This individual contributor is primarily responsible for providing support for researching and determining the likelihood of financial risk to the organization, reviewing actuarial documentation for accuracy, supporting product line evaluation and actuarial modeling, and supporting financial risk and opportunity analyses.

• Pursues self-development and effective relationships with others by sharing resources, information, and knowledge with coworkers and customers; listening, responding to, and seeking performance feedback; acknowledging strengths and weaknesses; assessing and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback.
• Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; following procedures and policies and applying data, and resources to support projects or initiatives; collaborating with others, often cross-functionally, to solve business problems; supporting the completion of priorities, deadlines, and expectations; communicating progress and information; identifying and recommending ways to address improvement opportunities when possible; and escalating issues or risks as appropriate.
• Supports actuarial documentation by assisting with the preparation and review for accuracy of the actuarial portion of financial reports and tax returns; and responses to insurance regulations.
• Supports product line evaluations by assisting with analysis of product line financials, pricing, reserve, valuation , cash flow analysis; and documenting product line performance, risk, and assumptions used in product development.
• Assists with actuarial research by conducting literature reviews with limited direction on standards, assumptions, competition, and the legal and regulatory environment.
• Analyzes financial risks and opportunities by applying basic actuarial methods; collecting data; and assisting with interpreting actuarial analyses.
• Supports collaborations with peer-level business partners by translating actuarial constructs into non-technical explanations; and complying with the Actuarial Standards of Practice.
• Supports actuarial modeling by learning and using actuarial models; assisting with the application of alternative assumptions and forecasts using in-house models or actuarial software; and validating the data.

This individual contributor is primarily responsible for providing support for researching and determining the likelihood of financial risk to the organization, reviewing actuarial documentation for accuracy, supporting product line evaluation and actuarial modeling, and supporting financial risk and opportunity analyses.

• Pursues self-development and effective relationships with others by sharing resources, information, and knowledge with coworkers and customers; listening, responding to, and seeking performance feedback; acknowledging strengths and weaknesses; assessing and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback.
• Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; following procedures and policies and applying data, and resources to support projects or initiatives; collaborating with others, often cross-functionally, to solve business problems; supporting the completion of priorities, deadlines, and expectations; communicating progress and information; identifying and recommending ways to address improvement opportunities when possible; and escalating issues or risks as appropriate.
• Supports actuarial documentation by assisting with the preparation and review for accuracy of the actuarial portion of financial reports and tax returns; and responses to insurance regulations.
• Supports product line evaluations by assisting with analysis of product line financials, pricing, reserve, valuation , cash flow analysis; and documenting product line performance, risk, and assumptions used in product development.
• Assists with actuarial research by conducting literature reviews with limited direction on standards, assumptions, competition, and the legal and regulatory environment.
• Analyzes financial risks and opportunities by applying basic actuarial methods; collecting data; and assisting with interpreting actuarial analyses.
• Supports collaborations with peer-level business partners by translating actuarial constructs into non-technical explanations; and complying with the Actuarial Standards of Practice.
• Supports actuarial modeling by learning and using actuarial models; assisting with the application of alternative assumptions and forecasts using in-house models or actuarial software; and validating the data.

• Strategy
• Lead institutional strategic planning and translate long-term goals into actionable priorities and measurable objectives.
• Facilitate cross-functional collaboration to advance strategic initiatives and ensure alignment with budget, operations, and accreditation requirements.
• Advise unit leaders in their unit-level strategies, ensuring alignment with institutional goals.
• Conduct benchmarking and trend analysis in higher education, medical education, and emerging technologies to inform strategic direction and identify opportunities for innovation and improvement.
• Communicate institutional priorities, progress, risks, and outcomes to support informed decision-making.
• Institutional Effectiveness
• Develop and oversee the institutional effectiveness framework to support continuous quality improvement across units.
• Manage analytics, dashboards, and data governance policy and standards to inform planning and monitor institutional performance.
• Build understanding of accreditation standards, data sources, and CQI practices across partners.
• Coordinate committees and review processes that foster organizational learning and improvement.
• Oversee institutional survey administration (e.g., internal, external, regulatory) and other assessments and integrate results into strategic and CQI decision-making.
• Oversee the schools AI strategy to integrate artificial intelligence into academic, operational, and administrative functions, guiding responsible adoption and aligning AI-related initiatives with institutional mission, values, and long-term strategic priorities.
• Accreditation
• Direct institutional and programmatic accreditation activities to ensure compliance with all LCME, WSCUC and BPPE standards and requirements.
• Lead self-studies, reporting, and readiness efforts for accreditation reviews and site visits.
• Serve as the WSCUC Accreditation Liaison Officer and maintain communication with accrediting bodies.
• Partner with faculty and school leadership to document performance, monitor compliance, and maintain accreditation-aligned policies and materials.
• Special Projects
• Lead high-impact institutional projects sponsored by the Deans Office, ensuring effective planning, execution, and evaluation.
• Guide cross-functional teams in delivering initiatives aligned with institutional priorities.
• Advise senior leadership on strategic priorities, accreditation considerations, AI governance, and organizational readiness.
• Provide leadership and oversight to staff, supporting development and team effectiveness.
• Perform other related duties as assigned.

