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. Responsibilities will include:

• Lead defined workstreams within healthcare strategy and transformation engagements, owning the day-to-day execution, analytic outputs, and storyline development to ensure high-quality, on-time delivery with 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 “so what” insights—using strong narrative structure, exhibits, 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 (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 staff through 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:

• 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. 

• 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%).

What Would Be Nice To Have:

• Depth in commercial 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 supporting federal health programs (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.

• Preference will be given to candidate within 50 miles of Guidehouse's McLean, VA, office.

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.