Jobs at Guidehouse

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.

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.

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

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.

Investigate AML transaction monitoring alerts at L2, analyze customer profiles and transaction patterns, prepare SAR-supporting narratives, escalate complex cases, maintain audit-ready documentation, collaborate with QA and compliance, and meet productivity, quality and SLA targets.

Manage training operations, data reporting, and metrics tracking. Collaborate with stakeholders and improve processes using Agile practices.

Handle accounts receivable claims: call insurers for claim status, investigate denials and underpayments, correct and resubmit claims (denials, rejections, LOAs), document billing notes, prioritize aging claims, and follow HIPAA and information security policies. Night shift work required.

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.

Develop, configure, and support Dynamics 365 CE and Power Platform solutions (Model-driven apps, PCF, Power Automate). Build backend integrations (C#, Azure Functions, Logic Apps, REST/SOAP), support CI/CD with Azure DevOps, create technical documentation, participate in full lifecycle delivery, troubleshoot integrations and async operations, and collaborate with architects and stakeholders.

Lead QA for Dynamics 365 CRM (Sales and Customer Insights Journeys). Define test strategy, plan and execute functional/regression/integration/data tests, manage defects, validate releases, produce readiness reports, and mentor test team while collaborating with product and engineering stakeholders.

Perform end-to-end AML investigations for retail banking and crypto workflows using internal systems and third-party/open-source research. Produce clear case narrations, ensure compliance with AML policies and client guidelines, meet productivity and quality SLAs, escalate risks, collaborate with SMEs, and adapt to process and tool changes while supporting team goals.

Investigate escalated AML alerts, analyze transaction patterns and blockchain flows, use blockchain analytics tools to trace funds, document suspicious activity and SAR recommendations, prepare investigative reports, and collaborate with Compliance, Legal, and FIU teams while ensuring regulatory compliance.

Conduct detailed AML investigations on escalated alerts, trace blockchain flows using analytics tools, document suspicious activity and SAR recommendations, prepare investigative reports, and collaborate with Compliance, Legal, and FIU to ensure regulatory and policy adherence.

Investigate escalated AML alerts, analyze complex transaction and blockchain flows, use blockchain analytics tools to trace funds, document suspicious activity and recommend SAR filings, prepare investigative reports, and collaborate with Compliance, Legal, and FIU teams while ensuring regulatory and policy adherence.

The Associate AR will initiate calls for claims status, contact insurance companies about denials, document actions taken, work on claims corrections, and ensure compliance with confidentiality regulations.

The Junior Associate AR will handle claims status inquiries, contact insurance for claim explanations, prioritize pending claims, document actions, and ensure compliance with information security policies. Night shift availability is required.