Job Family: Business Systems Analysis (ESA), Operational Effectiveness (ESA) Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust What You Will Do: We are seeking experienced Revenue Cycle Management (RCM) professionals to support large-scale transformation initiatives within a Federal healthcare environment. These roles contribute to modernization efforts across enterprise electronic health record (EHR) platforms, including Oracle Health / MHS GENESIS, and support optimization of billing, coding, analytics, communications, and system workflows. Candidates will collaborate with cross-functional stakeholders, develop high-quality deliverables, and drive improvements in revenue cycle performance, compliance, and operational efficiency.
Responsibilities are as follows, to include but not limited to: Revenue Cycle Operations & Optimization Support end-to-end RCM functions including registration, coding, billing, claims, and reimbursement Analyze workflows and identify opportunities to reduce revenue leakage and improve efficiency Conduct charge capture validation and reconciliation between clinical and billing outputs Support Chargemaster (CDM) maintenance and optimization System Configuration & EHR Support Assist in configuration, validation, and troubleshooting of EHR revenue cycle workflows (Oracle Health / Cerner / MHS GENESIS) Analyze billing rules, charge routing logic, and system integrations Partner with IT and configuration teams to resolve technical issues affecting claim generation and processing Data Analysis & Reporting Analyze financial, clinical, and operational data to identify trends and improvement opportunities Develop dashboards, reports, and executive summaries using tools such as SQL, Power BI, Tableau, or similar Track key performance indicators (KPIs) across revenue cycle functions Perform data validation, quality checks, and root cause analysis Claims & Denial Management Investigate claim edits, rejections, and denials Conduct root cause analysis related to coding, documentation, system configuration, or payer rules Recommend and implement corrective actions to improve first-pass payment rates Compliance & Auditing Perform chart-to-bill audits ensuring accurate coding and documentation Ensure compliance with CPT, ICD-10, HCPCS, NCCI edits, and federal regulations (e.g., CMS, TRICARE, DHA) Support audit readiness and regulatory reporting
requirements Communication & Stakeholder Engagement Develop and deliver clear, concise communication products (presentations, reports, newsletters, briefings) Translate complex technical and operational information into stakeholder-friendly messaging Support leadership briefings, program updates, and change management communications Coordinate across teams to ensure consistent messaging and alignment Change Management & Process Improvement Support implementation of system and workflow changes across the organization Develop communication and training materials to drive adoption Identify and implement process improvements to enhance performance and compliance What You Will Need: Must be able to OBTAIN and MAINTAIN a Federal or DoD "PUBLIC TRUST" Bachelor’s degree; four (4) additional years of professional experience may be used in lieu of a degree. THREE (3) or more years of professional experience in revenue cycle management, healthcare consulting, or other relevant field What Would Be
Nice To Have: Bachelor’s degree in Healthcare Administration, Business, Communications, Information Systems, or related field Experience with EHR systems (Oracle Health/Cerner, Epic, or similar), preferably MHS GENESIS Strong understanding of healthcare billing, coding (CPT, ICD-10, HCPCS), and revenue cycle operations Experience analyzing data and developing reports or dashboards Excellent written and verbal communication skills Strong organizational skills with ability to manage multiple priorities Experience supporting Federal healthcare agencies (DoD, DHA, VA, or similar) Familiarity with Military Health System (MHS) operations Certifications such as PMP, CAPM, CPC, CCS, RHIT, or RHIA Experience with analytics tools (SQL, Power BI, Tableau, Python) Experience in large-scale healthcare transformation or EHR implementation programs Knowledge of healthcare data systems, reporting platforms, and interoperability The annual salary range for this position is $61,000.00-$101,000.00.
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 [email protected]. 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 [email protected]. 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 [email protected]. 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. Guidehouse is a global AI-led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors. With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets. Built to help clients across industries outwit complexity, the firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future. guidehouse.com
Information System Security Officer (ISSO)
Change Management and Communications Analyst
DevSecOps Engineer
Associate Director, State and Local Government - Missouri
Salesforce Developer
Salary
$61,000 - $101,000
Location
Remote
Total raised
$5.3B
Last stage
Growth
Investors
Scott McIntyre
Chief Executive Officer (founding CEO)
No applications, no recruiter spam. Just the intro.
A few questions to make sure this role is the right shape for you. Two minutes.
I write the intro, send it to the founder, and handle the back-and-forth.
If they’re a yes, I book the chat. You show up — that’s the whole job-hunt.