Jobs at Guidehouse

Manage U.S. healthcare accounts receivable claims by contacting insurers, investigating denials and underpayments, correcting rejected claims, prioritizing aging accounts, and ensuring timely resolution. The role requires accurate documentation, professional phone communication, HIPAA-compliant handling of information, security policy adherence, and strong understanding of healthcare claims processing.

Investigate AML transaction-monitoring alerts at an L2 level, analyzing customer profiles, transactions, risk indicators, and financial crime typologies. Determine case closures or escalations, prepare investigation narratives and SAR-supporting documentation, and maintain audit-ready records. Collaborate with quality, compliance, and client teams on calibration and process alignment. Support process improvements while meeting productivity, quality, SLA, and attendance targets in a fast-paced, rotational-shift environment.

Perform end-to-end QA of AML investigations across Retail Banking and Crypto, auditing analyst decisions, blockchain analytics and OSINT use, coaching analysts, maintaining quality dashboards, driving calibration, and partnering with stakeholders to close quality gaps and support audit readiness.

Conduct L2 AML transaction monitoring investigations: analyze customer profiles and transactions, identify red flags, prepare SAR-supporting narratives, escalate complex cases, maintain audit-ready documentation, meet productivity and SLA targets, and support process improvements.

Perform accounts receivable tasks including contacting insurers about denials and underpayments, following up on claims, documenting actions, resolving denials/rejections/LOAs, and ensuring confidentiality and HIPAA-compliant handling of claim information.

Perform end-to-end quality assurance and QC audits of AML investigations across retail banking and crypto domains. Evaluate customer risk profiling, transaction monitoring, sanctions screening, suspicious activity identification, regulatory alignment, and case narratives. Provide analyst coaching, training, calibration, and SME support; maintain quality dashboards, scorecards, trend analysis, and root-cause reports. Partner with stakeholders on process improvements, SOP updates, audit readiness, and adherence to productivity, turnaround-time, and quality SLAs.

Perform end-to-end AML investigations for retail banking and/or crypto customers using internal systems and third-party tools. Gather evidence, produce clear case narrations, ensure compliance with AML policies and regulatory requirements, meet productivity and quality SLAs, escalate risks, collaborate with SMEs, and adapt to process changes while supporting team goals.

Conduct end-to-end AML investigations for retail banking and cryptocurrency workflows. Research customer information using internal systems, third-party tools, and open sources; document risk indicators and investigation conclusions; ensure compliance with AML policies and regulations; meet quality, productivity, and SLA targets; identify and escalate risks; and collaborate with team members and support functions.

Design, build, and support Dynamics 365 Customer Engagement and Power Platform solutions. Implement integrations and backend services (C#, Azure Functions, Logic Apps), develop PCF and client-side customizations, maintain Dataverse models/security, support CI/CD with Azure DevOps, produce documentation, and participate in full lifecycle delivery and production support.

Conduct end-to-end AML investigations for retail banking and crypto workflows. Gather information through internal systems, third-party tools, and open-source research; assess risk indicators; document case findings and decisions; and ensure compliance with AML policies, client guidelines, and regulatory requirements. Meet productivity, quality, and SLA targets, escalate potential risks, collaborate with team members and SMEs, and adapt to process or workflow changes.

Review and investigate Level 2 AML transaction-monitoring alerts, analyze customer and transaction risk, identify suspicious activity, prepare SAR-supporting narratives, and escalate complex cases. Maintain audit-ready documentation, collaborate with quality and compliance stakeholders, support calibration and process improvements, and meet productivity, quality, SLA, and attendance targets.

Handle accounts receivable billing tasks: call insurers for claim status, resolve denials and underpayments, update claim notes, prioritize and correct claims, follow HIPAA and information security policies, and work night shifts.

Lead day-to-day transaction monitoring operations including alert review, investigations, escalation, quality control, performance management, stakeholder governance, reporting, and people development for AML/compliance teams.

As a Junior Associate in Accounts Receivable, you will manage claims by contacting insurers, ensuring follow-ups, and documenting actions for resolutions. You also ensure compliance with confidentiality and security policies.

Perform accounts receivable and claims follow-up by contacting insurers, resolving denials and underpayments, documenting actions, prioritizing aging claims, and ensuring HIPAA-compliant handling of patient information. Work includes correcting rejected claims, processing LOAs, and timely claim resolution.

As a Project Manager, you'll lead Salesforce and other application projects, manage schedules, resources, and risks, and ensure clients' success with implementation.

Design, implement, and automate cloud infrastructure and CI/CD pipelines using Terraform, Ansible, GitHub Actions, and cloud services (AWS/Azure). Administer Linux VMs, build APIs/cloud functions, perform code reviews, mentor junior engineers, and collaborate with product and tech leads to improve platform reliability and processes.

The role involves reviewing transactions for fraud, resolving client fraud issues, conducting investigations, creating documentation, and coordinating responses. It requires strong analytical skills, effective communication, and a comprehensive understanding of fraud prevention.

Perform L2 AML transaction monitoring: investigate alerts, analyze customer and transaction patterns, prepare SAR-supporting narratives, escalate complex cases, maintain audit-ready documentation, meet productivity and SLA targets, and collaborate with QA, compliance, and client stakeholders to improve processes.

Handle US healthcare accounts receivable tasks: call insurers to resolve denials and underpayments, prioritize and follow up on aged claims, document actions, correct claims, and maintain HIPAA and information security compliance.