Manager, Business Intelligence - Risk Adjustment Programs

Manages the delivery, execution, and sustainment of process improvement (PI) engagements including kaizen. Ensures consultation is provided to stakeholders and process owners to drive process improvements. Develops strategic plans which ensure alignment of organizational objectives, business priorities, and process improvement initiatives. Serves as a lead advocate for continuous improvement by defining, developing, and evaluating performance metrics, standards, and methods to establish process success. Manages change management activities associated with care delivery or clinical initiatives and manages team members in performing complex data analyses to drive care delivery or clinical initiatives.

• Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making.


• Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress. Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams to execute in alignment with operational objectives.


• Manages the delivery, execution, and sustainment of process improvement (PI) engagements including kaizen by leveraging advanced methods and tools to ensure the development of stakeholder capabilities for process change and improvement; managing the deployment of data-driven PI principles, tools, and problem-solving methods including Lean/Six Sigma concepts and techniques; fostering high performance team capabilities to harness collective intelligence and take quick action to test ideas and achieve real time business results; managing the design and development of process architecture and recommendation documents; sharing accountability for realization of results with process owners; and presenting results and recommendations to senior management as appropriate.


• Ensures consultation is provided to stakeholders and process owners by encouraging trusted partnerships between stakeholders and teams to drive process improvements; leading the development of management systems to sustain process changes; fostering stakeholder process improvement leadership competencies; managing stakeholder training; and providing ongoing coaching to senior management in order to build a continuous improvement mindset and culture, and to build capabilities that drive results.


• Develops strategic plans which ensure alignment of organizational objectives, business priorities and process improvement initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish process success; partnering with senior stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing complex initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives.


• Serves as a lead advocate for continuous improvement by keeping abreast of cutting edge industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, and speaking events; leading the ongoing enhancement of process improvement practices, standards, and methods across KP; and serving as an advocate to ensure continuous learning and improvement is championed as a people strategy.


• Manages change management activities associated with care delivery or clinical initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with senior management, project champions, and clinical owners to communicate and align improvement initiatives with strategic objectives; recommending and/or determining appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change.


• Manages team members in performing complex data analyses to drive care delivery or clinical initiatives by recommending appropriate data analysis tools and approach to assess performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; and managing and alleviating risks through data-driven analysis.