Senior Consultant – Public Health – Healthcare Review/Audit Policy

Job Family
Management Consulting

Travel Required
Up to 10%

Clearance Required
Ability to Obtain Public Trust

What You Will Do
The Healthcare Review/Audit Policy Member is responsible for monitoring federal and 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)). Responsibilities include reviewing annual Exchange regulations, sub‑regulatory guidance, and system/operations documentation; assessing the impact of those changes on Exchange Improper Payment Measurement (EIPM) methodology—including review unit logic, scripts, and review tools—and determining where updates are required. The role also develops policy update deliverables and coordinates with technical, review, and data teams to ensure changes are accurately reflected.

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

Compensation
The annual salary range for this position is $98,000.00–$163,000.00. 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 reflecting a commitment to 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 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 require an accommodation, please contact Guidehouse Recruiting at 1‑571‑633‑1711 or [email protected]. All information provided will be kept confidential and used only as necessary to provide reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains, including @guidehouse.com or [email protected]. Correspondence from any other domain should be considered unauthorized and will not be honored. 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 recruitment events. Never provide banking information to a third party claiming it is needed for hiring.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. To verify the validity of correspondence, contact [email protected]. Guidehouse is not responsible for losses incurred from 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.

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