Consultant

About the Role

Guidehouse is seeking Consultants with a solid understanding of how healthcare payer organizations operate, especially in the commercial market, and how reimbursement, payment structures, and policies influence outcomes. This role supports work across commercial and federal health, including VA-related engagements. Commercial payer experience is prioritized, and federal experience is a nice to have. Candidates may come from payer strategy/transformation or payer operations/payment environments (or consulting supporting payers), with an interest in bridging “how payers work” with structured problem-solving and data-informed recommendations.

Key Responsibilities

• Support structured problem solving by breaking down ambiguous questions into well-defined components, helping translate broad client needs into analytic tasks, inputs, assumptions, and outputs under the guidance of senior team members.
• Contribute to data analysis and insight generation by cleaning data, conducting basic quantitative and qualitative analyses, and identifying trends and drivers related to cost, utilization, quality, access, or operational performance; summarize findings and implications for client decisions.
• Conduct research and market scans to support strategic recommendations, including reviewing leading industry practices, benchmarks, and policy or reimbursement dynamics, and synthesizing findings into clear, usable inputs for the team.
• Develop client-ready deliverables (slides, exhibits, brief memos) by drafting content, creating charts and tables, writing clear and concise bullets, and supporting storyline development to ensure outputs are logical, accurate, and appropriate for executive audiences.
• Assist with stakeholder engagement activities by preparing for meetings and interviews, drafting interview guides, capturing notes, supporting workshop logistics, synthesizing stakeholder input, and tracking follow-up actions.
• Support federal health transformation initiatives through analysis and documentation across areas such as strategy and planning, performance measurement, data and reporting, process improvement, and operational enablement, incorporating relevant commercial leading practices as directed.
• Participate in continuous learning and knowledge building by staying current on healthcare market dynamics, emerging technologies, and best practices; seeking and applying feedback; and contributing to internal knowledge sharing, templates, and reusable assets.

Requirements & Tech Stack

• BA, BS, MS, MHA, MBA, or MSBA in Business, Business Administration, Business Analytics, Economics, Finance, Health Administration, Health Informatics, Health Management, Industrial and Operations Engineering, Supply Chain Management, or similar.
• 0-1+ years of professional experience in consulting, strategy, organizational transformation, organizational development, process improvement, workforce strategy, change management, communications, monitoring and evaluation, or emergency response and preparedness.
• Strong analytical skills and comfort working with data.
• Advanced Excel proficiency required.
• SQL/BI tools a plus.
• Ability to create clear, well-organized client deliverables.
• Ability to communicate effectively (written and verbal).
• Ability to obtain a Public Trust clearance (US Citizenship required).
• Ability to adhere to on-site work schedules in the DC metro area as directed.
• Ability to travel as needed; up to 25%.

Qualifications

• Depth in commercial payer functions (e.g., claims/payment operations, payment policy, network strategy, utilization management, value-based care, risk adjustment, payment integrity/FWA) is a plus.
• Provider-side strategy/ops experience (e.g., revenue cycle, access, care coordination, clinical operations, service line strategy) is a plus.
• Experience supporting strategy, operating model, and/or performance improvement initiatives for payer/provider organizations is a plus.
• Exposure to federal health programs, including VA-related work, is a plus.