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About Guidehouse

Guidehouse is a global advisory, technology, and managed services firm delivering value to commercial businesses and federal, state, and local governments. Purpose-built to serve industries focused on communities, energy, and infrastructure, healthcare, financial services, and defense and national security, Guidehouse positions clients for AI- and data-led innovation, efficiency, and resilience. With a relentless pursuit of client success and high-quality standards, more than 18,000 colleagues collaborate across the firm to outwit complexity and achieve transformational impact, shaping the future by inspiring meaning in mission. guidehouse.com

Coder / Senior Coder / QA - Profee & Facility

Chennai

2 - 7 years

INR 2.0 - 7.0 Lacs P.A.

Work from Office

Full Time

About Guidehouse Guidehouse is a global consultancy providing advisory, digital, and managed services to the commercial and public sectors. Guidehouse is purpose-built to serve the national security, financial services, healthcare, energy, and infrastructure industries. We are hiring for Medical coder with 2 to 4 years of experience for EM (IP&OP) / ED (Profee ) / IP DRG for Chennai and Trivandrum Location 5+ years of Experience and 1+ years of Experience as an auditor For QA role ( E/M & ED Profee ) What You Will Do Accurately transforms medical diagnoses and procedures into designated alphanumerical codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Checking input volumes allotted by TL Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Regular interaction with TL and getting feedbacks This position requires that one performs well independently and in a collaborative manner with their entire coding team. Understands in detail the workflow, procedures and specific criteria for the assigned client. Ensures he/she meets the monthly target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. What You Will Need Any Life science, Paramedical Graduates and Post Graduates Minimum Experience: 2-4 year experience for coder / Senior coder 5+ years of Experience and 1+ years of Experience as an auditor For QA role Certification on CPC ( Apprenticeship removed ) ,CIC, COC, or CCS Basic Skill set : Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-9-CM and CPT conventions especially emergency room coding. Interview Date : May 10, 2025 (Saturday) Time : From 9:30 to 1 Pm Venue : 2nd Floor, Cambridge Block, Ramanujan IT City , Rajiv Gandhi Salai, Taramani, Chennai, Tamil Nadu 600 113. Contact person : Jeevanantham B

Senior Process Associate

Trivandrum, Kerala, India

2 - 5 years

Not disclosed

On-site

Full Time

Job Family GIC Process (India) Travel Required None Clearance Required None What You Will Do Investigates suspicious activity as required under the Bank Secrecy Act and USA PATRIOT Act, focusing on counterfeit and fraudulent check activity, suspicious lockbox activity, and related AML/BSA issues.Responsible for the drafting of Suspicious Activity Reports (SARs), documenting decisions not to file SARs, and editing colleagues' SAR submissions.Research and analyses account activity (focusing on counterfeit and fraudulent check activity, and related AML/BSA issues), including open source information (e.g., Internet and Lexis), closed source databases, and internal client information and account transaction databases.Compiles information and documents from a variety of sources to draft SAR reports. Analyses transaction data, research findings, and information received from the business and/or from the end customer or client, to ascertain whether transaction activity is suspicious or has a reasonable explanation, and/or whether fraud is suspected.Looks for linkages across suspicious activities, assessing whether the activity is isolated or part of a larger issue.Identifies and resolves discrepant information.Synthesizes large volumes of data which defines the baseline against which suspicious or reportable instances will be tested.Evaluates and reports on findings to management or senior colleagues.Effectively communicates and interacts with our check-processing and lockbox lines of business, compliance, risk, and other shared services functions internally.Cooperates effectively with other lines of business or risk/compliance to obtain additional information or documentation relevant to assessing whether activity is suspicious or fraudulent.Collaborates with reviewing lawyers on their investigations and successfully implements and responds to recommendations/feedback.Through regular interaction and collaboration, understands the functions of the organization ‘s financial intelligence units and how the units work together in order to meet the organization ‘s obligations under applicable laws and regulatory expectations. What You Will Need Must be a graduate or postgraduate in finance or any other related streams from a recognised university. Minimum 3 years of experience working in a Global AML-CDD/EDD/KYC/Transaction Monitoring or other Banking/Financial Services or Financial Services Regulatory compliance processes.Experience assessing and reviewing system generated and manual AML alerts for potentially suspicious activity.Experience working on reviewing SAR escalations or other risk-based public records and open-source research review.Working knowledge of risk assessment, reviewing suspicious activities.Working knowledge of public records and open-source research.Experience working at MNCs in global processes in Financial Services or Regulatory compliance.Experience working for financial institutions, such as banks (preferably global), NBFCs, or other Financial Institutions.Solid Excel skills.Effective oral and written communication skills. What Would Be Nice To Have Willingness to work for extended office hours based on the project requirements.Certifications in AML process. 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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.

Devops Infrastructure Engineer

Thiruvananthapuram

0 - 2 years

INR 1.0 - 4.25 Lacs P.A.

