Fraud AI / Data Senior Consultant (remote)
Job Family:
Technology ConsultingTravel Required:
Up to 50%Clearance Required:
Ability to Obtain Public TrustWhat You Will Do
The AI/Data Senior Consultant leads discrete workstreams and delivers advanced AI and data solutions. This role combines technical depth, client engagement, and mentorship of junior team members while driving real-world AI adoption.
Key Responsibilities
Design and implement scalable AI and data solutions from requirements to deployment
Develop, test, and tune fraud prevention and detection rules in a variety of programming languages
Develop and optimize machine learning models and analytics workflows
Lead data analytics efforts in detecting fraud, waste, abuse, and improper paymentsand identifying key areas to target for program/payment integrity improvements
Partner with clients to identify AI use cases and translate business needs into solutions
Own client deliverables and contribute to executive-level presentations
Mentor C2 consultants and review technical work
Ensure solutions align with governance, security, and responsible AI standards (as applicable)
What You Will Need:
Must be able to OBTAIN and MAINTAIN a Federal or DHS "PUBLIC TRUST"; candidates must obtain approved adjudication of their PUBLIC TRUST prior to onboarding with Guidehouse. Candidates with an ACTIVE PUBLIC TRUST or SUITABILITY are preferred.
Bachelor’s degree from an accredited college/university
FIVE (5) or more years of experience in AI, data science, analytics, or engineering
THREE (3) or more years of experience in a fraud/payment integrity-related role
Strong development expertise in Python/R, SQL, and data modeling
Strong statistical and data analytics expertise
Proficiency working with various data structure formats (CSV/TXT, JSON, XML, Parquet, etc.)
Experience developing, testing, and validating machine learning and other AI models at scale
Experience with data visualization tools (PowerBI, Tableau, Looker, etc.)
Experience with applying data analytics and artificial intelligence in the financial crime compliance and/or fraud, waste, and abuse prevention space
Travel will be 25-50% for candidates not located in the DMV or NYC area
What Would Be Nice to Have:
Experience building fraud and/or fincrime monitoring rules in one or more programming languages
Proven ability to communicate complex concepts to non-technical audiences
Experience working for or supporting healthcare technology, healthcare business or healthcare process initiatives
Cloud experience (AWS, Azure, GCP) including data and ML services
Experience deploying models into production (MLOps)
Experience with AI platforms (Databricks, Palantir, Vertex AI, SageMaker)
Prior consulting or client-facing delivery experience
Federal or State Medicaid experience (directly as an employee or in a consulting role), particularly experience with fraud prevention and detection and/or program integrity experience with Medicaid
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.