Jobs at Guidehouse

Lead initiatives in process mining using Celonis, manage SAP data migration, develop ETL pipelines, and collaborate with teams to optimize business processes and insights.

The Associate will handle claims in accounts receivable by contacting insurance companies, ensuring resolution, and documenting actions. A focus on timely follow-up and organizational skills is essential.

The Senior Process Associate will manage KYC documentation, conduct investigations, improve processes, and facilitate EDD for customers, while ensuring effective communication and stakeholder engagement.

Looking for a Senior Developer with expertise in Microsoft Dynamics 365 and Power Apps to design, configure, and implement solutions, requiring advanced communication and leadership skills.

Conduct investigations into fraud activities, analyze suspicious cases, provide insights for high-risk cases, and collaborate with teams to enhance fraud controls.

As a Process Associate, you'll manage EDD for customers, conduct research, communicate findings, and ensure compliance with regulations.

Perform investigations on escalated alerts, analyze transactions, use blockchain analytics tools, document suspicious activities, and collaborate with compliance teams.

Lead day-to-day Accounts Receivable operations for healthcare revenue cycle, managing 100–150 staff. Oversee denials management, Medicare/Medicaid coding, stakeholder and client escalations, performance metrics, resource planning, reporting, process improvements, automation initiatives, and quality reviews to meet operational targets.

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.

Manage US healthcare accounts receivable by contacting payers about claim denials and underpayments, prioritizing and resolving claim issues, documenting actions, ensuring HIPAA-compliant phone follow-up, and working denials, rejections and LOAs to achieve claim resolution.

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.

The L1 Investigator performs investigations on escalated alerts involving suspicious activities, analyzes transaction patterns, and collaborates with compliance teams.

The Senior Process Associate will investigate escalated alerts, analyze transaction patterns, utilize blockchain tools, document suspicious activities, and ensure regulatory compliance.

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.

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.

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.

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.

Lead Associate AR is responsible for managing insurance claims, making follow-up calls, and ensuring proper resolution of denials and underpayments, maintaining HIPAA compliance.