Work from Office

Full Time

Guidehouse SEAS Platform Engineering team is seeking Fresher DevOps Infrastructure Engineers . The ideal candidate should be interested in learning new opensource and DevOps tools. This role is to support and develop infrastructure for Guidehouse internal projects. This position will be part of the Solutions Engineering and Architecture team and will require working with users across Business segments. Role & responsibilities Collaboratively build and maintain Infrastructure for the Internal stakeholders and external clients (using Terraform) Understanding of Cloud concepts Support internal Dockerized platforms for the Internal analytics users (Posit Containerized products) Administer Linux Servers (RedHat and Ubuntu) Ready to work in the 2 PM to 11 PM shift. Preferred candidate profile Candidates should be from computer background (B. Tech Computer Science or B.Sc CS, BCA etc.) Basic Git version control knowledge Linux training (e.g. RedHat or Ubuntu) Understanding of cloud computing basics Proficiency in at least one scripting language (e.g. Bash, Python) Preferred Qualifications: Candidates should be from computer background (B. Tech Computer Science or B.Sc CS, BCA etc.) Basic Git version control knowledge Linux training (e.g. RedHat or Ubuntu) Understanding of cloud computing basics Proficiency in at least one scripting language (e.g. Bash, Python)

Quality Analyst - KYC

Trivandrum, Kerala, India

0 years

Not disclosed

On-site

Full Time

Job Family GIC Process (India) Travel Required None Clearance Required None What You Will Do Review subject information obtained from multiple sources such as internal and subscription databases, provided documentation, public records, and open source research; Review system generated alerts for potential risks, assess if additional EDD and TM procedures are required to mitigate identified risks associated with that subject, and provide a written recommendation to conduct additional EDD procedures, in accordance with client and internal procedures. Determine if a subject is on a sanctions, watch, debarment, political exposure, or other prohibited entity list using proprietary databases and public records research, as necessary; Conduct targeted public records and open source research to identify a subject’s corporate, professional and risk profile such as criminal and civil litigation profile, regulatory profile, debt profile, and adverse media profile; and Provide comprehensive and detailed written narrative of findings and potential risks. Perform quality assurance checks of the alerts reviewed by the analysts and their proposed recommended EDD and Transaction Monitoring procedures. Perform quality assurance checks of EDD reports written by analysts. Provide constructive verbal and written feedback to EDD Specialists based on the Quality scores. Counsel and train EDD Specialists where necessary to ensure improvement in their work product. Maintain written log of feedback / quality scores / process updates. Prepare and analyze quality reports and share findings with project leadership. What You Will Need Minimum 6+ years of demonstrated track record of conducting TM / EDD and/or investigative public records and open source research. Experience in conducting quality assurance of TM / EDD / CDD / investigative public records and open source research reports. Experience in conducting quality assurance of analyst reviews of system generated alerts of potential financial crime, regulatory, and reputational risks. Demonstrated strong investigation and analytical skills. Excellent English verbal, written and comprehension skills. Excellent interpersonal communication skills. Highly organized and punctual. Highly focused on quality. What Would Be Nice To Have Strong proficiency with Microsoft Office (Excel/Word/PPT). Bachelor’s degree from an accredited college/university. Available to work in extended shifts, weekends/holidays and night shifts (work as per the project requirements to meet the project goals) based on the exigencies of the project. 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Senior Process Associate

Trivandrum, Kerala, India

0 years

Not disclosed

On-site

Full Time

Job Family GIC Process (India) Travel Required None Clearance Required None What You Will Do Performs customer due diligence reviews and seeks to mitigate risks associated to customers risk profile. They apply research and analytic techniques to digest complex information sets to make logical and adequately supported determinations regarding risk profile of the customer.Performing complete KYC CDD, EDD & Risk assessment of the client’s customers profile, which includes (but not limited to). Reviewing customer information obtained from multiple sources like internal database, documentations, third party vendors, Internet research. Verifying the customer’s identity and assessing the risks associated with that customer. Screening customers against prohibited lists. Reviewing transactions and identifying suspicious or high-risk activities. Ensures accuracy of information gathered and provides comprehensive narrations on the customers risk profile. Utilize such information in detecting, monitoring, and reporting suspicious activity. Perform background checks using various screening tools and take decisions whether to report the risk. Owns and oversees end to end customer reviews and ensures accuracy, completeness and validity of files worked. Communicate seamlessly with Client Business lines, Leadership team and other internal stakeholders. Adhere to Targets of Quality and Productivity. Adaptable to learn new processes, concepts and skills. Work in a team and meet the team and Project goals. What You Will Need Must be a graduate or postgraduate in finance or any other related streams from a recognised university. Minimum 3 years of experience working with financial institutions, like banks (preferably global), NBFCs, other Financial Institutions. Experience working at MNCs in global processes in the Financial Services or Regulatory compliance. Experience working on KYC and customer Identification and verification. Experience working on customer risk assessment. Preferred Skills– Experience working in a Global AML-CDD/EDD/KYC/Transaction Monitoring or other Banking/Financial Services or Financial Services Regulatory compliance processes. Working Knowledge of Global AML-KYC policies. Working Knowledge of PEP screening, Sanctions screening Negative Media screening processes. What Would Be Nice To Have Willingness to work in night shift or rotational shifts. Willingness to work for extended office hours based on the project requirements. Certifications in AML process. 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Senior Process Associate

