Healthcare Review/Audit Senior Consultant
Apply Job ID 36402 Date posted 02/11/2026Job Family:
Operational Effectiveness Consulting
Travel Required:
Clearance Required:
What You Will Do:
This role will help us ensure that we successfully conduct thorough reviews of CMS programs, specific to the Affordable Care Act. The Senior Consultant will work with a team of reviewers to support a CMS program integrity initiative. The individual will be expected to analyze data and process documentation; identify policy and program updates; update program materials; verify error findings with stakeholders; document lessons learned; and contribute to development of program documents and reporting. To succeed in this role, the individual should have some experience in conducting data validation and/or audits, excellent time management skills, and communication skills as he/she collaborates with the team and external stakeholders.
In addition, the individual will be responsible for supporting other firm-wide initiatives to support the growth of the firm.
What You Will Need:
Bachelor’s degree in health policy, public health, public policy, or other health, finance, accounting, or social science related field
3 – 5 years of professional experience in audit, compliance, research, program management, process improvement, and/or operations
Experience with and/or knowledge of data analysis
Strong writing and presentation skills
Ability to work independently as well as part of a team, with experience identifying and communicating key work issues to project and task leaders
Acute attention to detail, process-oriented, and strong work ethic
Ability to obtain a Public Trust Clearance (US Citizenship required)
What Would Be Nice To Have:
Knowledge of Health Insurance Exchanges preferred, but not required
Knowledge of Medicare, Medicaid, Medicare Advantage preferred, but not required
Auditing experience preferred
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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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.