• Strategic Analytics Leadership: Lead the development and execution of advanced analytics (i.e., define vision, data architecture, operating model, and success metrics) strategies that support risk adjustment operations across Medicare Advantage, ACA, and Medicaid. Utilize predictive modeling, machine learning, and statistical analyses to identify trends to drive optimal actions and outcomes, forecast risk scores, and optimize risk score accuracy capture. Ensure analytics initiatives are aligned with enterprise goals and regulatory requirements.
• Performance Management, Reporting, and Benchmarking: Design and maintain comprehensive benchmarking frameworks to evaluate internal performance against industry and peer organizations. Develop a comprehensive and robust data analytics strategy and performance management reporting suite (e.g., KPIs and dashboards) to ensure full transparency over risk adjustment reporting for all lines of business, inclusive of benchmarking against best practices and publicly available data.
• Encounter Submissions: This executive is accountable for accurate, timely, and compliant data submissions of the Medicare Advantage Encounter Data System (EDS) and HHS CMS EDGE server submissions. The role bridges health plan operations, data analytics, and regulatory compliance to maximize revenue accuracy and minimize financial risk by overseeing the ingestion, formatting and submissions, resolving data discrepancies, rejects, and anomalies to maximize submission acceptance rates. Partners with IT and vendors to maintain secure, scalable server infrastructure and provides executive-level dashboards tracking transfer payment estimates and data quality.
• Risk Stratification and Prospective Algorithms to Determine Patient Risk: Evaluate and implement analytical and predictive models (e.g., risk scoring, predicting gaps in care, forecasting, margin optimization, member segmentation) that directly support business goals such as margin improvement, support quality of care delivery, pricing strategy, value-based contracting, and regulatory compliance. This role will work collaboratively across the National Health Plan, Care Delivery, and the Permanente Medical Groups to align on both strategy and execution of that data to inform clinical, quality, and operational performance levers.
• Clinical Program Development and Quality Strategy: This role will leverage risk adjustment data and associated insights to inform clinical programs and quality strategies for use in complex care management, high-risk programs, and other 5-Star program elements. Data from this program will also inform care delivery strategies including community-based primary or supportive care, or other operating model considerations designed to improve access to care.
• Risk Adjustment Factor Forecasting: In partnership with national finance, actuarial, and other leaders, support the accurate development of Enterprise, product level risk adjustment forecasting for financial, clinical, and other product development and actuarial modeling such as the Medicare Advantage annual bid process and the ACA rate filings, among others.
• Thought Leadership: Collaborate with senior business stakeholders (e.g., payer/provider groups, finance, operations, strategy) to drive analytics adoption and ensure insights translate into actionable outcomes. Serve as a thought-leader within the organization: represent analytics in external forums, help set strategy for organizational data-driven transformation, mentor analytics talent.
• Team Leadership and Development: Build and lead a high-performing analytics team (data scientists, advanced statisticians, actuaries, business intelligence engineers), establish best practices in model governance, providing business with timely, accurate and actionable insights, and moving with speed.
• Regulatory Compliance: Establish strong data governance, ethics, model monitoring & validation processes, ensuring all analytics and benchmarking activities comply with CMS and state regulations, including HCC coding, RADV audits, and risk score submissions. Monitor regulatory changes and proactively adjust analytical methodologies to maintain compliance and optimize performance.

