Fraud AI / Data Managing Consultant (remote)

About the role

The AI/Data Managing Consultant leads discrete workstreams and delivers advanced AI and data solutions. This role combines technical depth, client engagement, and mentorship of junior team members while driving real‑world AI adoption.

Key Responsibilities

• Design and implement scalable AI and data solutions from requirements to deployment.
• Develop, test, and tune fraud prevention and detection rules in a variety of programming languages.
• Develop and optimize machine learning models and analytics workflows.
• Lead data analytics efforts in detecting fraud, waste, abuse, and improper payments and identifying key areas to target for program/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 junior consultants and senior consultants, and review their technical work.
• Ensure solutions align with governance, security, and responsible AI standards (as applicable).

Requirements

• Must be able to obtain and maintain a Federal or DHS “PUBLIC TRUST”; candidates must obtain approved adjudication of their PUBLIC TRUST prior to onboarding. Active PUBLIC TRUST or SUITABILITY preferred.
• Bachelor’s degree.
• Eight (8) or more years of experience in AI, data science, analytics, or engineering.
• Four (4) or more years of experience in a fraud/payment integrity-related role.
• Experience in Python/R, SQL, and data modeling.
• Experience with statistical and data analytics.
• Experience working with various data structure formats (CSV/TXT, JSON, XML, Parquet, etc.).
• Experience developing, testing, and validating machine learning and other AI models at scale.
• Experience with data visualization tools (PowerBI, Tableau, Looker, etc.).
• 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.

Nice to Have

• Experience leading small teams of junior resources.
• Proven ability to communicate complex concepts to non‑technical audiences.
• Experience owning deliverable workstreams.
• Experience building fraud and/or fincrime monitoring rules in one or more programming languages.
• Experience working for or supporting healthcare technology, healthcare business or healthcare process initiatives.
• Cloud experience (AWS, Azure, GCP) including data and ML services.
• Experience deploying models into production (MLOps).
• Experience with AI platforms (Databricks, Palantir, Vertex AI, SageMaker).
• Prior consulting or client‑facing delivery experience.
• Federal or State Medicaid experience, particularly in fraud prevention, detection, and program integrity.

Pay

The annual salary range for this position is $130,000.00‑$216,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

Benefits

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Discretionary variable incentive bonus (position may be eligible)
• 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