Fraud AI & Data Solutions Lead (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

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.