Fraud AI / Data Senior Consultant (remote)

Guidehouse

Virginia (MN)

Hybrid

USD 113,000 - 188,000

Full time

5 days ago
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Job summary

Guidehouse is seeking a Fraud AI/Data Senior Consultant to lead AI and data solutions for fraud prevention and program integrity. This remote-friendly role combines technical depth with client engagement and mentorship of junior staff.

Ideal candidates have 5+ years in AI/data analytics, 3+ years in fraud-related roles, and strong Python/R, SQL, and data modeling skills, plus experience with visualization tools and cloud platforms.

Qualifications

  • Bachelor’s degree from an accredited college/university.
  • Five or more years of experience in AI, data science, analytics, or engineering.
  • Three or more 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 Python/R/SQL.
  • Develop and optimize machine learning models and analytics workflows.
  • Lead data analytics efforts in detecting fraud, waste, abuse, and improper payments.
  • 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
data modeling
statistical analysis
cloud experience

Education

Bachelor's degree

Tools

PowerBI
Tableau
Looker
Databricks

Job description

## Fraud AI / Data Senior Consultant (remote)Apply: US - VA, McLean: US - NY, New York: US - Remote (Any location): US - VA, Arlington: Full time: Posted Today: 44554**Job Family:**Technology Consulting**Travel Required:**Up to 50%**Clearance Required:**Ability to Obtain Public Trust**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.**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 MedicaidThe 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.
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