Fraud AI / Data Senior Consultant (remote)

Guidehouse; New York (NY); On-site; USD 113,000 - 188,000; Full time

Benefits offered by this job

Health Insurance

Parental Leave

401(k) Plan

Tuition Reimbursement

Mobility Stipend

Employee Referral Program

Job summary

Guidehouse is seeking an AI/Data Senior Consultant in Technology Consulting to lead discrete workstreams, deliver advanced AI and data solutions, and mentor junior team members. You will engage clients, translate business needs into scalable technical designs, and drive real-world AI adoption across complex programs.

The role requires strong Python/R, SQL, data modeling, and ML capabilities, with extensive fraud and program integrity experience.

Qualifications

• Bachelor’s degree from an accredited college/university.
• 5+ years of experience in AI, data science, analytics, or engineering.
• 3+ years of experience in a fraud/payment integrity-related role.
• Strong development expertise in Python/R, SQL, and data modeling.
• Experience with data visualization tools (PowerBI, Tableau, Looker).

Responsibilities

• Design and implement scalable AI and data solutions from requirements to deployment.
• Develop, test, and tune fraud prevention and detection rules in various programming languages.
• Develop and optimize machine learning models and analytics workflows.
• Lead data analytics efforts in detecting fraud, waste, abuse, and improper payments and identify areas to target for program 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 C2 consultants and review technical work.
• Ensure solutions align with governance, security, and responsible AI standards.

Skills

Python

R

SQL

Statistical analysis

Data analytics

Mentoring

Education

Bachelor’s degree

Tools

PowerBI

Tableau

Looker

Databricks

Palantir

Vertex AI

SageMaker

MLOps

Job description

What You Will Do

The AI/Data Senior 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.

Job Family

Technology Consulting

Travel Required

Up to 50%

Clearance Required

Ability to Obtain Public Trust

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 C2 consultants and review 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 from an accredited college/university
• FIVE (5) or more years of experience in AI, data science, analytics, or engineering
• THREE (3) or more years of experience in a fraud/payment integrity-related role
• Strong development expertise in Python/R, SQL, and data modeling
• Strong statistical and data analytics expertise
• Proficiency 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 building fraud and/or fincrime monitoring rules in one or more programming languages
• Proven ability to communicate complex concepts to non‑technical audiences
• 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 Medicaid

The annual salary range for this position is $113,000.00-$188,000.00. 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.

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.