Fraud AI / Data Managing Consultant (remote)

Navigant; Virginia (MN); Hybrid; USD 130,000 - 216,000; Full time

Benefits offered by this job

Medical Insurance

Dental & Vision Insurance

401(k) Retirement Plan

Parental Leave

Tuition Reimbursement

Mobility Stipend

Job summary

Guidehouse is seeking an experienced Fraud AI/Data Managing Consultant to lead AI and data initiatives remotely across the United States. You will drive client engagements, design scalable analytics, and mentor junior staff.

The role requires 8+ years in AI/data, strong Python/R and SQL, and a track record in fraud or program integrity. Travel up to 50% and a security clearance readiness are preferred.

Qualifications

• 8+ years of experience in AI, data science, analytics, or engineering.
• 4+ years in a fraud/payment integrity-related role.
• Strong Python/R, SQL, and data modeling skills.
• Experience with statistical data analytics and data visualization tools.
• Familiarity with data formats (CSV/JSON/XML/Parquet).
• Experience deploying ML models at scale and MLOps familiarity.
• Cloud experience (AWS/Azure/GCP) and AI platforms like Databricks.
• Experience in healthcare technology or Medicaid domain is a plus.

Responsibilities

• Design and implement scalable AI and data solutions from requirements to deployment.
• Develop, test, and tune fraud prevention and detection rules in multiple languages.
• Develop and optimize ML models and analytics workflows.
• Lead data analytics efforts to detect fraud, waste, abuse, and improper payments.
• Partner with clients to identify AI use cases and translate business needs.
• Own client deliverables and contribute to executive-level presentations.
• Mentor junior and senior consultants and review their work.
• Ensure solutions align with governance, security, and responsible AI standards.

Skills

Python/R

SQL

Data modeling

Statistical analytics

Data visualization

Fraud domain

Cloud experience

MLOps

AI platforms

Team leadership

Healthcare domain

Production deployment

Education

Bachelor’s degree

Tools

Databricks

Palantir

Vertex AI

SageMaker

AWS

Azure

GCP

Job description

## Fraud AI / Data Managing Consultant (remote)Apply: US - VA, McLean: US - NY, New York: US - Remote (Any location): US - VA, Arlington: Full time: Posted Today: 44556**Job Family:**Technology Consulting**Travel Required:**Up to 50%**Clearance Required:**Ability to Obtain Public Trust**What You Will Do**The AI/Data Managing Consultant leads discrete workstreams and delivers advanced AI and data solutions. This role combines technical depth, client engagement, and mentorship of junior team members while driving real‐world AI adoption.**Key Responsibilities*** Design and implement scalable AI and data solutions from requirements to deployment* Develop, test, and tune fraud prevention and detection rules in a variety of programming languages* Develop and optimize machine learning models and analytics workflows* Lead data analytics efforts in detecting fraud, waste, abuse, and improper payments and identifying key areas to target for program/payment integrity improvements* Partner with clients to identify AI use cases and translate business needs into solutions* Own client deliverables and contribute to executive‐level presentations* Mentor junior consultants and senior consultants, and review their technical work* Ensure solutions align with governance, security, and responsible AI standards (as applicable)**What You Will Need:*** Must be able to OBTAIN and MAINTAIN a Federal or DHS \"PUBLIC TRUST\"; candidates must obtain approved adjudication of their PUBLIC TRUST prior to onboarding with Guidehouse. Candidates with an ACTIVE PUBLIC TRUST or SUITABILITY are preferred* Bachelor’s degree* EIGHT (8) or more years of experience in AI, data science, analytics, or engineering* FOUR (4) or more years of experience in a fraud/payment integrity-related role* Experience in **Python/R, SQL**, and data modeling* Experience with statistical and data analytics* Experience working with various data structure formats (CSV/TXT, JSON, XML, Parquet, etc.)* Experience developing, testing, and validating machine learning and other AI models at scale* Experience with data visualization tools (PowerBI, Tableau, Looker, etc.)* Experience with applying data analytics and artificial intelligence in the financial crime compliance and/or fraud, waste, and abuse prevention space* Travel will be 25-50% for candidates not located in the DMV or NYC area**What Would Be Nice to Have:*** Experience leading small teams of junior resources* Proven ability to communicate complex concepts to non‐technical audiences* Experience owning deliverable workstreams* Experience building fraud and/or fincrime monitoring rules in one or more programming languages* Experience working for or supporting **healthcare** technology, healthcare business or healthcare process initiatives* Cloud experience (AWS, Azure, GCP) including data and ML services* Experience deploying models into production (MLOps)* Experience with AI platforms (Databricks, Palantir, Vertex AI, SageMaker)* Prior consulting or client‐facing delivery experience* Federal or State Medicaid experience (directly as an employee or in a consulting role), particularly experience with fraud prevention and detection and/or program integrity experience with MedicaidThe annual salary range for this position is $130,000.00-$216,000.00. 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 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 [e-mail]. 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 [e-mail]. 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 [e-mail]. 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.*