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Quality Assurance, UR & Case Management

Passion + Vision + Integrity = Excellence

Ensure consistency and the highest ethical standards across our entire organization. Our quality assurance team drives ongoing improvement by fostering an environment of support, providing technical and specialized consultative services, and inspiring ongoing excellence.

Sr Consultant, Promoting Interoperability

Location: Oakland, CA Additional Locations:
Job Number: 804935 Date posted: 08/06/2019
You will join a highly successful Program Management Office (PMO) that supports the Promoting Interoperability Program at Kaiser Permanente. Promoting Interoperability was formerly known as -Meaningful Use-, and we are charged with meeting the requirements of the Center for Medicare and Medicaid Services (CMS) most visible incentive/penalty program. The program-s original aim, starting in 2010, was to promote the implementation and meaningful use of electronic health records using certified technology such as KP HealthConnect. The program has evolved over the last 9 years to promoting improved sharing of data (interoperability) between providers across the nation and increased access for patients to their own key health information. The PMO is part of the National Quality organization and works with teams from each region to successfully attest to CMS that we have met all Promoting Interoperability requirements. The PMO partners with regional physician leaders, KPIT, analytics, legal, government relations, compliance, and finance groups. We ensure that the regions- attestations stand up to audit scrutiny. We provide more than just subject matter expertise and governance, we are true implementation partners. We take the lead in monitoring changes coming from federal legislation and regulation, and in responding to requests for information and proposed rules so that we can help mold the future program.

As a high-level individual contributor in the group, the senior consultant will serve as the main consultant on many of the objectives and measures of the program. What differentiates our team, as a PMO, is the range of support services that we provide, from consultation to project management. Our partnerships lead to concrete results. This involves the following:
- Reading, understanding, and responding to regulatory proposals
- Strong attention to detail and the ability to deal with ambiguity
- Ability to map out and implement a path to attestation
- Ability to guide and support our regional partners toward success
- Working with our IT partners on functionality and workflow changes needed
- Working closely with our analytics partners to design accurate reports
- Developing strong collaboration and customer service for the regional Promoting Interoperability teams

This position demonstrates in-depth practice, knowledge and skills, manages evaluation projects, and is accountable for the successful execution of project goals and analytical deliverables. At the highest level of the job family, shares in accountability of outcomes and performance for all regions and the enterprise in oversight areas and demonstrate in-depth practice, knowledge, and skills, manage projects and programs, and are accountable for the successful execution of goals that are aligned with the goals of CMI in promoting the KP National Quality Program.

Essential Responsibilities:
  • Works on assignment of diverse scope.
  • Assists the Lead, Senior Manager, and/or Director in developing and executing goals that promote the success of overall CMI goals, related to analytical deliverables, by evaluating established and emerging care practices.
  • Clarifies stakeholder needs and identifies potential solutions.
  • Performs program evaluations and other analyses to establish priorities for improving analytics or assess the materiality of changes to technical measurement specifications and care delivery.
  • Produces technical or professional work deliverables.
  • Collaborates with peers, superiors, staff and regional stakeholders to influence regional strategies and goals for analytics and care delivery.
  • Leads the development and implementation of key care delivery strategies at KP.
  • Builds buy-in from internal and external key constituencies.
  • Assists Manager or Director in monitoring project milestones and reports on progress.
  •  Consider appropriate compute skills necessary to perform job.
  • Under minimal supervision and guidance, conduct complex and/or innovative program evaluations: collect data, using sophisticated methods and sources, identify and implement analytic approaches that address challenges to validity or generalability, and prepare interpretations, conclusions, and recommendations.
  • With Manager and/or Director, prepared and makes formal presentations to various senior-level audiences.
  • Contributes to development of Center infrastructure for conducting efficient and effective program evaluation and innovation support.
  • Identifies and escalates barriers to milestone achievement and recommends strategies to    reduce or eliminate barriers.
  • Establishes and maintains effective working relationships with national and regional groups.
  • Participates on regional or national work groups.
  • Ensures customer service orientation both internally and externally.
  • Coordinates appropriate training in areas of expertise.
  • Plans and facilitates meetings, including agenda planning, minutes, follow-up, tracking, and timelines.

  • Basic Qualifications:


  • Minimum five (5) years of related experience.

  • Education

  • Bachelor's degree in relevant field required, OR four (4) years of experience in a directly related field.

  • High School Diploma or General Education Development (GED) required.

  • License, Certification, Registration

  • N/A

  • Additional Requirements:

  • Thorough knowledge of policies, practices and systems.

  • Complete understanding and application of principles, concepts, practices, and standards.

  • Full knowledge of industry practices.

  • Broad application of principles, theories, and concepts in applicable discipline, plus working knowledge of other related fields.

  • Consider clinical expertise needs.

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

  • Preferred Qualifications:

  • Master's degree preferred, OR six (6) years of experience in a directly related field.
  • 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: 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: QA / UR / Case Management Department: CASS - Promoting Interoperability PMO 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 QA, Ur & Case Management Careers

    Careers In QA, Ur & Case Management

    As an organization, we are committed to delivering the same exemplary care no matter who you are, where you are, or what your needs. But how are those standards defined, measured, and assessed? That's where our quality assurance team comes in. Implementing the action plans and initiatives that will drive successful practices, you'll work across the organization to foster the necessary education, communication, and innovation that will enable us to operate as one KP — with our mission and goals in complete alignment.

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