Teams at Guidehouse

Leads financial management consulting teams supporting Federal clients by documenting processes and controls, identifying fraud and financial risks, conducting control reviews, improving audit readiness, advising senior stakeholders, and supporting proposal development and pricing. The role focuses on cash disbursement controls, process remediation, financial risk reporting, and safeguarding Federal funds.

Investigates financial crime risks across AML, KYC, sanctions, fraud, transaction monitoring, and related prevention areas. Assesses customer, transaction, and open-source data to identify red flags and make risk-based decisions. Prepares case documentation, summaries, and findings while meeting regulatory and internal standards. Supports quality assurance, process improvement, and knowledge sharing, exercising sound judgment in complex or ambiguous situations.

Handles healthcare accounts receivable activities, including notification of admission submissions, non-clinical authorizations, payer communications, follow-ups, denials, rejections, letters of agreement, and claim corrections. Maintains accurate authorization and billing documentation, meets payer timeliness requirements, and follows HIPAA and confidentiality standards. The role requires strong English communication, attention to detail, night-shift availability, and familiarity with US healthcare revenue cycle management.