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About the Role

We are seeking Senior Consultants with a strong understanding of healthcare payer organizations, particularly in the commercial market, and how reimbursement, payment structures, and policies influence decisions and outcomes. This role supports work across commercial and federal health, prioritizing commercial payer experience while valuing federal experience as a plus. Candidates should possess payer strategy/transformation experience (enterprise strategy, operating model, performance improvement) and/or payer operations/payment experience (claims/payment functions, analytics, policy-informed operations), with the ability to lead workstreams and mentor junior staff.

Responsibilities

Lead defined workstreams within healthcare strategy and transformation engagements, owning day-to-day execution, analytic outputs, and storyline development for high-quality, on-time delivery with minimal oversight.
Translate ambiguous client needs into structured problem-solving by framing the problem, developing hypotheses, designing workplans, and driving execution, including task planning, analysis, synthesis, and risk/issue escalation.
Apply commercial payer/provider expertise to federal health challenges, offering a pragmatic perspective on how reimbursement, payment structures, and policy-driven incentives influence operations, provider behavior, and performance outcomes.
Perform and guide analysis to insight by collecting/cleaning data, conducting quantitative and qualitative analyses, and transforming findings into decision-ready implications (e.g., trend insights, root cause drivers, opportunity sizing, and prioritization).
Develop executive-ready deliverables (PowerPoint and written products) that clearly communicate insights and recommendations.
Support operational and performance transformation by mapping current state, identifying pain points, designing target-state processes/operating models, and defining governance and metrics.
Facilitate stakeholder engagement by planning and leading working sessions, interviews, and workshops; synthesizing inputs; and managing workstream communications.
Coach and mentor junior staff through delegation, quality review, and actionable feedback.
Contribute to internal capability building (templates, accelerators, thought leadership) and support proposals/capture efforts.

Requirements

Bachelor’s degree.
3+ years of experience in consulting and/or healthcare industry roles.
Demonstrated experience in healthcare strategy and/or transformation, with exposure to payer/provider, operating models, or performance improvement.
Strong understanding of commercial payer/provider environments, including reimbursement/payment fundamentals and how policy and payment structures affect outcomes.
Strong analytical skills and comfort working with data; advanced Excel proficiency required.
Proven ability to lead workstreams, build client-ready deliverables, and communicate effectively (written and verbal).
Ability to obtain a Public Trust clearance (US Citizenship required).
Ability to travel as needed (up to 25%).

Skills

Commercial payer strategy/transformation
Enterprise strategy
Operating model development
Performance improvement
Payer operations
Payment functions
Analytics
Policy-informed operations
Workstream leadership
Mentoring junior staff
Structured problem solving
Hypothesis development
Workplan design
Task planning
Analysis
Synthesis
Risk/issue escalation
Commercial payer/provider expertise
Reimbursement analysis
Payment structure analysis
Policy analysis
Quantitative analysis
Qualitative analysis
Data analysis
Executive-level deliverable creation
Process mapping
Target-state design
Governance definition
Performance measurement
Reporting
Stakeholder facilitation
Workshop facilitation
Interviewing
Communication
Advanced Excel proficiency

Location

Up to 25% travel

Work Type

Full-time

Experience Level

Senior Consultant
3+ years of experience

Education Level

Bachelor’s degree
MBA/MHA/MPH or other relevant advanced degree (preferred)

Salary/Compensations

$98,000.00-$163,000.00

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Discretionary variable incentive bonus (potential eligibility)
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life Insurance
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 the Company

Guidehouse is a global AI-led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors.
With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets.
Built to help clients across industries outwit complexity, the firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future.

Equal Opportunity

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.