Skip to Main Content

Kaiser Permanente Careers

Consulting Services & Project/Program Management (Non-IT)

Driving Care Initiatives

From designing and leading complex programs to analyzing and translating business capabilities into powerful solutions, your expertise helps shape the future of health care.

Medicare Issue Resolution Analyst

Location: San Diego, CA Additional Locations:
Job Number: 759574 Date posted: 03/13/2019
Description:

Business Consulting: Includes analysis/evaluation of business and/or system process and functional requirements, development of business cases, client support during system development and implementation, development and maintenance of service level agreements. Develops relationships with upstream and downstream business partners. Develops/maintains and changes business processes, and understands the business processes of assigned partners and how they relate to our functional areas. Develops and recommends changes to business processes.


Essential Responsibilities:

  • Knowledge of application of standard principles, theories, and techniques.

  • Uses professional concepts and company policies and procedures to solve a wide range of difficult problems in imaginative and practical ways.

  • Demonstrates development of positive relationships with peers.

  • Understand their functional area business processes.

  • Is assigned to investigate, document, and analyze client requirements in project areas such as: new/existing business operating models with innovative approaches to applicable department solutions support, market research of emerging or available product functionality and operational readiness assessment.

  • Assesses scope and impact of client business needs.

  • Support Business Case Development.

  • Participates in the analysis of client business processes and functional requirements and in the preparation of appropriate documentation to communicate and validate the information.

  • Participates in workflows, process diagrams and gap analysis.

  • May assist in the development of project plans.

  • May use the associated project planning tools.

  • Basic Qualifications:

    Experience

  • N/A

  • Education

  • Bachelor's degree in business/health care administration or related discipline OR four (4) years relevant experience.

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

  • License, Certification, Registration

  • N/A


  • Additional Requirements:

  • Business analysis or project analysis experience.

  • Knowledge of platforms assigned to the functional area.

  • Identifies and documents functional and/or divisional, requirements, workflow, information sources and distribution paths, and system/process specifications.

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


  • Preferred Qualifications:

  • Bachelor's degree in business/health care administration or related discipline.
  • Primary Location: California,San Diego,California Service Center - Rio S.D. 8954 Rio San 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: Consulting Services / Project/Program Management (Non IT) Department: Complaint Tracking Module 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 Consulting Services & Project/program Management (non-it) Careers

    Consulting Services & Project/program Management (non-it) Careers

    These careers consist of Program and Project Managers, Business Consultants, Business Analysts, and Data Analysts who all work together to effect positive organizational change from the inside out.

    Join our talented team and make a difference through performing business analysis, developing business cases, providing client support during system development and implementation, managing projects, or by leading complex programs with multiple work streams.

    Glassdoor Logo

    See What People are Saying About Working at KP

    Sep 16, 2018

    "Great place to spend a work day"

    Glassdoor Ratings

    Current Employee - Contracts Manager in Oakland, CA

    • Recommends
    • Positive Outlook
    • Approves of CEO

    I have been working at Kaiser Permanente full-time (More than a year)

    Pros

    Friendly professional people who share insights and work together for improvements and success. Excellent pay and good employee recognition programs.Full Review

    More Kaiser Permanente Ratings & Reviews (3,975)

    Thanks
    to Our
    Employees

    Kaiser Permanente has been named one of the 2019 Best Places to Work. Check out what our employees like best about working at KP!

    glassdoor 2019 Best Places to Work - Employees' Choice

    Our Events

    Come introduce yourself to a member of the Kaiser Permanente team at an upcoming career or professional event. We look forward to meeting you in person.

    Recently Viewed Jobs

    You do not have any recently viewed jobs.

    Join Kaiser Permanente's Talent Network

    Please fill out the fields below and click "Join Now" to receive information about opportunities that relate to your selections.

    Interested InSearch for a category and select one from the list of suggestions. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

    • Consulting Services & Project/Program Management (Non-IT), San Diego, California, United StatesRemove

    Interested in internships or early career opportunities? Click here to join our University Talent Network. Are you a Veteran? Click here to join our Military Talent Network.