Trivandrum, Kerala, India

0 years

Not disclosed

On-site

Full Time

Job Family GIC Process (India) Travel Required None Clearance Required None What You Will Do Review subject information obtained from multiple sources such as internal and subscription databases, provided documentation, public records, and open-source research. Review system generated alerts for potential risks, assess if additional EDD procedures are required to mitigate identified risks associated with that subject, and provide a written recommendation to conduct additional EDD procedures, in accordance with client and internal procedures. Determine if a subject is on a sanctions, watch, debarment, political exposure, or other prohibited entity list using proprietary databases and public records research, as necessary. Conduct targeted public records and open-source research to identify a subject’s corporate, professional and risk profile such as criminal and civil litigation profile, regulatory profile, debt profile, and adverse media profile; and Provide comprehensive and detailed written narrative of findings and potential risks. The AML CDD team performs customer due diligence reviews and seeks to mitigate risks associated to customers risk profile. They apply research and analytic techniques to digest complex information sets to make logical and adequately supported determinations regarding risk profile of the customer. The CDD process includes the following steps: Performing complete CDD KYC & Risk assessment of the client’s customers profile, which includes (but not limited to) – Review subject information obtained from multiple sources such as internal and subscription databases, provided documentation, public records, and open-source research. Review system generated alerts for potential risks, assess if additional EDD procedures are required to mitigate identified risks associated with that subject, and provide a written recommendation to conduct additional EDD procedures, in accordance with client and internal procedures. Determine if a subject is on a sanctions, watch, debarment, political exposure, or other prohibited entity list using proprietary databases and public records research, as necessary. Conduct targeted public records and open-source research to identify a subject’s corporate, professional and risk profile such as criminal and civil litigation profile, regulatory profile, debt profile, and adverse media profile; and Provide comprehensive and detailed written narrative of findings and potential risks. The CDD process includes the following steps: Performing complete CDD KYC & Risk assessment of the client’s customers profile, which includes (but not limited to) – Reviewing customer information obtained from multiple sources like internal database, documentations, third party vendors, Internet research. Verifying the customer’s identity and assessing the risks associated with that customer. Screening customers against prohibited lists. Reviewing transactions and identifying suspicious or high-risk activities. Ensures accuracy of information gathered and provides comprehensive narrations on the customers risk profile. Utilize such information in detecting, monitoring, and reporting suspicious activity. Perform background checks using various screening tools and take decisions whether to report the risk. What You Will Need Must be a Graduate or postgraduate in finance or any related streams from a recognised university. Minimum 3 years of experience assessing and reviewing system generated and manual AML alerts for potentially suspicious activity. Experience working on EDD, investigative due diligence, customer due diligence or other risk-based public records and open-source research review. Working knowledge of PEP screening, sanctions screening, and adverse media screening processes. Working knowledge of public records and open-source research. Experience working at MNCs in global processes in Financial Services or Regulatory compliance. Experience working for financial institutions, such as banks (preferably global), NBFCs, or other Financial Institutions. Experience working in a Global AML-CDD/EDD/KYC/Transaction Monitoring or other Banking/Financial Services or Financial Services Regulatory compliance processes. Solid Excel skills. Effective oral and written communication skills. What Would Be Nice To Have Certifications in AML process. Willing to work in night shifts or rotational shifts based on the business requirements. 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Lead Trainer- Voice & Accent

Trivandrum, Kerala, India

0 years

Not disclosed

On-site

Full Time

Job Family EBO Training (India) Travel Required None Clearance Required None Responsibility Develop, implement, and monitor training programs within an organization. Supervise technical training for staff. Conduct orientation sessions. Create brochures and training materials. Develop multimedia visual aids and presentations. Create testing and evaluation processes. Prepare and implement training budget. Evaluate needs of company and plan training programs accordingly. Conduct performance evaluations. Provide companies with classroom training, demonstrations, on-the-job training, meetings, conferences, and workshops. Manage staff of classroom facilitators & Provide performance feedback. Conduct continuing education training. Provide leadership development education. Build solid cross-functional relationships. Provide logistical support, course development, delivery, evaluation, process measurements, and cost management. Plan the implementation and facilitation of activities and events, budget spending, material production and distribution, and other resources to ensure that operations are managed within authorized budgets. Assist with the development of strategic plans. Shall understand and abide by the organizations’s information security policy and protect the confidentiality , integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Minimum Qualification Degree / Global Accent Trainer - American Accent Minimum Experience And Skills 7+ Years’ experience To be able to prepare training content. To deliver effective quality training. To be able to monitor calls and provide feedback to the agents on the floor. To inspire trainees and agents to perform better. To be able to prepare training content. To deliver effective quality training. To be able to monitor calls and provide feedback to the agents on the floor. To inspire trainees and agents to perform better. 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Senior Process Associate

