Healthcare Review/Audit Consultant

Job Family

Operational Effectiveness Consulting

Travel Required

Up to 10%

Clearance Required

Ability to Obtain Public Trust

What You Will Do

Guidehouse is looking for a Consultant to work on a Centers for Medicare and Medicaid Services (CMS) project with the Office of Financial Management (OFM).

This role will help us ensure that we successfully conduct thorough reviews of CMS programs, specific to the Affordable Care Act. The Consultant will work with a team of reviewers to support a CMS program integrity initiative. The individual will be expected to analyze data and process documentation; identify policy and program updates; update program materials; verify error findings with stakeholders; document lessons learned; and contribute to development of program documents and reporting. To succeed in this role, the individual should have some experience in conducting data validation and/or audits, excellent time management skills, and communication skills as he/she collaborates with the team and external stakeholders.

In addition, the individual will be responsible for supporting other firm-wide initiatives to support the growth of the firm.

What You Will Need

• Bachelor’s degree in health policy, public health, public policy, or other health, finance, accounting, or social science related field
• 1 – 3 years of professional experience in audit, compliance, research, program management, process improvement, or operations
• Experience with and/or knowledge of data analysis
• Strong writing and presentation skills
• Ability to work independently as well as part of a team, with experience identifying and communicating key work issues to project and task leaders
• Acute attention to detail, process-oriented, and strong work ethic
• Ability to obtain a Public Trust clearance (US citizenship required)

What Would Be Nice To Have

• Knowledge of Health Insurance Exchanges preferred, but not required
• Knowledge of Medicare, Medicaid, Medicare Advantage preferred, but not required
• Auditing experience preferred

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 1-571-633-1711 or via email at [email protected]. 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 [email protected]. 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 [email protected]. 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.