Note: The job is a remote job and is open to candidates in USA. Guidehouse is a technology consulting company seeking a Fraud AI / Data Managing Consultant to lead workstreams and deliver advanced AI and data solutions. The role focuses on designing scalable solutions, developing fraud detection rules and machine learning models, leading fraud and payment integrity analytics, engaging clients, and mentoring consultants.
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 payments and 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 junior consultants and senior consultants, and review their technical work
- Ensure solutions align with governance, security, and responsible AI standards (as applicable)
Skills
- 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
- Bachelor's degree
- EIGHT (8) or more years of experience in AI, data science, analytics, or engineering
- FOUR (4) or more years of experience in a fraud/payment integrity-related role
- Experience in **Python/R, SQL**, and data modeling
- Experience with statistical and data analytics
- Experience 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
- Candidates with an ACTIVE PUBLIC TRUST or SUITABILITY are preferred
- Experience leading small teams of junior resources
- Proven ability to communicate complex concepts to non‑technical audiences
- Experience owning deliverable workstreams
- Experience building fraud and/or fincrime monitoring rules in one or more programming languages
- 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
Benefits
- 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
- Remote work
Company Overview
Company H1B Sponsorship