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Health Financial Crime and Fraud, Managing Consultant

Apply Job ID 21631 Date posted 08/22/2024

Job Family:

Forensic Accounting Consulting


Travel Required:

Up to 25%


Clearance Required:

None

What You Will Do:

Guidehouse has an aggressive growth strategy for its Health Financial Crime, Fraud, and Investigative Services practice. Guidehouse is currently seeking candidates with relevant fraud, regulatory compliance, and/or investigations experience (e.g. litigation and/or disputes consulting, forensic accounting, operational and/or compliance consulting) or relevant health care operations management at any/all of the following:  public health agencies, payer/providers, life sciences companies, law firms, and/or regulators/enforcement agencies (DOJ, OIG etc.).

Responsibilities will include, but not be limited to, the following:
Assist with health and life sciences compliance, audit, and risk consulting engagements across public health agencies, payer/ providers, life sciences companies and/or regulatory/government (DOJ, OIG etc.).

  • Provide support for fraud and/or bribery and corruption investigations.
  • Assist in the development and delivery of proposals to
    prospective clients.
  • Assist in the development and production of reports, presentations, analyses, and memos summarizing observations, trends, findings, and/or recommendations.
  • Flexibility with respect to assigned tasks and engagements due to challenging deadlines, changing deliverables, and evolving task priorities.
  • Excellent oral and written presentation skills.


What You Will Need:

  • A Bachelor's degree in finance or accounting from an accredited college/university.
  • Minimum 7 years of fraud, regulatory compliance, and/or
    investigations experience or relevant health care operations management at any/all of the following:  public health agencies, payer/ providers, life sciences companies and/or regulatory/government (DOJ, OIG etc.).
  • Strong understanding of public health, payer/provider, and/or life sciences regulations, standards, common fraud or waste abuse schemes, and common corruption and best practices.
  • Certified Public Accountant or accounting background
  • Proficiency in MS PowerPoint, MS Word, and MS Excel.
  • Must be willing to travel. Travel requirements vary based on project and client needs.
  • In the New York City (NYC) or Washington D.C. area, or willing to relocate at own expense if not currently based there.
  • Able and willing to come into Guidehouse's NYC or Tysons Corner office 3 days per week for internal meetings and work at clients' locations when required.


What Would Be Nice To Have:

  • Experience working at two or more of the following: public health agency, payer/provider, life sciences company, regulator, or enforcement agency.
  • Familiarity with case management tools and data analytics.
  • Experience with Corporate Integrity Agreements.
  • Experience with compliance program reviews and/or development and implementation for payer/providers and/or life science companies.
  • Experience with internal investigations of fraud and/or bribery and corruption for public health agencies, payer/providers, and/or life science companies.

The annual salary range for this position is $109,100.00-$163,700.00. 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 Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, 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.


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.

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