Healthcare Consultant
$74k - $124kGuidehouse Careers
Job Family : Strategy & Transformation Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do : We are building out of team with Consultants who have a solid understanding of how healthcare payer organizations operate, especially in the commercial market, and how reimbursement, payment structures, and policies influence 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 come from payer strategy/transformation or payer operations/payment environments (or consulting supporting payers), with an interest in bridging "how payers work" with structured problem-solving and data-informed recommendations. * Support structured problem solving by breaking down ambiguous questions into well-defined components, helping translate broad client needs into analytic tasks, inputs, assumptions, and outputs under the guidance of senior team members. * C ontribute to data analysis and insight generation by cleaning data, conducting basic quantitative and qualitative analyses, and identifying trends and drivers related to cost, utilization, quality, access, or operational performance; summarize findings and implications for client decisions. * Conduct research and market scans to support strategic recommendations, including reviewing leading industry practices, benchmarks, and policy or reimbursement dynamics, and synthesizing findings into clear, usable inputs for the team. * Develop client-ready deliverables (slides, exhibits, brief memos) by drafting content, creating charts and tables, writing clear and concise bullets, and supporting storyline development to ensure outputs are logical, accurate, and appropriate for executive audiences. * Assist with stakeholder engagement activities by preparing for meetings and interviews, drafting interview guides, capturing notes, supporting workshop logistics, synthesizing stakeholder input, and tracking follow-up actions. * Support federal health transformation initiatives through analysis and documentation across areas such as strategy and planning, performance measurement, data and reporting, process improvement, and operational enablement, incorporating relevant commercial leading practices as directed. * Participate in continuous learning and knowledge building by staying current on healthcare market dynamics, emerging technologies, and best practices; seeking and applying feedback; and contributing to internal knowledge sharing, templates, and reusable assets. What You Will Need : * Bachelor's degree. * 2+ years of experience in consulting and/or healthcare industry roles. * Foundational understanding of payer operations and how reimbursement/payment structures and policies influence payment outcomes. * Strong analytical skills and comfort working with data; advanced Excel proficiency required (SQL/BI tools a plus). * Ability to create clear, well-organized client 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%. 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 strategy, operating model, and/or performance improvement initiatives for payer/provider organizations. * Exposure to federal health programs, including VA-related work. #LI-DNI The annual salary range for this position is $74,000.00-$124,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. 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 View phone number on click.appcast.io or via email at View email address on click.appcast.io (mailto:View email address on click.appcast.io) . 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 View email address on click.appcast.io (mailto:View email address on click.appcast.io) . 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 View email address on click.appcast.io (mailto:View email address on click.appcast.io) . 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.
$150k - $170k
Spry Methods is a proven provider of mission-focused technology, cybersecurity, and program management solutions supporting critical Federal and DoD missions. We specialize in delivering integrated, high-impact solutions across cyber operations, enterprise resource management...SuggestedContract work- ...procurement. At this level, applicants would have obtained this experience working within a health care setting; working directly with healthcare professionals and other administrators to solve problems in support of the delivery of patient care; and experience assisting an...SuggestedPermanent employmentFull timePart timeFor contractorsTraineeshipSeasonal workWork at officeRemote workWork from homeTrial periodRelocation packageMonday to Friday
- Job Title Health System Specialist Job Description Major duties include but are not limited to the following: Responsible for the technical work required for HPE programs including affiliation agreements, trainee qualifications and credentials letter (TQCVL...SuggestedPermanent employmentTraineeshipRemote workRelocation packageMonday to Friday
- CareFirst is seeking a Payment Policy Analyst to work remotely in the greater Baltimore area. This role involves researching, developing, and maintaining payment policies while ensuring compliance with regulatory standards. The successful candidate will analyze complex...SuggestedRemote work
$116.6k - $204k
A prestigious research university is seeking a Corporate Partnerships Specialist focused on Population Health & Health Economics. This role involves expanding corporate research collaborations through strong faculty engagement, industry insight, and strategic planning....Suggested- MANTECH seeks a highly motivated, career and client-oriented Senior Policy Analyst (Artificial Intelligence) to join our Data and AI Practice and support a client in Columbia, MD . This is a full-time job at the client site. Responsibilities include but are not ...Full timeFlexible hours
$150k - $170k
Method, Inc. is looking for a Senior Policy Analyst in Linthicum, Maryland. The role involves conducting policy research, developing recommendations, and managing policy initiatives related to federal and DoD programs. Candidates must have an active Secret security clearance...$290k - $390k
...Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) - Board Certification required * Preferred: Additional certification in healthcare administration, business, or physician advisory Experience: * Minimum 7 years of physician advisory experience and direct...Full timeFor contractorsWork experience placementLocal areaFlexible hours$99k - $232k
...Provider Clinical Operations Consultant, Manager The Opportunity: As a Provider Clinical Operations Consultant, Manager, you will engage with clients in the health services sector to enhance their operational efficiency and effectiveness. Within our Management Consulting...- People And Culture Manager At Kimpton Hotel Monaco Baltimore Inner Harbor, we put our guests on the fast track to luxury, comfort, and urban adventure. Our newly renovated, grand 202-room boutique hotel and The Morely resides in the historic B&O Railroad Headquarters...Work at officeLocal areaWorldwideFlexible hours
- ...Job Description Job Description As a member of MITRE’s Center for Transforming Health, the Healthcare Policy Analyst will provide strategic support to the Department of Health and Human Services and other Federal Civilian Agencies as needed. This position requires...Work experience placementLocal areaNight shift
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