SEnior Consultant, Healthcare Strategy & Transformation

Guidehouse•Rockville, MD

9d•$98,000 - $163,000

About The Position

We are building out our team with Senior Consultants who have a strong understanding of how healthcare payer organizations operate, especially in the commercial market, and how reimbursement, payment structures, and policies influence decisions and outcomes. This pipeline supports work across commercial and federal health, including VA-related engagements; commercial payer experience is prioritized and federal experience is a nice to have. Candidates may bring payer strategy/transformation experience (enterprise strategy, operating model, performance improvement) and/or payer operations/payment experience (claims/payment functions, analytics, policy-informed operations), with the ability to lead workstreams and coach others. What You Will Do Lead defined workstreams within healthcare strategy and transformation engagements, owning the day-to-day execution, analytic outputs, and storyline development to ensure high-quality, on-time delivery with minimal oversight. Translate ambiguous client needs into structured problem solving: frame the problem, develop hypotheses, design the workplan, and drive execution (including task planning, analysis, synthesis, and risk/issue escalation). Apply commercial payer/provider expertise to federal health challenges, bringing a pragmatic perspective on how reimbursement, payment structures, and policy-driven incentives influence operations, provider behavior, and performance outcomes. Perform and guide analysis to insight: collect/clean data, conduct quantitative and qualitative analyses, and turn findings into decision-ready implications (e.g., trend insights, root cause drivers, opportunity sizing, and prioritization). Develop executive-ready deliverables (PowerPoint and brief written products) that clearly communicate “so what” insights—using strong narrative structure, exhibits, and concise recommendations. Support operational and performance transformation by mapping current state, identifying pain points, designing target-state processes/operating models, and defining governance and metrics (including performance measurement and reporting approaches). Facilitate stakeholder engagement: plan and lead working sessions, interviews, and workshops; synthesize inputs; and manage workstream communications with client and internal stakeholders. Coach and mentor junior staff through thoughtful delegation, quality review, and actionable feedback, raising the bar on analytical rigor and client-ready communication. Contribute to internal capability building (templates, accelerators, thought leadership) and, as needed, support proposals/capture efforts across the firm.

Requirements

Bachelor’s degree.
3+ years of experience in consulting and/or healthcare industry roles.
Demonstrated experience in healthcare strategy and/or transformation, with exposure to payer/provider, operating models, or performance improvement.
Strong understanding of commercial payer/provider environments, including reimbursement/payment fundamentals and how policy and payment structures affect outcomes.
Strong analytical skills and comfort working with data; advanced Excel proficiency required.
Proven ability to lead workstreams, build client-ready deliverables, and communicate effectively (written and verbal).
Ability to obtain a Public Trust clearance (i.e. US Citizenship required)
Ability to travel as needed (up to 25%).

Nice To Haves

Depth in commercial payer functions (e.g., claims/payment operations, payment policy, network strategy, utilization management, value-based care, risk adjustment, payment integrity/FWA).
Provider-side strategy/ops experience (e.g., revenue cycle, access, care coordination, clinical operations, service line strategy).
Experience supporting federal health programs (VA strongly preferred), including working in complex stakeholder environments and navigating policy-informed delivery contexts.
Experience with analytics-enabled transformation (dashboards/scorecards, governance, and adoption).
MBA/MHA/MPH or other relevant advanced degree.

Responsibilities

Lead defined workstreams within healthcare strategy and transformation engagements, owning the day-to-day execution, analytic outputs, and storyline development to ensure high-quality, on-time delivery with minimal oversight.
Translate ambiguous client needs into structured problem solving: frame the problem, develop hypotheses, design the workplan, and drive execution (including task planning, analysis, synthesis, and risk/issue escalation).
Apply commercial payer/provider expertise to federal health challenges, bringing a pragmatic perspective on how reimbursement, payment structures, and policy-driven incentives influence operations, provider behavior, and performance outcomes.
Perform and guide analysis to insight: collect/clean data, conduct quantitative and qualitative analyses, and turn findings into decision-ready implications (e.g., trend insights, root cause drivers, opportunity sizing, and prioritization).
Develop executive-ready deliverables (PowerPoint and brief written products) that clearly communicate “so what” insights—using strong narrative structure, exhibits, and concise recommendations.
Support operational and performance transformation by mapping current state, identifying pain points, designing target-state processes/operating models, and defining governance and metrics (including performance measurement and reporting approaches).
Facilitate stakeholder engagement: plan and lead working sessions, interviews, and workshops; synthesize inputs; and manage workstream communications with client and internal stakeholders.
Coach and mentor junior staff through thoughtful delegation, quality review, and actionable feedback, raising the bar on analytical rigor and client-ready communication.
Contribute to internal capability building (templates, accelerators, thought leadership) and, as needed, support proposals/capture efforts across the firm.

Benefits

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