Trivandrum, Kerala, India

0 years

Not disclosed

On-site

Full Time

Job Family GIC Process (India) Travel Required None Clearance Required None What You Will Do Performing AML alert reviews where a Transaction Monitoring Analyst seeks to mitigate risks associated to financial crimes and potentially suspicious activity. Applying research and analytic techniques to digest complex information sets in order to make logical and adequately supported determinations in regard to unusual and potentially suspicious activity. Applying consistent and well-documented analysis consistent with industry standards to ensure success in the following daily efforts of Transaction Monitoring: Conducting an end-to-end and meticulous review of potential illegal or suspicious activity; Completing a time-sensitive and meticulous analysis of each instance of potential Anti-Money Laundering activity and/or suspicious financial activity across multiple jurisdictions and countries; Assessment of customer profiles and client data to identify whether activity is consistent with typical purchasing/payment activity, including Acceptable Use Policy adherence and Know Your Customer efforts; and Documenting findings in narrative style format, in the manual and automated process case management system and prepare updates to Project Managers / Team Leads as appropriate. What You Will Need Minimum 5 years of experience assessing and reviewing system generated and manual AML alerts for potentially suspicious activity. Experience working with manual and system generated alerts/cases for the detection of potentially suspicious activity. Knowledge of US reporting requirements as it relates to suspicious activity reports and cash transaction activity. Ability to detect and mitigate red flags for potential financial crime, including money laundering, terrorism financing activities and fraud, as it appears in transactional data. Transaction analysis skills related to international wires, corresponding banking, cash, and check activity. Solid Excel skills. Effective oral and written communication skills. Bachelor’s degree from an accredited college/university is preferred What Would Be Nice To Have Knowledge of Global AML-KYC policy Knowledge of PEP screening, Negative Media screening process. Prior experience working on CDDD, EDD, Transaction monitoring, Sanctions process for US banks or financial institutions. 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Automation Manager

Trivandrum, Kerala, India

0 years

Not disclosed

On-site

Full Time

Job Family Software Application & Development (India) Travel Required Up to 10% Clearance Required None What You Will Do Lead, mentor, and develop a team of automation engineers Foster a culture of innovation, collaboration, and continuous improvement within the team Provide technical oversight on automation and RPA projects Work closely with stakeholders to drive status updates and calls Collaborate with cross-functional teams to gather requirements and manage stakeholders Evaluate and select appropriate RPA/automation platforms( Uipath, Automation Anywhere, Power Platform) What You Will Need _ Solution Architect or Advance Developer Certifications in one of the RPA platforms(Uipath, Automation anywhere) Proficiency in one of the programming language(Python, Java,.Net) Knowledge of database management, APIs and system integrations 5+ years of experience in RPA development, implementations, or related roles 5+ years in project management, process optimizations , and team leadership Strong analytical, problem-solving, and decision -making skill Excellent communication and stakeholder management What Would Be Nice To Have Knowledge of AI, ML , Intelligent Document Processing and process mining tools is advantageous Familiarity with automation use cases in specific domains like, healthcare, finance Awareness of regulatory compliance standards for RPA(eg. GDPR, HIPAA) 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Senior Coder OP Profee Multispecialty Surgery

Trivandrum, Kerala, India

3 - 4 years

Not disclosed

On-site

Full Time

Job Family: Coding OP (India) Travel Required: None Clearance Required: None Responsibility Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM , CPT and HCPCS codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Checking input volumes allotted by TL Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Regular interaction with TL and getting feedbacks. This position requires that one performs well independently and in a collaborative manner with their entire coding team. Understands in detail the workflow, procedures and specific criteria for the assigned client. Ensures he/she meets the monthly target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Shall understand and abide by the organizations’ information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Shall understand and abide by the organizations’ information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience And Skills Minimum Experience: 3-4 year experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially Responsibility Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM , CPT and HCPCS codes. Ensure that the daily coding volumes for the team are turned around accurately within the specified Turnaround Time. Checking input volumes allotted by TL Coding reports as per client guidelines and coding guidelines by maintaining operational quality and productivity. Regular interaction with TL and getting feedbacks. This position requires that one performs well independently and in a collaborative manner with their entire coding team. Understands in detail the workflow, procedures and specific criteria for the assigned client. Ensures he/she meets the monthly target with above 95% accuracy consistently Attend the Weekly QA / Team meetings without fail and respond in two way communication with the Quality analyst/Team Lead. Shall understand and abide by the organizations’ information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Shall understand and abide by the organizations’ information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience And Skills Minimum Experience: 3-4 years experience. Basic Skill set: Strong ability to interpret medical records of the patients in different specialties. Ability to communicate, have excellent interpersonal, listening skills and organizational skills. Ability to work with speed and accuracy. Good analytic skills and expertise to be proficient in accurately coding medical records utilizing ICD-10-CM and CPT conventions especially in Multispecialty Surgery. 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Quality Analyst