• Strategy and Transformation Leadership: Lead the overall strategy, governance, operating model, implementation roadmap, and execution of the CDVCUE initiative. Establish enterprise objectives, key milestones, success metrics, accountability frameworks, and organizational priorities. Ensure initiative activities remain aligned with enterprise strategy, value-based care objectives, regulatory requirements, and financial performance goals.
• Cross-Functional Leadership and Organizational Alignment: Develop strong working relationships with executive leaders across National Health Plan, Permanente Medical Groups, Care Delivery, Technology, Revenue Cycle, Claims, Finance, Compliance, Legal, Consumer Experience, Scheduling, and Benefits Administration. Create alignment on priorities, establish shared ownership of outcomes, and facilitate resolution of cross-functional issues and competing priorities.
• Implementation and Program Execution: Translate strategic objectives into executable implementation plans with defined workstreams, deliverables, dependencies, timelines, and resource requirements. Monitor progress, manage risks, escalate barriers, and ensure timely achievement of critical milestones. Drive accountability for execution across matrixed teams and stakeholders.
• Full Kit Solution Development and Operational Integration: Oversee the design, development, testing, implementation, and operational integration of Clinical Full Kit, Scheduling Full Kit, Patient Encounter, and Submission Full Kit capabilities. Ensure solutions are scalable, sustainable, standardized where appropriate, and integrated across workflows, technologies, and organizational boundaries.
• Financial and Business Value Realization: Work closely with Finance, Risk Adjustment, Revenue Cycle, and business leaders to establish value realization targets and benefit tracking methodologies. Monitor achievement of operational, clinical, and financial outcomes and ensure initiatives support reimbursement integrity, margin improvement, affordability goals, and responsible stewardship of resources.
• Technology Enablement and Process Transformation: Partner with technology and operational leaders to identify opportunities for automation, workflow optimization, analytics, decision support tools, artificial intelligence capabilities, data quality improvements, and process redesign. Ensure technology investments enable sustainable improvements in care delivery, documentation, coding, encounter management, and data submission processes.
• Compliance, Risk Management, and Governance: Partner with Legal, Compliance, Privacy, Internal Audit, and operational leaders to identify risks, implement controls, maintain regulatory compliance, and ensure initiative activities align with Kaiser Permanente policies, standards, and ethical expectations.

1. Vendor Governance & Performance Accountability- Provide end-to-end oversight of the managed services operation, ensuring achievement of contractual service levels, operational performance, quality, and business outcomes. Lead governance forums, performance reviews, and corrective action planning while holding the vendor accountable for service delivery and continuous improvement.
2. Escalation Management & Operational Risk Mitigation - Serve as the primary point of escalation for broker service issues, operational defects, compliance concerns, and service disruptions. Lead root cause analysis, remediation efforts, and cross-functional coordination to mitigate risks impacting broker experience, commissions, licensing, book-of-business management, and operational accuracy.
3. Strategic Operational Transformation Execution- Direct the transition, stabilization, and ongoing optimization of the vendor supported Broker Services model. Oversee implementation of new processes, automation capabilities, and service enhancements while aligning stakeholders, managing program risks, and ensuring realization of anticipated cost, efficiency, and service quality benefits.

Manages large-scale programs or components with multiple workstreams and strategic business goals across departments, functions, or regions with responsibility and accountability for achieving program outcomes from initiation to close-out in an extended or open-ended time frame. Leads the work of large program teams by leading others in coordinating and monitoring internal and/or external resources. Proactively monitors, identifies, and mitigates program risks, issues, and trigger events by developing mitigation plans and strategies. Monitors compliance of program activities by ensuring program plans and team members adhere to relevant policies and procedures. Ensures the alignment, buy-in, engagement, and support of diverse program stakeholders. Reviews vendor performance levels, ensures service level agreements are met, and participates in contract negotiations with vendors.

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
• Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
• Manages large-scale programs or components with multiple workstreams and strategic business goals across departments, functions, or regions with responsibility and accountability for achieving program outcomes from initiation to close-out in an extended or open ended time frame. Develops, analyzes, and manages highly complex program plans which include scope identification and management, schedule, inter-dependencies, and resource forecast. Manages and monitors the program financials of large-scale programs. Monitors program performance to ensure programs effectively deliver maximum long term value or benefit to the organization, and makes adjustments as needed in an uncertain environment where scope may be fluid. Leads program activities related to organizational change management (e.g., development and execution of user adoption, implementation, and training plans) as defined by the program. Drives allocation of resources, establishes schedules, and task assignments to ensure established program management practices are in place. This role may perform project management duties in addition to program management responsibilities.
• Leads the work of large program teams by monitoring internal and external resources. Leads others in requesting and coordinating internal and/ or external resources based on the alignment of team member skills and program demands. Communicates a clear vision of program goals and objectives to the team. Delivers performance feedback to team members supervisors.
• Proactively monitors, identifies, and mitigates program risks, issues, and trigger events by developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Monitors adherence of program activities to policies and procedures by ensuring program plans and team members follow KP, departmental, and/or business line policies and procedures.
• Ensures the alignment, buy-in, engagement and support of diverse program stakeholders by building and maintaining relationships as well as communicating appropriately with internal customers, third party vendors, senior management, and business leaders; and clarifying accountability and authority across stakeholders. Identifies and works closely with key stakeholders based on their level of influence and decision making and ensures all appropriate stakeholders are represented and included. Provides insight to key stakeholders and program sponsors by developing program goals, setting the prioritization of deliverables, discussing involvement of business processes (e.g. program change management, communication) and facilitating decisions necessary for program delivery. Communicates tough issues to stakeholders while maintaining an independent opinion, providing recommendations, delivering formal presentations, and providing reports to various senior audiences. Engages with senior stakeholders to identify long term value to the organization and define success.
• Reviews vendor performance levels and ensures service level agreements are met. Partners with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate. Participates in contract negotiations with vendors and reviews program invoices submitted by vendors for accuracy.

