Jobs at Guidehouse

Handles healthcare accounts receivable activities, including notification of admission submissions, non-clinical authorizations, payer communications, follow-ups, denials, rejections, letters of agreement, and claim corrections. Maintains accurate authorization and billing documentation, meets payer timeliness requirements, and follows HIPAA and confidentiality standards. The role requires strong English communication, attention to detail, night-shift availability, and familiarity with US healthcare revenue cycle management.

Reviews and investigates Level 2 AML transaction-monitoring alerts, analyzing customer profiles, transactions, risk indicators, and financial-crime typologies. Determines case closure or escalation, prepares investigation narratives and SAR-supporting documentation, and maintains audit-ready records. Collaborates with quality, compliance, and client teams on calibration and process alignment. Supports control improvements while meeting productivity, quality, SLA, and attendance targets in a potentially rotational-shift environment.

Manages PMO governance, project delivery, planning, reporting, risk management, stakeholder engagement, resource allocation, budgets, and continuous improvement. Develops dashboards and executive reports, monitors KPIs and milestones, facilitates governance forums, maintains portfolio visibility, and drives process standardization and automation across multiple initiatives.

Executive leadership role responsible for enterprise people strategy, organizational culture, leadership development, organization design, succession planning, performance and rewards, employee experience, compliance, and workforce risk. Advises the CEO and Board while aligning talent capabilities with business growth, transformation, productivity, and long-term organizational resilience.

Reviews and investigates Level 2 AML transaction-monitoring alerts, analyzing customer profiles, transactions, risk indicators, and financial-crime typologies. Determines case closure or escalation, prepares investigation narratives and SAR-supporting documentation, and maintains audit-ready records. Collaborates with QA, compliance, team leads, and clients on calibration and process alignment. Supports control improvements while meeting productivity, quality, SLA, and attendance targets.

Conduct end-to-end AML investigations for retail banking and cryptocurrency workflows. Gather information from internal, third-party, and open-source tools; assess risk indicators; document case findings and decisions; and ensure compliance with AML policies, client guidelines, and regulations. Meet quality, productivity, and SLA targets, escalate discrepancies, collaborate with stakeholders, and adapt to changing processes. The role requires strong analytical, investigative, communication, documentation, and process-adherence skills.

Reviews and investigates Level 2 AML transaction-monitoring alerts, analyzes customer and transactional risk, identifies suspicious activity, and prepares investigation narratives and SAR-supporting documentation. The role handles complex financial crime cases, makes closure or escalation decisions, maintains audit-ready records, collaborates with compliance and quality teams, supports process improvements, and meets productivity, quality, SLA, and attendance targets.

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.

Handles inpatient and observation account notifications, non-clinical authorizations, payer follow-up, documentation, denials, rejections, and claim corrections. Ensures timely submissions, accurate system records, confidentiality, HIPAA compliance, and adherence to payer requirements. The role excludes clinical review, medical necessity decisions, appeals, and physician advisor services. Requires a graduate degree, strong English communication, two or more years of US healthcare accounts receivable experience, night-shift availability, and familiarity with payer communication channels and denial management.

Follows up with insurance companies on accounts receivable claims, investigates denials and underpayments, corrects rejected claims, prioritizes aging claims, documents actions, and ensures timely resolution while maintaining confidentiality and HIPAA compliance. The role requires graduate-level education, strong written and verbal communication, and availability for night shifts.

Processes inpatient and observation account notifications, submits non-clinical authorizations through payer channels, documents authorization details, follows up on pending or rejected submissions, and supports denial and rejection corrections. The role requires accurate revenue-cycle documentation, payer timeliness compliance, confidentiality and HIPAA adherence, and prioritization of aging accounts for follow-up calls.

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 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.

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.

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.

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.

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.