Chennai, Tamil Nadu, India

0 years

Not disclosed

On-site

Full Time

Job Family GIC Quality (India) Travel Required None Clearance Required None What You Will Do The AML Triage team performs AML alert reviews and seeks to mitigate risks associated to financial crimes and potentially suspicious activity. They apply research and analytic techniques to digest complex information sets to make logical and adequately supported determinations regarding unusual and potentially suspicious activity. The transaction monitoring process includes the following steps: - Conducting an end-to-end and meticulous review of potential illegal or suspicious activity. Completing a time-sensitive and meticulous analysis of each instance of potential Anti-Money Laundering activity and/or suspicious financial activity across multiple jurisdictions and countries. Assessment of customer profiles and client data to identify whether activity is consistent with typical purchasing/payment activity, including Acceptable Use Policy adherence and Know Your Customer efforts; and Documenting findings in narrative style format, in the manual and automated process case management system and prepare updates to Project Managers / Team Leads as appropriate. As the Quality Analyst you will be Responsible for assessing the quality of the alerts reviewed by the AML Triage Analyst and ensure that they are reviewed in accordance with the guidelines, policies, and procedures. Your key responsibilities will include (but not limited to) the following- Perform Quality checks of the alerts reviewed by the Triage Transaction Monitoring Analyst. Provide constructive feedback to the Analysts based on the Quality scores. Counsel and train the analysts whenever necessary to ensure improvement in the analysts Quality of alerts review. Maintain log of Feedback / Quality Scores / Process updates. Prepares and analyzes quality reports and shares findings with the Management group. What You Will Need Minimum 6+ years of experience working in an AML-Transaction Monitoring process, Out of which at least 1+ year experience as a Quality Analyst. Should have experience in Quality analysis activities. Experience in conducting Quality Check on transaction monitoring alerts reviewed by the Transaction monitoring Analysts. Demonstrated investigation and analytical skills. Excellent verbal, written and interpersonal communication skills. Highly organized and punctual. Highly focused on quality Must be proficient with Microsoft Office (Excel/Word/PPT) What Would Be Nice To Have Advanced computer skills (Strong proficiency in Microsoft Excel and Word.) Advanced English Comprehension skills and English communication skills - written and verbal. Proficient in business email communication. Proficient in articulating ideas and communicating them verbally and in written form. Demonstrated investigation and analytical skills. The ability to quickly learn new skills and subject matter. The ability to apply newly acquired skills, using logic and reasoning, to sets of transaction data. The ability to multi-task and effectively prioritize tasks. A highly motivated, driven, and dynamic attitude towards work and career. The ability to excel within a team environment and independently. Highly organized and punctual. Highly focused on quality Available to work in extended working hours, and night shifts (work as per the project requirements to meet the project goals) based on the exigencies of the project. 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Quality Analyst

Chennai, Thiruvananthapuram

5 - 10 years

INR 7.0 - 12.0 Lacs P.A.

Work from Office

Full Time

Plans, monitors, direct and evaluate QA production on a daily basis. Ensures that daily schedules are met and communicates with Director, and Coding Operations if situations occur that hinder meeting deadlines. If system issues or other emergencies delay QA, an implement measures/schedules to return to established schedules at the earliest possible time. This should be done closely with each quality specialist to ensure the needs are met and that satisfy our client requirements. Responsible for ensuring that the QA communicates a valid, workable schedule for his or her client each week. Accurate, sensible & on-time.**If this doesn t happen properly, it s the responsibility of the Lead QA Specialist to make it happen promptly. Review medical record documentation for accuracy in code assignment of the primary/secondary diagnosis and procedures using ICD-9-CM and CPT-4 coding conventions. Sequence the diagnosis and procedures using coding guidelines. When applicable, ensure MS-DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal/complaint reimbursement for hospital and/or professional charges. This involves reviewing code assignments that are not straightforward or the documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Answers queries from the quality staff on a day to day basis and escalating to the Director of Coding as necessary. Meets agreed sampling targets and accuracy. Keeps abreast of coding guidelines and reimbursement reporting requirements. Documents QA data on teams of QA/coders and records findings in the QA system (GuideAudit), which will be for reporting to the client, identifying risk areas, development of training and education programs and development/implementation of standardization within the organization. This also involves guidance and mentorship of coders. Helps to ensure that continuing education is planned, scheduled and completed for all coding/QA teams through the coordination of the US. Coordinates scheduled quality meetings with the QA and production staff. Brings identified concerns to Guidehouses coding compliance management for discussion. Project Launch - Active involvement in project launch sessions along with team leaders to understand the coding process. Have a rotational arrangement and is flexible to work with any given team as assigned. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. - Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques to effectively apply ICD-9-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures. Assist with research and development and presentation of continuing education programs on areas of specialization. Assist with special projects as required. Example: Focused audits; client launches, etc. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Key Skills: Medical Coding Exp in Denial Coding Qualifications: Accredited medical coders (CCA, CCS, CPC, CPC-H) with at least 5+ years experience.

