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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.

Business Process Consultant - Charge Capture - Revenue Integrity

Location: Oakland, CA Job Number: 694889 Date posted: 05/16/2018
Description: Responsible for a range of process improvement and process management activities. Activities include planning, performing, and implementing process improvement initiatives, in addition to ownership of operational processes. These initiatives may represent one portion of a larger project, or may represent a standalone initiative or function within a work group or department. Process management functions may include data gathering and analysis, best practice research, process mapping, developing and recommending alternatives for improvement, developing performance metrics, obtaining leadership or stakeholder agreement, implementing improvements, and monitoring post-process improvement initiative performance to updated standards. Activities are undertaken and executed in support of organizational goals and are accountable for providing business process solutions to meet internal and external customer expectations. May utilize Lean/Six Sigma processes and concepts to lead process improvement initiatives. Partners with management, project champions, and process owners to execute the project and deliver results.

Essential Functions:
  • Data Analysis: Identifies sources for, gathers and analyzes data relevant to processes. May review the work of less senior analysts/consultants.
  • May be responsible for defining data requirements and obtaining customer agreements.
  • Research: Reviews best practice standards.
  • Makes recommendations on appropriate, complex solutions based on research; selects from alternatives presented.
  • Process Architecture:Designs and maps more complex processes and may review the work of less senior analysts/consultants.
  • Ensures process mapping is complete; provides feedback and guidance to less senior analysts/consultants.
  • Interviews stakeholders and process owners to define processes. Helps define standards and methods.
  • Process Recommendations:Prepares and/or determines process recommendation documents, including presentations, process maps, supporting metrics, business requirements and related impact analyses for complex processes or for portions of larger or inter-related processes.
  • May lead the development of recommendations by less senior analysts/consultants.
  • May apply Lean/Six Sigma concepts and techniques to process improvement initiatives, including completing Lean/Six Sigma analyses and tasks.
  • Shares accountability for realization of results with process owners and may present recommendations to stakeholders and process owners.
  • Change Management:Participates in and may lead change management activities associated with process improvement.
  • Engages leadership and stakeholders to obtain support and buy in for changes.
  • Partners with management, project champions, and process owners to align process improvement initiatives with business objectives.
  • (For Six Sigma Master Black Belts): May track progress of Six Sigma Green Belt consultants and newly certified Black Belt Consultants in Lean/Six Sigma initiatives.
  • Trains other employees in Lean/Six Sigma concepts and techniques.
  • Coaches and mentors employees seeking Green Belt and Black Belt certification.
  • Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the rgiht to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.






  • Basic Qualifications:
    Experience
  • Minimum six (6) years of health care operations, process improvement, management consulting, change management, or relatedbusiness experience.
    Education
  • Bachelor's degree or four (4) years of experience in a directly related field required.
  • High School Diploma or General Education Diploma (GED) required.
    License, Certification, Registration
  • N/A.


    Additional Requirements:
  • Must be able to work in a Labor/Management Partnership environment.


    Preferred Qualifications:
  • Nine (9) years of operations, process improvement, consulting, or related business experience.
  • Health care or insurance experience preferred.
  • Graduate degree preferred.
  • Lean/Six Sigma certification preferred.
  • Certification or licensing as appropriate for area of responsibility.
  • Broad knowledge of process improvement methodologies preferred.

  • Certified Professional Coder certification (CPC);
  • Coding crendential with charging experience,
  • Experience with Epic systems;
  • Working knowledge of process maps, ability to participate in User Acceptance testing with IT, develop business requirements, ability to engage with all levels of management and provide presentations of summary findings to Management/Leadership, leads change management activitie


    Primary Location: California,Oakland,1800 Harrison 1800 Harrison Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 4:00 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: NCAL Revenue Cycle Revenue Integrity Travel: No
    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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