Date Posted:
May 31, 2026
Position Title:
Senior Consultant – Public Health – Healthcare Review/Audit Policy
Office/Company:
Guidehouse
Party:
N/A
Office Code:
Job Number:
HC-07507
Reports To:
Location:
McLean, VA, Hanover, MD, Rockville, MD, Arlington, VA
Contact:
Salary:
$98,000.00–$163,000.00
Primary Role
Secondary Role:
Job Type:
Full Time
Description:
The Healthcare Review/Audit Policy Member is responsible for monitoring federal and state policy changes and court rulings relevant to the Exchanges (e.g., changes impacting the Advanced Premium Tax Credit (APTC)/Qualified Health Plan (QHP) eligibility and Special Enrollment Periods (SEPs)).Reviewing annual Exchange regulations, sub-regulatory guidance, and system/operations documentation; assessing the impact of those changes on Exchange Improper Payment Measurement (EIPM) methodology—including review unit logic, scripts, and review tools—and determining where updates are required.Bachelor’s degree, 3–5+ years of relevant experience, Experience working in or knowledge of the Affordable Care Act, specifically State-Based Exchanges, Federally-Facilitated Exchanges, and health insurance markets and exchanges.
Responsibilities:
• Monitoring federal and state policy changes and court rulings relevant to the Exchanges
• Reviewing annual Exchange regulations, sub-regulatory guidance, and system/operations documentation
• Assessing the impact of those changes on Exchange Improper Payment Measurement (EIPM) methodology
• Determining where updates are required
Qualifications:
• Bachelor’s degree
• 3–5+ years of relevant experience
• Experience working in or knowledge of the Affordable Care Act, specifically State-Based Exchanges, Federally-Facilitated Exchanges, and health insurance markets and exchanges
Instructions:
Email <ddress>
Other:
Equal opportunity employer.—Protected Veterans, Individuals with Disabilities, or any other basis protected by law, ordinance, or regulation.