• Prepares individuals for growth opportunities and advancement; builds internal collaborative networks for self and others. Solicits and acts on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement. Demonstrates continuous learning; oversees the recruitment, selection, and development of talent; ensures performance management guidelines and expectations to achieve business needs. Stays up to date with organizational best practices, processes, benchmarks, and industry trends; shares best practices within and across teams. Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning resource plans with business objectives. Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact.
• Oversees the operation of multiple units within a department by identifying member and operational needs; ensures the management of work assignment completion; translates business strategy into actionable business requirements; ensures products and/or services meet member requirements and expectations while aligning with organizational strategies. Gains cross-functional support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and fosters resolution of escalated issues. Communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; prioritizes and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; ensures teams accomplish business objectives.
• Directs continuum of care / care at home operations to support patient care by: approving timelines and developing and/or directing strategy with stakeholders to identify factors contributing to business value; assuming accountability for department performance targets and aligning with market strategies; championing short- and long-term operational initiatives and directing program, services, and/or systems development; aligning human resource management programs (e.g., performance measurement and employee management) with KPs mission and values; designing continuous survey and compliance readiness activities, including mock rounds and mitigating issues, to maintain compliance and regulatory standards and reviewing prepared audit documentation, information, and reports; and leading the development of budgets for assigned areas (e.g., branch office, staffing, business services departments) and ensuring overall financial performance meets expectations.
• Ensures standardized care delivery by: partnering with physicians and other clinical leaders to align key care delivery initiatives across KP, providing oversight of all workstreams; assuming accountability for short- and long-term results and performance while ensuring guideline and regulation alignment for service lines or programs; driving cross-functional patient management resolution with internal and external leaders, ensuring consistency and seamless transitions across the continuum of care; anticipating and aligning resources in clinical areas to ensure appropriate assignment and utilization for service lines or programs; directing multidisciplinary continuum of care / care at home team(s) and holding team(s) accountable for performance; ensuring appropriate oversight to maintain high quality contract/vendor relations that provide optimal patient care and medical services for care across the continuum; planning long-term strategic goals and designing emergency preparedness programs and ensuring the departments emergency preparedness and recovery plans are current and that managers and staff are trained and know what is expected during and after an emergency; and providing strategic direction to project teams leading initiatives and ensuring implementation, equitable distribution of resources, and delivery on objectives.
• Directs improvements to operations and technology processes by: driving KP-wide internal and external strategic projects designed to remediate issues for impacted groups and improve quality, service, affordability, and/or operating efficiency; ensuring clinical teams use standardized tools to identify root causes for escalations, making recommendations, and implementing solutions to improve the performance of operations system processes; and consulting with senior and executive management to identify relevant performance metrics to monitor the success of strategic improvement projects.

Manages the development and/or implementation of plans for project logistics and quality checks for initiatives. Manages teams meeting deadlines, resolving complex lead/prospect/customer and/or channel partner questions, and escalating critical issues when needed. Manages the team to identify, define, implement, and/or monitor goals, deliverables, and key milestones for complex projects containing multiple workstreams. Serves as an expert to teams participating in external and/or internal engagements and making formal presentations to various audiences. Provides oversight and guidance to teams on how to develop complex content and communications to align messages or to advance the sale. Manages team members to serve as a resource for health insurance benefits and product offerings in case follow-up questions arise for senior personnel internal and external to the organization. Manages the execution and coordination of all complex business processes related to lead/prospect/customer. Manages large-scale data entry, reconciliation, and processes departmental systems as appropriate to ensure integrity and reliability in data across functions. Manages the team to apply complex strategies and directs the assessment of lead/prospect/customer and/or channel partner needs, and provides solutions that link to KPs mission, vision and values, service quality, and current product and service offerings.

