Teams 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.