Trainer

Chennai, Thiruvananthapuram

2 - 7 years

INR 7.0 - 8.0 Lacs P.A.

Work from Office

Full Time

Identify training gaps in the team and develop a plan with department training managers for retraining sessions. Will be responsible for successful implementation of retraining sessions. Monitoring trainee performance data to identify areas to reinforce training material. This includes analyzing exam results in detail and presenting findings + proposed resolutions. This will be shared jointly with others who are also ensuring this process is thorough, complete and regularly monitored. During non-training or non-production periods the trainer would be involved in conducting Refresher trainings for Coders, preparation of training manuals; conduct continued education sessions as assigned. Monitoring and reviewing the progress of trainees through training and provide feedback. Amending and revising Coding training programs as necessary, in order to adapt to the changes that occur in the work environment Ensures open communication and cooperative relationships with all trainees Weekly interaction in a team call with management to report any challenges or to suggest changes in curriculum or delivery. Engages in professional growth activities to enhance job-related knowledge and skill development. Assists in maintaining an organized tracking system to guide all activities/tasks within the department and ensure timely completions against the goals and objectives of the company. Manage members of the training team. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Minimum Qualification Any Life science, Paramedical Graduates and Post Graduates Minimum Experience and skills Minimum Experience: 2-7 years experience. Basic Skill set: Should be a Multispecialty Coder Should have excellent communication & English speaking skills Working knowledge of MS Office - Excel, Word, PowerPoint Should be flexible to work in shifts

Senior Data Science & AI Developer

Trivandrum, Kerala, India

2 - 5 years

Not disclosed

On-site

Full Time

Job Family Data Science & Analysis (India) Travel Required Up to 10% Clearance Required None What You Will Do Design, train, and fine-tune advanced foundational models (text, audio, vision) using healthcare-and other relevant datasets, focusing on accuracy and context relevance. Collaborate with cross-functional teams (Business, engineering, IT) to seamlessly integrate AI/ML technologies into our solution offerings. Deploy, monitor, and manage AI models in a production environment, ensuring high availability, scalability, and performance. Continuously research and evaluate the latest advancements in AI/ML and industry trends to drive innovation. Develop and maintain comprehensive documentation for AI models, including development, training, fine-tuning, and deployment procedures. Provide technical guidance and mentorship to junior AI engineers and team members. Collaborate with stakeholders to understand business needs and translate them into technical requirements for model fine-tuning and development. Select and curate appropriate datasets for fine-tuning foundational models to address specific use cases. Ensure AI solutions can seamlessly integrate with existing systems and applications. What You Will Need Bachelors or master’s in computer science, Artificial Intelligence, Machine Learning, or a related field. 2 to 5 years of hands-on experience in AI/ML, with a demonstrable track record of training and deploying LLMs and other machine learning models. Strong proficiency in Python and familiarity with popular AI/ML frameworks (TensorFlow, PyTorch, Hugging Face Transformers, etc.). Practical experience deploying and managing AI models in production environments, including expertise in serving and inference frameworks (Triton, TensorRT, VLLM, TGI, etc.). Experience in Voice AI applications, a solid understanding of healthcare data standards (FHIR, HL7, EDI) and regulatory compliance (HIPAA, SOC2) is preferred. Excellent problem-solving and analytical abilities, capable of tackling complex challenges and evaluating multiple factors. Exceptional communication and collaboration skills, enabling effective teamwork in a dynamic environment. Worked on a minimum of 2 AI/LLM projects from the beginning to the end with proven value for business. What Would Be Nice To Have Experience with cloud computing platforms (AWS, Azure) and containerization technologies (Docker, Kubernetes) is a plus. Familiarity with MLOps practices for continuous integration, continuous deployment (CI/CD), and automated monitoring of AI models. 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Process Associate / Senior Process Associate

Chennai, Tamil Nadu, India

2 years

Not disclosed

On-site

Full Time

Job Family GIC Process (India) Travel Required None Clearance Required None What You Will Do Performing AML alert reviews where a Transaction Monitoring Analyst seeks to mitigate risks associated to financial crimes and potentially suspicious activity. Applying research and analytic techniques to digest complex information sets in order to make logical and adequately supported determinations in regard to unusual and potentially suspicious activity. Applying consistent and well-documented analysis consistent with industry standards to ensure success in the following daily efforts of Transaction Monitoring: Conducting an end-to-end and meticulous review of potential illegal or suspicious activity; Completing a time-sensitive and meticulous analysis of each instance of potential Anti-Money Laundering activity and/or suspicious financial activity across multiple jurisdictions and countries; Assessment of customer profiles and client data to identify whether activity is consistent with typical purchasing/payment activity, including Acceptable Use Policy adherence and Know Your Customer efforts; and Documenting findings in narrative style format, in the manual and automated process case management system and prepare updates to Project Managers / Team Leads as appropriate. What You Will Need Minimum 2+ years of experience assessing and reviewing system generated and manual AML alerts for potentially suspicious activity. Experience working with manual and system generated alerts/cases for the detection of potentially suspicious activity. Knowledge of US reporting requirements as it relates to suspicious activity reports and cash transaction activity. Ability to detect and mitigate red flags for potential financial crime, including money laundering, terrorism financing activities and fraud, as it appears in transactional data. Transaction analysis skills related to international wires, corresponding banking, cash, and check activity. Solid Excel skills. Effective oral and written communication skills. Bachelor’s degree from an accredited college/university is preferred What Would Be Nice To Have Knowledge of Global AML-KYC policy Knowledge of PEP screening, Negative Media screening process. Prior experience working on CDDD, EDD, Transaction monitoring, Sanctions process for US banks or financial institutions. 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Senior Process Associate

