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Senior Fraud AI/Data Consultant
Guidehouse. Lead discrete workstreams and deliver advanced AI and data solutions .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in developing and implementing AI and data solutions, with a strong focus on fraud prevention and detection. Proficient in statistical analysis, machine learning model development, and client engagement to translate business needs into actionable solutions.
Highest-signal resume keywords
AI Solution DevelopmentFraud Prevention ExpertisePython/R ProgrammingData AnalyticsMachine Learning Model Deployment
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
AIData ScienceAnalyticsPythonRSQLData ModelingStatistical AnalysisMachine LearningFraud Detection
Soft Skills
Client EngagementMentoringCommunication
Tools & Technologies
PowerBITableauLookerAWSAzureGCPDatabricksPalantirVertex AISageMaker
Certifications & Qualifications
Federal Public Trust
Industry Keywords
Fraud PreventionPayment IntegrityHealthcare TechnologyFinancial Crime ComplianceMLOps
Tech Stack
Tools & technologiesAWSAzureCloudGoogle Cloud PlatformPythonSQLTableau
About the role
Key responsibilities & impact- Lead discrete workstreams and deliver advanced AI and data solutions
- Design and implement scalable AI and data solutions from requirements through deployment
- Develop, test, and tune fraud prevention and detection rules in multiple programming languages
- Develop and optimize machine learning models and analytics workflows
- Lead data analytics efforts to detect fraud, waste, abuse, and improper payments
- Identify target areas for program and payment integrity improvements
- Partner with clients to identify AI use cases and translate business needs into solutions
- Own client deliverables and contribute to executive-level presentations
- Mentor C2 consultants and review technical work
- Ensure solutions align with governance, security, and responsible AI standards
Requirements
What you’ll need- Must be able to obtain and maintain a Federal or DHS Public Trust; approved adjudication required prior to onboarding
- Bachelor’s degree from an accredited college/university
- Five (5) or more years of experience in AI, data science, analytics, or engineering
- Three (3) or more years of experience in a fraud/payment integrity-related role
- Strong development expertise in Python/R, SQL, and data modeling
- Strong statistical and data analytics expertise
- Proficiency with CSV/TXT, JSON, XML, Parquet, and other data structure formats
- Experience developing, testing, and validating machine learning and other AI models at scale
- Experience with PowerBI, Tableau, Looker, or similar data visualization tools
- Experience applying data analytics and artificial intelligence in financial crime compliance and/or fraud, waste, and abuse prevention
- Travel will be 25–50% for candidates not located in the DMV or NYC area
- Active Public Trust or Suitability preferred
- Experience building fraud and/or fincrime monitoring rules in programming languages preferred
- Experience communicating complex concepts to non-technical audiences preferred
- Healthcare technology, healthcare business, or healthcare process experience preferred
- Cloud experience with AWS, Azure, or GCP, including data and ML services, preferred
- Experience deploying models into production (MLOps) preferred
- Experience with Databricks, Palantir, Vertex AI, or SageMaker preferred
- Prior consulting or client-facing delivery experience preferred
- Federal or State Medicaid experience, particularly fraud prevention, detection, or program integrity experience, preferred
Benefits
Comp & perks- 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
- Flexible benefits package