Job Family:

Travel Required:

Clearance Required:

What You Will Do:

We are building out our team with Senior Consultants who have a strong understanding of how healthcare payer organizations operate, especially in the commercial market, and how reimbursement, payment structures, and policies influence decisions and 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 bring 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 coach others.

What You Will Do

• Lead defined workstreamswithin healthcare strategy and transformation engagements, owning the day-to-day execution, analytic outputs, and storyline development to ensurehigh-quality, on-time deliverywith minimal oversight.

• Translate ambiguous client needs into structured problem solving: frame the problem, develop hypotheses, design the workplan, and drive execution (including task planning, analysis, synthesis, and risk/issue escalation).

• Apply commercial payer/provider expertise to federal health challenges, bringing 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: collect/clean data, conduct quantitative and qualitative analyses, and turn findings into decision-ready implications (e.g., trend insights, root cause drivers, opportunity sizing, and prioritization).

• Develop executive-ready deliverables(PowerPoint and brief written products) that clearly communicate 3o what4 insights1using strong narrative structure, exhibits, and concise recommendations.

• Support operational and performance transformationby mapping current state, identifying pain points, designing target-state processes/operating models, and defining governance and metrics (including performance measurement and reporting approaches).

• Facilitate stakeholder engagement: plan and lead working sessions, interviews, and workshops; synthesize inputs; and manage workstream communications with client and internal stakeholders.

• Coach and mentor junior staffthrough thoughtful delegation, quality review, and actionable feedback, raising the bar on analytical rigor and client-ready communication.

• Contribute to internal capability building(templates, accelerators, thought leadership) and, as needed, support proposals/capture efforts across the firm.

What You Will Need:

• Bachelor6s degree.

• 3+ years6 of experience in consulting and/or healthcare industry roles.

• Demonstrated experience in6healthcare strategy and/or transformation, with exposure to payer/provider, operating models, or performance improvement.

• Strong understanding of6commercial payer/provider environments, including reimbursement/payment fundamentals and how policy and payment structures affect outcomes.

• Strong analytical skills and comfort working with data;6advanced Excel proficiency required.

• Proven ability to6lead workstreams, build client-ready deliverables, and communicate effectively (written and verbal).

• Ability to obtain a6Public Trust6clearance (i.e. US Citizenship required)

• Ability to travel as needed (up to 25%).

What Would Be Nice To Have:

• Depth in6commercial payer functions6(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 supporting6federal health programs6(VA strongly preferred), including working in complex stakeholder environments and navigating policy-informed delivery contexts.

• Experience with analytics-enabled transformation (dashboards/scorecards, governance, and adoption).

• MBA/MHA/MPH or other relevant advanced degree.

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