• 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.
• Ensures the administration of benefits and products by: sharing strategy around internal business processes related to the benefits and product offering that Sales and Account Management teams are presenting to customers; managing team members to serve as a resource for health insurance benefits and product offerings in case follow-up questions arise for senior personnel internal and external to the organization; and utilizing advanced knowledge in one or more specialty areas of benefits policies to ensure that all alternate benefit requests meet benefit requirements and state and federal regulatory requirements and managing team to do the same.
• Manages effective communication practices by: serving as an expert to teams participating in external and/or internal engagements and making formal presentations to various audiences; managing the creation and dissemination of communications across functions to ensure that other teams are informed and up to date on important information and influencing events; and providing oversight and guidance to teams on how to develop complex content and communications to align messages or to advance the sale.
• Oversees practices to ensure sales data are used advantageously by: managing the team to conduct large-scale data entry, reconciliation, and processing in various applicable departmental systems as appropriate to ensure integrity and reliability in data across functions; and managing the team to utilize complex processes to conduct analyses for reporting on lead/prospect/customer accounts, sales, channels, activities, and or events to make strategic recommendations (e.g., membership and account trends) and action plans.
• Ensures a positive lead/prospect/customer and/or channel partner experience by: managing the team to develop complex strategies for increasing sales channels and building customer commitment, and for leveraging existing relationships with internal stakeholders, lead/prospect/customers, channel partners, and third-party administrator (TPA) to demonstrate value and build commitment; sharing advanced knowledge around applying complex strategies and directing the assessment of lead/prospect/customer and/or channel partner needs, and providing solutions that link to KPs mission, vision and values, service quality, and current product and service offerings; managing the team to respond to, encourage, and educate leads/prospects/customers, brokers, and consultants about added services and product enhancements in complex situations; and managing the team to identify opportunities and implement innovative solutions to better meet the needs of leads/prospects/customers and/or channel partners.
• Ensures contribution to project management efforts by: managing the development and/or implementation of plans for project logistics (e.g., process enhancement initiatives), including time and resource management, and quality checks for initiatives; serving as a expert to teams on meeting deadlines, resolving complex lead/prospect/customer and/or channel partner questions, and escalating critical issues when needed; managing the team to identify, define, implement, and/or monitor goals, deliverables, and key milestones for complex projects containing multiple workstreams; guiding and providing direction to teams on the completion of multiple complex tasks within customer-focused business units/lines of business (LOBs) in and/or across the organization to advance the strategic direction of projects and executing action plans; and driving application of complex strategies for continuous improvement of tools, technology, and processes to optimize effectiveness and encouraging others to do the same.
• Manages the sales process execution efforts by: guiding team members on how to identify key objectives and strategy for incoming lead/prospect/customer and/or channel partner information for Sales Account and Management colleagues; serving as an expert to teams on the execution and coordination of all complex business processes related to lead/prospect/customer; managing communication of information on progress, process, and requirements for lead/prospect/customer and/or channel partner information in a timely manner, across functions; managing the team to apply strategies to align lead/prospect/customer and/or channel partner requests and engagement strategies to address complex challenges; and managing the development and provision of comprehensive and compelling responses to lead/prospect/customer and/or channel partner requests which effectively position, differentiate, brand, and promote KPs diverse range of products and services.

The Vice President, Market Public Affairs serves as the senior-most Public Affairs leader within the market and is responsible for advancing and protecting Kaiser Permanente's reputation, mission, strategic priorities, and business objectives through integrated communications, media relations, community affairs, stakeholder engagement, local government relations, executive positioning, and issues management.

Reporting directly to the Chief Public Affairs Officer and maintaining a dotted-line relationship to the Regional President, the Vice President serves as the primary Public Affairs advisor to market leadership and operates at the intersection of enterprise strategy and market execution. This leader is accountable for ensuring enterprise Public Affairs priorities are effectively translated into market strategies, stakeholder engagement efforts, campaigns, communications programs, and community activities while ensuring local market realities inform enterprise decision-making.

The Vice President serves as a member of both the Chief Public Affairs Leadership Table and the Regional Presidents leadership team, reinforcing the enterprise nature of the role while helping shape enterprise strategy and ensuring the market speaks and acts with One KP Voice.

The Vice President serves as the primary Public Affairs point of contact for the Regional President and market leadership team and works in close partnership with medical group leadership and health plan leadership. While certain Public Affairs functions, including State Affairs and Federal Government Relations, maintain direct reporting relationships to enterprise leaders, the Vice President is responsible for ensuring all Public Affairs activities within the market are coordinated, aligned, and executed through a unified One KP approach. The role provides a single point of integration for market leadership, ensuring enterprise capabilities are effectively leveraged and market needs are effectively represented across the Public Affairs function.

