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Kaiser Permanente Careers

Accounting, Actuarial & Finance

Support the Bottom Line — and the Big Picture

Create the financial strategies that affect our patients, medical centers, and future. On this team, you'll provide the strategy recommendations that drive operational and process improvement, as well as face challenging opportunities to influence the future of health care.

Risk Adjustment Business Analytic Consultant

Location: Aurora, CO Additional Locations:
Job Number: 843968 Date posted: 11/14/2019
Responsible for providing financial and analytical support for a variety of business planning and process activities. This work will require strong relationship building skills to cross multiple teams. It will also involve creating performance summary reports and analyzes of large data sets. Maintains and supports a culture of compliance, ethics and integrity. Maintains knowledge of policies and procedures and performs in accordance with the Principles of Responsibilities and applicable regulatory and legal requirements. Appropriately reports observed fraud or abuse.

Essential Responsibilities:
  • Supports Manager or Director with the development of efficient business processes related to professional coding, billing and collections for CPMG practices where non-KP patients are treated as part of their contract agreements with partner hospitals.
  • Works closely with the Revenue Cycle team on business process planning.
  • Prepares and presents financial analysis to management.
  • Provides trend analysis around various financial data.
  • Supports management through budget and forecasting processes.
  • Leads new analysts to prepare timely summaries and analysis in a professional format and/or using graphical representations.
  • Participates in and/or leads projects of moderate to complex scope as assigned.
  • Acts as a liaison to build and strengthen relationships between multiple teams.
  • Acts as the representative on cross-functional teams to include actuarial, claims, medical cost analytics, decision support services, accounting, and Financial Planning.
  • Prepares and issues instructions concerning complex analysis and opportunities for improvement to less experienced analysts.
  • Provides professional/technical guidance to team members.
  • Must be able to drive own work and deal with some ambiguity.
  • Keeps customer service and the delivery of stellar service at the core of every conversation, every email, and every deliverable to model core customer service behavior to the team.
  • Works independently and under limited direction.
  • Takes initiative to accomplish necessary tasks.
  • Exercises judgment to make decisions for less defined issues and selects methods and techniques for obtaining solutions.
  • Listens and asks questions in order to creatively problem solve both independently and collaboratively.
  • Basic Qualifications:
  • Minimum of two (2) years of financial analysis or performing complex analysis.
  • Education
  • Bachelor's degree in finance or related field OR (4) years of experience in a directly related field.
  • High School Diploma OR General Education Diploma (GED) required.
  • License, Certification, Registration
  • N/A

  • Additional Requirements:
  • Solid knowledge of advanced principles, theories and concepts related to budgeting, forecasting and ROI calculations.
  • Advanced skills in Microsoft Excel, Microsoft Word, PowerPoint.
  • Excellent communication (verbal and written) and interpersonal skills.
  • Healthcare experience.

  • Preferred Qualifications:
  • Experience leading cross-functional teams.
  • Experience in both inpatient and outpatient settings.
  • Experience in benefits and insurance administration.
  • Exceptional attention to detail.
  • Excellent listening and questioning skills.
  • Ability to manage time efficiently and prioritize effectively.
  • Proven independent decision making skills.
  • Ability to effectively work in a dynamic, fast paced setting.
  • Strong organizational skills to track requests and deliverables, and meet deadlines.
  • Proven ability to take initiative, be pro-active and have good problem solving skills.
  • Ability to work both independently and within a team setting.
  • Ability to influence and teach new analysts.
  • Strong desire to make continuous improvements in all areas of responsibility.
  • Must be able to drive own work and deal with some ambiguity.
  • Primary Location: Colorado,Aurora,Waterpark I 2500 S. Havana St. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon - Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Individual Contributor Job Category: Accounting, Finance and Actuarial Services Department: Risk Adjustment Travel: Yes, 5 % of the Time Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

    About Accounting, Finance, & Actuarial Careers

    Accounting Careers

    Members of our accounting team support corporate projects and lend insight to areas such as financial reporting, tax planning and preparation, and audit management. This team also includes our audit professionals, who partner with financial and operational groups across the organization to analyze budgets and streamline procedures.

    Finance Careers

    Supporting critical business functions such as financial services, national Medicare finance, strategic planning, auditing, and corporate finance, our finance professionals develop the strategies that enable us to meet our financial goals.

    Actuarial Careers

    Applying probability and statistics to the practical problems of insurance, our actuarial team performs a variety of duties, including calculating the cost of premiums and policy values, preparing statistical studies, and forecasting financial results.

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