Job Family:
Strategy & Transformation Consulting
Travel Required:
Up to 25%
Clearance Required:
Ability to Obtain Public Trust
What You Will Do:
We are building out of team with Consultants who have a solid understanding of how healthcare payer organizations operate, especially in the commercial market, and how reimbursement, payment structures, and policies influence outcomes. This pipeline supports work across commercial and federal health, including VA-related engagements; commercial payer experience is prioritized and federal experience is a nice to have. Candidates may come from payer strategy/transformation or payer operations/payment environments (or consulting supporting payers), with an interest in bridging ?how payers work? with structured problem-solving and data-informed recommendations.
Support structured problem solving by breaking down ambiguous questions into well-defined components, helping translate broad client needs into analytic tasks, inputs, assumptions, and outputs under the guidance of senior team members.
Contribute to data analysis and insight generation by cleaning data, conducting basic quantitative and qualitative analyses, and identifying trends and drivers related to cost, utilization, quality, access, or operational performance; summarize findings and implications for client decisions.
Conduct research and market scans to support strategic recommendations, including reviewing leading industry practices, benchmarks, and policy or reimbursement dynamics, and synthesizing findings into clear, usable inputs for the team.
Develop client-ready deliverables (slides, exhibits, brief memos) by drafting content, creating charts and tables, writing clear and concise bullets, and supporting storyline development to ensure outputs are logical, accurate, and appropriate for executive audiences.
Assist with stakeholder engagement activities by preparing for meetings and interviews, drafting interview guides, capturing notes, supporting workshop logistics, synthesizing stakeholder input, and tracking follow-up actions.
Support federal health transformation initiatives through analysis and documentation across areas such as strategy and planning, performance measurement, data and reporting, process improvement, and operational enablement, incorporating relevant commercial leading practices as directed.
Participate in continuous learning and knowledge building by staying current on healthcare market dynamics, emerging technologies, and best practices; seeking and applying feedback; and contributing to internal knowledge sharing, templates, and reusable assets.
What You Will Need:
Bachelor?s degree.
2+ yearsof experience in consulting and/or healthcare industry roles.
Foundational understanding ofpayer operationsand how reimbursement/payment structures and policies influence payment outcomes.
Strong analytical skills and comfort working with data;advanced Excel proficiency required(SQL/BI tools a plus).
Ability to create clear, well-organized client deliverables and communicate effectively (written and verbal).
Ability to obtain aPublic Trustclearance (ship required)
Ability to travel as needed; up to25%.
What Would Be Nice To Have:
Depth incommercial payer functions(e.g., claims/payment operations, payment policy, network strategy, utilization management, value-based care, risk adjustment, payment integrity/FWA).
Provider-side strategy/ops experience (e.g., revenue cycle, access, care coordination, clinical operations, service line strategy).
Experience supportingstrategy, operating model, and/or performance improvementinitiatives for payer/provider organizations.
Exposure tofederal health programs, including VA-related work.
#LI-DNI
The annual salary range for this position is $74,000.00-$124,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Student Loan PayDown
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Mobility Stipend
About Guidehouse
Guidehouse is an Equal Opportunity Employer?Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse?s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant?s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
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