The Vice President leads a market-based Public Affairs team responsible for communications, media relations, community affairs, stakeholder engagement, local government relations, executive positioning, reputation management, and issues management. The role works in close partnership with enterprise centers of excellence across External Communications, State Affairs, Federal Affairs, Internal Communications & Engagement, Community Affairs & Engagement, Advocacy, Marketing, Legal, Policy & Regulatory Affairs, and Community Health.

Internal communications will be more tightly connected between enterprise and markets, with enterprise teams providing shared platforms, strategies, and support while market teams lead execution for market-specific priorities. That work includes everything from day-to-day workforce communications to sustained change management campaigns tied directly to how a market competes, including quality measure improvement, care delivery transformation, and operational shifts that require employees to work differently. These are not enterprise storytelling exercises; they are operational necessities that require local knowledge, local relationships, and dedicated market capacity, delivered with enterprise awareness and alignment.

As the senior Public Affairs leader in the market, the Vice President serves as a trusted advisor to the Regional President and market leadership team, a visible executive presence across the market, and a key relationship builder across Kaiser Permanentes care delivery system. This leader helps cultivate market network relationships across the health care delivery system and ensures Kaiser Permanente maintains strong relationships with local media, community leaders, employers, labor leaders, nonprofit organizations, civic organizations, chambers of commerce, local elected officials, business groups, and other influential stakeholders while advancing enterprise priorities and preserving local trust and credibility.

Success in this role requires balancing enterprise consistency with local relevance, operating as both a strategic counselor and operational leader, and ensuring Kaiser Permanente maintains a coordinated, visible, and trusted presence throughout the communities it serves.

