[Hiring] Cloud and Health AI FinOps and Technology Value Optimization @Guidehouse

Role Description

We are seeking a senior leader to build and lead our Cloud and AI FinOps and Technology Value Optimization capability for healthcare provider clients. This is a portfolio role, not a single-engagement role. The successful candidate will carry concurrent delivery accountability across multiple health system clients, own the commercial performance of that portfolio, shape the methodologies and assets that make the capability repeatable, and serve as the practice's most credible voice with CFOs, CIOs, and Chief Data and AI Officers on what cloud and AI actually cost and what value they actually return.

The immediate anchor assignment is a large academic medical center's Azure migration, where this leader will own a two-workstream program spanning cloud FinOps enablement and organizational change management. This leader will connect problems — FinOps discipline, application and AI workload rationalization, cloud operating model design, and the change management required to make any of it stick — into a coherent point of view and a growing book of work.

This role suits someone who is equally comfortable in front of a finance committee defending a commitment strategy, in a working session with cloud engineers debating tagging enforcement, and in a practice leadership meeting arguing for where to invest next. It carries real autonomy, real revenue accountability, and a clear path to Partner-track responsibility.

Qualifications

• Minimum of SEVEN (7)+ years of overall work experience.
• Bachelors degree from an accredited university.
• Experience in technology consulting, cloud and technology financial management, or technology transformation.
• Experience in engagement leadership level with accountability for delivery outcomes and commercial performance.
• Demonstrated ownership of a portfolio of concurrent engagements — not sequential single-project leadership.
• Deep command of cloud economics on at least one major hyperscaler, with Microsoft Azure strongly preferred.
• Track record establishing FinOps capabilities aligned to recognized frameworks.
• Substantive experience in application portfolio rationalization, workload placement, or technology cost reduction.
• Working fluency in AI and data platform economics.
• Demonstrated accountability for organizational change management as an integrated workstream.
• Proven ability to sell — origination, scoping, pricing, proposal leadership, and closing.
• Executive presence sufficient to hold a room of C-suite healthcare leaders.

Requirements

• Experience serving academic medical centers, integrated delivery networks, and other healthcare provider organizations.
• Familiarity with the healthcare platforms that drive the majority of cloud and AI consumption.
• FinOps Certified Professional credentials, Prosci or equivalent change management certification, and Azure architecture certifications.
• Experience building a consulting capability or offering from an early stage to a repeatable, multi-client business.
• Established relationships with hyperscaler and platform partner field organizations.
• Experience with adjacent scopes that extend cloud FinOps engagements.
• Advanced degree such as an MBA, MHA, or master's in information systems.
• US Citizenship is contractually required.

Benefits

• 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