Chennai, Tamil Nadu, India

3 years

Not disclosed

On-site

Full Time

Job Family GIC Process (India) Travel Required None Clearance Required None What You Will Do Review of transactions, prior alerts or investigations, and accounts held by the subject. Responsible for hands-on resolution of client fraud issues and daily client needs Executing procedures as prescribed; opening reviews for all matters upon which an assessment is performed; determining that an investigation is or is not warranted Ensure appropriate collection and analysis of documents to obtain a complete understanding of the fraudulent activity Document adequately all findings and conclusions related to the assessment with explanations in narrative form. Exhibit judgement on sensitive matters and execute required deliverables Coordinate interdepartmental fraud response and subsequent actions between Deposit Operations, RMs and RAs and Treasury Provide daily administrative functions for fraud triage and investigations to include; obtaining the proper documentation, account monitoring, facilitate opening and closing accounts, managing exceptions, and contacting clients Create and submit SAQ’s as needed Ensure timely and accurate reporting, and proper disposition to fraud events Responsible for building strong working relationships with clients and team members/internal partners Execute special projects as needed Conduct research and analysis of account activity to assess levels of risk and detect fraudulent activity Act as a subject matter expert providing guidance to clients on fraud events and their required actions Utilize strategic tools, resources and procedures to diligently evaluate accounts and customer situations that may require unique treatment and a specialized approach What You Will Need Work Experience: 3 years in the financial service industry or similar environment, such as Customer Service, Operations, or Fraud Prevention Strong understanding of payments (ACH, wire, check, Real-time) as well as related fraud typologies Analyze available information via multiple internal and external tools to achieve the proper Fraud/Not Fraud decision Familiar with common and current scam typologies Working knowledge of related fraud typologies and suspicious signals Strong verbal communication and problem-solving skills Ability to multi-task, as needed, to get the job done Working knowledge of loss and fraud detection/prevention principals, multiple fraud areas, compliance and regulatory issues related to the department and/or company Solid analytical, interpretive and problem solving skills Realtime understanding of the fraud threat landscape as it relates to consumer, business and commercial banking products Experience with modern fraud monitoring/detection systems (Actimize, Verafin, Nuance, and similar systems) as well as research systems (LexisNexis, IDology, Threatmetrix and similar type systems) Sympathetic and patient with customers that are victims of fraud and/or scams Excellent relationship management skills - experience of managing relationships across a variety of internal cross functional departments Demonstrated ability to coordinate time sensitive activities to help protect the bank and our clients Effective analytical, problem solving, and decision-making skills Efficient organizational skills to include effective time management in all key responsibilities of the job Effective project and change management skills, ability to work at a consistently changing pace Proficient knowledge of PC/Internet including Word, PowerPoint and Excel Familiarity with Salesforce CRM tools a plus What Would Be Nice To Have Knowledge of Fraud alert investigation and Financial Crime compliance methodology. 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Senior Coder - E/M

Chennai, Tamil Nadu, India

2 years

Not disclosed

On-site

Full Time

Job Family Coding OP (India) Travel Required None Clearance Required None Responsibilities Review and analyze clinical documentation to assign applicable medical codes. Utilize Evaluation and Management (E&M) codes for IP/OP services. Ensure accuracy and compliance with all regulatory guidelines and billing requirements. Maintain updated coding books and guidelines. Communicate effectively with healthcare providers to clarify documentation. Participate in coding audits and implement feedback for continuous improvement. Assist in resolving any coding-related issues that impact the billing process. Qualifications 2+ Years of experience in E&M Coding (IP/OP) Certified Professional Coder (CPC) credential with Apprentice status removed Proven experience in E&M coding for in-patient and out-patient services. Strong knowledge of medical terminology, anatomy, and physiology. Familiarity with healthcare billing and compliance standards. Excellent attention to detail and accuracy in coding and documentation. Ability to work independently and meet tight deadlines. Skills E&M Coding ICD-10 CPT HCPCS Medical Terminology Anatomy and Physiology MDM Table Latest Updates Modifiers Compliance Guidelines Billing Software Detail-Oriented Analytical Thinking 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Business Analyst

