS Benchmarks.
• Ensure compliance with patching timelines and federal vulnerability directives.
• Collaborate with infrastructure, application, and security teams to validate remediation actions.
• Support preparation of reports for leadership and federal oversight bodies.
• Develop KPI metrics for vulnerability and compliance gap closure rates, asset risk scoring, and compliance tracking.

Cybersecurity Operations Consultant

Software Engineer

• The role as an Appian Journeyman Developer at Guidehouse is critical in designing, developing, and implementing Appian-based applications to meet business needs and drive success.
• Collaborate with project managers, architects, and other developers to design and develop Appian-based applications.
• Develop custom plug-ins, interfaces, and services using Appian.
• Configure Appian environments, including user management, design, and integration with other systems.
• Design and develop Appian interfaces using Appian SAIL, HTML, CSS, and JavaScript.
• Create and maintain technical documentation related to Appian development.
• Troubleshoot and resolve issues related to Appian applications.
• Collaborate on proof of concept and other activities as new Appian product and technical capabilities are released.

Journeyman Appian Developer

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.
• We encourage career development and hiring for the long term.
• As a Consultant, you will follow a clearly defined career path and continue to deepen your specialized industry knowledge and consulting skills.
• As you develop project management skills and leadership abilities, you will have the opportunity to progress to the Senior Consultant level.