Senior Consultant - Public Health - Healthcare Review/Audit Policy
Apply Job ID 39013 Date posted 05/04/2026Job Family:
Management Consulting
Travel Required:
Clearance Required:
What You Will Do:
The Healthcare Review/Audit Policy Member is responsible for monitoring federal/state policy changes and court rulings relevant to the Exchanges (e.g., changes impacting the Advanced Premium Tax Credit (APTC)/Qualified Health Plan (QHP) eligibility, and Special Enrollment Periods (SEPs), and through reviewing annual Exchange regulations, sub-regulatory guidance, and system/operations documentation; Assesses the impact of those changes on Exchange Improper Payment Measurement (EIPM) methodology, including review unit logic, scripts, and review tools, and determines where updates are required; Develops policy update deliverables and coordinates with technical, review, and data teams to accurately reflect changes.
What You Will Need:
Bachelor’s degree
3-5+ years of relevant experience
Experience working in or knowledge of the Affordable Care Act, specifically State-Based Exchanges, Federally-Facilitated Exchanges, and health insurance markets and exchanges
Ability to oversee multiple concurrent workstreams
Excellent communication skills (verbal and written)
Strong stakeholder management skills and experience
What Would Be Nice To Have:
Experience with regulatory analysis
Ability to navigate ambiguity and provide clear guidance, direction, and structure to the team
Flexibility and agility to respond to changing requirements in a dynamic environment
Skills to develop training on regulatory updates and train team members on the impact of the changes
Proficiency working with compliance team members and developers to confirm that regulatory changes are properly reflected in testing methodology and automation scripts
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.
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