• Strategic Leadership & Executive Counsel
• Serve as the senior Public Affairs advisor to the Regional President and market leadership team.
• Serve as a member of both the Chief Public Affairs Leadership Table and the Regional Presidents leadership team, ensuring enterprise priorities, market perspectives, and cross-enterprise alignment are represented in organizational decision-making.
• Help shape enterprise Public Affairs strategies and priorities by providing market insights, stakeholder perspectives, competitive intelligence, community intelligence, and business context.
• Advise leaders on communications, stakeholder engagement, reputation management, labor dynamics, public policy implications, and emerging issues that may affect market performance.
• Support executive decision-making through strategic counsel, risk assessment, stakeholder insights, and communications planning.
• Public Affairs Leadership & Coordination
• Serve as the primary Public Affairs leader and point of contact for the Regional President, market leadership team, medical group leadership, and health plan leadership.
• Coordinate Public Affairs activities across Communications, Media Relations, Community Affairs, Stakeholder Engagement, Local Government Relations, State Affairs, Federal Government Relations, Advocacy, and enterprise centers of excellence to ensure alignment and effective execution of enterprise and market priorities.
• Ensure market leadership has a clear, coordinated, and integrated Public Affairs strategy that reflects the full capabilities of the Public Affairs organization.
• Convene and lead regular market Public Affairs planning, prioritization, and coordination efforts to ensure alignment across functions and eliminate duplication.
• Represent market priorities, stakeholder insights, emerging issues, and reputational considerations within enterprise Public Affairs planning and governance processes.
• Market Reputation & Communications Leadership
• Lead market communications and reputation strategies in alignment with enterprise priorities and business objectives, including partnership and execution on program communications with leaders across Internal Communications & Engagement and External Communications in Kaiser Permanentes largest market.
• Serve as the senior leader accountable for market reputation management, stakeholder trust, and coordinated execution of enterprise Public Affairs priorities.
• Develop and implement market communications strategies that strengthen Kaiser Permanentes reputation and support organizational goals.
• Lead market workforce communications and change management efforts tied to operational priorities, including quality improvement, care delivery transformation, and shifts in how work is performed across the market.
• Ensure enterprise narratives are effectively localized and executed within the market while maintaining consistency with One KP priorities.
• Identify, elevate, and amplify market innovations, care delivery successes, community partnerships, thought leadership opportunities, and organizational achievements that strengthen Kaiser Permanentes reputation.
• Media Relations & External Visibility
• Oversee market media relations and earned media strategies in partnership with enterprise communications teams.
• Serve as a spokesperson and representative of Kaiser Permanente within the market, including participation in media interviews, public forums, community events, industry conferences, stakeholder meetings, and executive engagements.
• Support and prepare executives, physicians, and subject matter experts for media interviews, public-facing engagements, speaking opportunities, and stakeholder meetings.
• Develop and maintain strong relationships with local, regional, and industry media.
• Ensure market media activities align with enterprise priorities and support a One KP Voice.
• Community Affairs, Stakeholder Engagement & Local Government Relations
• Lead market community affairs, stakeholder engagement, and local government relations strategies.
• Build and maintain trusted relationships with community leaders, nonprofit organizations, employers, chambers of commerce, labor leaders, civic organizations, local elected officials, business groups, and other influential stakeholders.
• Cultivate and strengthen market network relationships across the health care delivery system, including partnerships with care delivery leaders, physicians, operational leaders, community stakeholders, and other key influencers who shape market performance and reputation.
• Partner with Community Health leaders to align community engagement, mission delivery, stakeholder engagement, and community investment activities in support of enterprise and market priorities.
• Partner with Marketing, Sales, Customer Experience, and Government Relations leaders to strengthen Kaiser Permanentes visibility, mission impact, customer engagement, and stakeholder relationships.
• Support implementation of enterprise community engagement strategies, sponsorship activations, volunteerism programs, and mission-focused initiatives.
• Ensure Kaiser Permanente maintains a visible, trusted, and credible presence within the communities it serves.
• Enterprise & Market Integration
• Translate enterprise Public Affairs strategies, campaigns, and priorities into effective market execution.
• Partner closely with State Affairs and Federal Government Relations leaders to ensure alignment of stakeholder engagement, advocacy priorities, legislative activities, reputation strategies, and market execution while respecting enterprise reporting relationships and responsibilities.
• Establish market operating rhythms and governance that bring together market Public Affairs teams and enterprise centers of excellence to support a coordinated One KP approach.
• Ensure market teams leverage enterprise capabilities, tools, content, campaigns, reporting, and expertise effectively.
• Foster collaboration and information sharing across enterprise and market Public Affairs teams.
• Issues Management & Market Intelligence
• Lead market preparedness, response, and coordination related to reputational issues, emerging concerns, and stakeholder challenges.
• Maintain visibility into emerging market issues, stakeholder concerns, community sentiment, labor developments, competitive dynamics, and reputational risks, ensuring timely escalation and coordination with enterprise leaders.
• Provide enterprise leaders with regular intelligence regarding stakeholder relationships, community dynamics, media trends, local government developments, and market conditions that may influence organizational priorities.
• Partner with enterprise Communications, Government Relations, Legal, and Issues Management leaders to support coordinated responses to complex situations.
• Team Leadership & Organizational Effectiveness
• Lead, develop, and inspire a high-performing market Public Affairs team.
• Foster a culture of collaboration, accountability, inclusion, innovation, and continuous improvement.
• Align resources, priorities, and capabilities to support both market and enterprise objectives.
• Support development of future Public Affairs leaders and strengthen organizational capabilities across the market.

