Jobs at Guidehouse

Handle US healthcare accounts receivable: contact insurers to resolve denials and underpayments, prioritize and follow up on aged claims, document actions, correct claim issues, and comply with confidentiality, HIPAA, and information security policies.

Lead design, development, and deployment of enterprise AI solutions using LLMs and agentic AI. Architect scalable APIs and cloud-native services, implement backend systems (Python, FastAPI/Django/Flask), integrate additional services (Node.js/Go/Java), establish CI/CD, ensure security and production readiness, mentor junior developers, and collaborate with frontend and stakeholders to deliver AI copilots and automation platforms.

Lead and manage RCM accounts receivable operations for US healthcare clients. Ensure client-level processes meet SLAs, maintain compliance with healthcare regulations, oversee departmental production/scheduling, conduct quality assurance, provide training and stakeholder engagement, and drive continuous improvement initiatives.

Perform end-to-end AML investigations for retail banking and/or crypto customers using internal systems and research. Prepare clear case narrations, ensure compliance with AML policies and SLAs, meet productivity and quality targets, escalate risks, collaborate with SMEs, and adapt to process changes.

Perform end-to-end QA of AML investigations across retail banking and crypto, audit analyst decisions, conduct deep-dive QC, produce dashboards and RCA reports, coach analysts, deliver training and calibration, and partner with stakeholders to close quality gaps while meeting SLAs.

Perform end-to-end AML investigations for retail banking and crypto workflows using internal systems and third-party tools. Gather and analyze information, prepare clear case narrations, ensure compliance with AML policies and SLAs, escalate risks, and collaborate with teammates to meet productivity and quality targets while adapting to process changes.

Analyze escalated alerts from L1 analysts, investigate transaction patterns using blockchain tools, and document suspicious activities for compliance.

The Junior Associate AR will manage claims by initiating calls to insurance companies, documenting actions, and ensuring compliance with confidentiality regulations. Responsibilities include resolving denials, rejections, and ensuring timely follow-up of claims.

Manage US healthcare accounts receivable by calling insurers to resolve denials, underpayments, and rejections; prioritize and follow up on aged claims; document actions; ensure HIPAA and information security compliance; process LOAs and claim corrections; and perform denial management and analytical review to guarantee timely resolution.

Manage US healthcare accounts receivable: follow up on aging claims, contact insurers for denials/underpayments, resolve and correct claims (denials, rejections, LOAs), document actions, ensure timely resolution and HIPAA-compliant communications, and work night shifts as required.

Manage US healthcare accounts receivable: contact insurers, investigate denials and underpayments, correct and follow up on claims, prioritize aging queues, document actions, and maintain HIPAA and information security compliance.

Manage US healthcare accounts receivable: follow up on aged claims, contact insurers for denials/underpayments, resolve and document claim actions, work denials/rejections/LOAs, and ensure HIPAA-compliant processes.

Perform investigations on alerts, analyze transactions using blockchain tools, document suspicious activity, and collaborate with compliance teams.

The Process Associate will analyze escalated alerts, investigate suspicious activities, utilize blockchain tools, and collaborate with compliance teams to ensure regulatory adherence.

Lead end-to-end delivery of global Salesforce, RPA, and Microsoft implementations using Agile (Scrum/SAFe). Own planning, financials, governance, stakeholder alignment, quality, resource management, and adoption of AI-enabled delivery practices.

The Senior Associate AR is responsible for following up on claims, contacting insurance companies, and ensuring accurate resolution of denials and underpayments while adhering to HIPAA compliance.

Perform enhanced due diligence (EDD) reviews for trigger and periodic cases, analyze customer and crypto transaction activity, conduct adverse media/sanctions/PEP screening, validate source of funds/wealth, identify crypto-specific risks, escalate suspicious cases, and prepare audit-ready documentation following regulatory and internal policies.

Perform enhanced due diligence reviews (trigger and periodic), analyze customer profiles, crypto flows, sanctions/PEP/adverse media screening, validate source of funds/wealth, identify crypto-specific risks, escalate suspicious cases, and produce audit-ready documentation while ensuring regulatory and policy compliance.

Design, build, and maintain full‑stack enterprise HR applications and integrations with an AI‑first mindset. Support APIs, data modeling, testing, deployment, and post‑release sustainment while collaborating in cross‑functional delivery teams.

Build and enhance full‑stack enterprise application components, APIs, integrations, and data structures with an AI‑first mindset. Support development, testing, deployment, and sustainment under senior guidance, collaborating in cross‑functional delivery teams while following enterprise standards and controls.