Fraud AI / Data Senior Consultant (remote)

About the role

The AI/Data Senior 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.

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 identify 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 C2 consultants and review technical work.
• Ensure solutions align with governance, security, and responsible AI standards (as applicable).

Requirements

• Ability to obtain and maintain a Federal or DHS “PUBLIC TRUST” (must be obtained prior to onboarding; active public trust preferred).
• Bachelor’s degree from an accredited college or 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 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 AI in financial crime compliance and/or fraud, waste, and abuse prevention.

Preferred Qualifications

• Experience building fraud and/or financial‑crime monitoring rules in one or more programming languages.
• Proven ability to communicate complex concepts to non‑technical audiences.
• 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 (directly as an employee or in a consulting role), particularly in fraud prevention, detection, or program integrity.

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 insurance.
• 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.

Pay

The annual salary range for this position is $113,000.00‑$188,000.00. Compensation decisions depend on a wide range of factors, including skill sets, experience, training, security clearances, licensure, certifications, and other business and organizational needs.

Schedule

Travel will be 25‑50% for candidates not located in the DMV or NYC area.