Trivandrum, Kerala, India

3 - 5 years

Not disclosed

On-site

Full Time

Job Family Advanced Business Analysis (India) Travel Required None Clearance Required None What You Will Do Understand the requirements from product owners and coordinate with the developers Create, edit, and manage Jira tickets, ensuring they are clear and prioritized for development efficiency Need to play Scrum Master and BA role for small projects. Assist with and contribute to technical documentation that outlines backend systems and infrastructure processes Collaborate with Technical Product Analysts and Product Managers to derive data insights and improve developer experience What You Will Need 3-5 Years of experience as Business Analyst Bachelor’s degree in computer science or IT. Strong collaborative skills and the ability to communicate effectively across technical teams. Keen attention to detail with excellent written communication skills. Healthcare Domain knowledge. What Would Be Nice To Have Exposure to cloud infrastructure environments Basic understanding of Scrum/Agile methodologies Exposure to Analytics projects. Basic statistics 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Manager AR Quality_RCM

Chennai, Tamil Nadu, India

3 years

Not disclosed

On-site

Full Time

Job Family EBO Accounts Receivable (India) Travel Required None Clearance Required None Responsibility This position will be responsible for managing the business operations which include delivery, processes and people within medical billing team(s) in the Extended Business Office Services Department. He/She will manage day-to-day activities related to operations and will be responsible for driving delivery-specific process improvement initiatives in the department. Operations Responsibilities Responsible for monitoring team level processes and ensuring SLAs for all clients/projects are met Management of day-to-day operations, planning and problem solving on the floor with team leaders and/or team members Mentoring, developing and guiding junior staff and team leaders to drive constant process improvement. Responsible for managing departmental staff to include production, scheduling, and all facets of production and service delivery Provide support and guidance for quality assurance reviews and delivery of feedback and training Develop, generate, and deliver routine reports required for monitoring and reporting on team’s performance and providing customer feedback. Routine analysis of reporting metrics and performance measures Problem solving on production related issues with team members, as required. Willingness to work rotating shifts and workdays based on agreed schedules in order to meet operational and departmental objectives. Shall understand and abide by the organizations’ information security policy and protect the confidentiality, integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities. Minimum Qualification Bachelor’s degree in a related field (BBA, B.Com, BSc, B Tech, etc) from an accredited college or university. Minimum Experience And Skills Five or more years experience in healthcare revenue cycle arena such as medical billing, health insurance adjudication, A/R follow-up and healthcare collections. At least 3 years in a supervisory position. Experience managing multi-faceted teams of various process types working in shifts Experience in process building, mapping and new project implementation Expert level understanding of operational metrics, methodologies and processes Ability to liaise with all levels of the business Excellent analytical, critical thinking skills and problem-solving skills Excellent English language skills (written & verbal) Experience training and mentoring junior staff Proficiency in Microsoft Office (Word, Outlook, Excel, PowerPoint) 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

Associate Director

Chennai, Tamil Nadu, India

15 years

Not disclosed

On-site

Full Time

Job Family EBO Accounts Receivable (India) Travel Required Up to 10% Clearance Required None What You Will Do Plans, monitors, direct and evaluate Associates production. Ensures that schedules are met and communicates with VP, and Associates Operations if situations occur that hinder meeting deadlines. If system issues or other emergencies delay Associates, implements measures/schedules to return to established Associates schedules at the earliest possible time. Identifies operational priorities and other work flow issues; ensures a constant flow of work so that delivery schedules are met. Assists in the development and revision of operational policies and procedures that facilitate efficient workflow. Develops an understanding of the workflows, procedures and specific criteria for each assigned client. Emphasizes productivity goals and takes action to ensure effective and efficient use of staff is maintained. Creatively plans for allocation of extra capacity for backlog Associates. Oversees performance to ensure that staff is performing within the established quality and production performance criteria. Assists in coordinating scheduled quality meetings with the production staff. Responds to and ensures that the acknowledgement mail on daily updates is sent to US. Ensures client mails are promptly responded to. Maintains technical knowledge of Associates. Bring proven ability to oversee and provide support and/or direction on quality issues. Co-Ordinate and follow through on the training plans for adding new trainees onto an account. Guideline updates – Co-ordinate with the QA staff to ensure that the update is understood by the Associates. Project Launch - Active involvement in project launch sessions to understand the Associates process and track the daily progress during the launch period. Shall understand and abide by the organization’ s information security policy and protect the confidentiality , integrity and availability of all information assets. Shall report incidents related to security of information to concerned authorities What You Will Need Bachelor Degree, Master Degree 15+ Years of Experience What Would Be Nice To Have A flexible mentality to learn a slightly different approach as applied by Navigant. Strong attention to detail and a highly reliable work ethic. 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. 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 RecruitingAccommodation@guidehouse.com. 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 guidehouse@myworkday.com. 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 recruiting@guidehouse.com. 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. Show more Show less

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Guidehouse

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Business Consulting and Services

McLean Virginia

10001 Employees

124 Jobs

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