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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.

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, including framing the problem, developing hypotheses, designing workplans, and driving execution.
• Apply commercial payer/provider expertise to federal health challenges, considering how reimbursement, payment structures, and policy-driven incentives influence operations, provider behavior, and performance outcomes.
• Perform and guide analysis to insight, including data collection/cleaning, quantitative and qualitative analyses, and translating findings into decision-ready implications.
• Develop executive-ready deliverables (PowerPoint and written products) that clearly communicate insights using strong narrative structure and concise 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 through 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 to enhance analytical rigor and client-ready communication.
• 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 (i.e. US Citizenship required).
• Ability to travel as needed (up to 25%).

Skills

• Commercial payer expertise
• Federal health expertise
• Payer strategy/transformation
• Enterprise strategy
• Operating model development
• Performance improvement
• Payer operations
• Payment operations
• Claims processing
• Analytics
• Policy analysis
• Problem-solving
• Workstream leadership
• Coaching junior staff
• Executive communication
• Data analysis
• Advanced Excel proficiency

Location

• Up to 25% travel

Work Type

• Up to 25% travel

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
• 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 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.
• 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.

Equal Opportunity

• Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
• Consideration of applicants with criminal histories in a manner consistent with applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.