Serves as an expert consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or complex workstreams. Drives business strategy, organizational alignment, and prioritization of business initiatives. Leads the work of project/program team members by requesting and coordinating internal and/or external resources. Serves as a lead expert in the development and implementation of business initiatives, systems, and/or processes to a desired future state. Manages complex, highly visible or specialized cross-functional projects/programs, and serves as a lead expert in the proactive monitoring and identification of client, project, program, and/or business risks. Designs, leads, and serves as a lead expert for change management plans associated with business initiatives. Serves as a lead expert in the assessment of strategic performance metrics to support business initiatives. Participates in vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides actionable feedback to others, including upward feedback to leadership; influences, mentors, and coaches team members. Practices self-leadership; creates, evaluates, and responds to the strengths and weaknesses of self and unit or team members. Leads the adaptation to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Fosters open dialogue amongst team members.
• Drives the execution of multiple work streams by identifying member and operational needs; translates business strategy into actionable business requirements; develops and updates new procedures and policies. Gains cross-functional support for objectives and priorities; determines and carries out processes and methodologies; solves highly complex issues; escalates and resolves issues as appropriate; sets standards and measures progress. Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; influences the completion of project tasks by others.
• Serves as an expert consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or complex workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and senior executive management; partnering with stakeholders to develop goals and set the prioritization of deliverables; leading the development of a menu of solutions for complex, competing, or ambiguous requests; driving discussions regarding the involvement of business processes (e.g. change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating and resolving tough issues with stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to senior executive level audiences.
• Drives business strategy, organizational alignment, and prioritization of business initiatives by working closely with senior executives to facilitate the development, refinement, and articulation of the business strategy; defining, developing, and evaluating performance metrics, standards, and methods to establish business success; leading the development of strategic roadmaps for solution development and deployment; collaborating with senior cross-functional 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.
• Leads the work of project/program team members by requesting and coordinating internal and/ or external resources based on the alignment of team member skills and project/program demands; delivering and promoting strategic vision and objectives to team members; and delivering performance feedback to team members supervisors and leadership as appropriate.
• Leads and provides expertise to a team of consultants in the development of requirements for large-scale, complex, or specialized business, process, or system solutions across business domain(s) by leveraging partnerships with stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and leading and overseeing the development and documentation of comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions.
• Serves as a lead expert in the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; leveraging stakeholder partnerships to identify the operational needs and impact of requirements on upstream and downstream solution components; providing options and recommendations to senior executive management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions and domains; identifying and validating value gaps and opportunities for process enhancements or efficiencies; and leading the establishment of appropriate governance and workgroup infrastructures to accomplish strategic outcomes.
• Manages complex, highly visible or specialized, cross-functional projects and/or programs by coordinating stakeholders; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project/program plans; collaborating on the coordination of project/program scope, schedules, and resource forecasts; proactively monitoring and identifying project/program/business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Serves as a lead expert in the proactive monitoring and identification of client, project, program, and/or business risks, issues, and trigger events by leading and overseeing the development of mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Designs, leads, and serves as a lead expert for change management plans associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with executive management, project/program champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change.
• Serves as a lead expert in the assessment of strategic performance metrics to support business initiatives by building partnerships with data analytic teams to ensure the translation of business requirements into analytic specifications; identifying appropriate data analysis tools and approach to assess business 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; conducting advanced statistical analyses and/or testing to evaluate the effectiveness of business solutions; identifying and alleviating risks through data-driven analysis; and keeping current on, evaluating, and integrating data analytic trends and best practices to meet the demands of a continuously evolving analytic landscape.
• Serves as a lead advocate for continuous learning and professional development by keeping abreast of cutting edge industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, training seminars, and/or speaking events as appropriate; leading the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results.
• Participates in vendor management as required by reviewing vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate.
• Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

This individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization, developing and designing actuarial documentation, conducting product line evaluation and actuarial modeling, and assessing and interpreting financial risk and opportunity analyses.

• Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback.
• Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities.
• Develops and designs actuarial documentation by completing the actuarial portion of financial reports and tax returns; and responses to insurance regulations.
• Participates in product line evaluations by conducting and interpreting analysis of product line financials, pricing, reserve, valuation , cash flow analysis; and analyzing and interpreting product line performance, risk, and assumptions used in product development.
• Utilizes actuarial research by implementing non-complex developments standards, assumptions, and the legal and regulatory environment.
• Assesses, analyzes and interprets financial risks and opportunities by applying advanced actuarial methods; and conducting actuarial analyses.
• Collaborates with business partners by translating mathematical constructs into actionable recommendations; and complying with the Actuarial Standards of Practice.
• Develops and designs advanced actuarial models; assists with the development of alternative assumptions and forecasts using in-house models or actuarial software; and validates the results.

** PLEASE NOTE: Salary ranges are geographically based and the posted range reflects the Northen CA region. Lower salary ranges will apply for other labor markets outside of NCAL

Overview:

This individual contributor is primarily responsible for supporting data-informed decisions, gathering data and information on targeted variables in an established systematic fashion, and preparing data for analytic efforts. This position develops, implements, and automates business and reporting solutions and supporting data analysis interpretation.

• Pursues self-development and effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and customers; influencing others through technical explanations and examples; providing occasional mentoring to team members; listening and responding to, seeking, and addressing performance feedback; creating plans to capitalize on strengths and develop weaknesses; anticipating and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback.
• Completes work assignments by applying up-to-date expertise in subject area to generate creative solutions; ensuring all procedures and policies are followed; leveraging an understanding of data, and resources to support projects or initiatives; collaborating cross-functionally to solve business problems; identifying and monitoring priorities, deadlines, and expectations; communicating progress and information; identifying, recommending, and implementing ways to address improvement opportunities; and escalating issues or risks as appropriate.
• Gathers data and information on targeted variables in an established systematic fashion by validating data sources; querying, merging, and extracting data across sources; completing routine data refresh and update; developing and/or delivering tools for electronic data collection; and providing user training, support, and documentation.
• Prepares data for analytic efforts by consolidating data; reviewing data for quality and accuracy; profiling data inaccuracies; and cleaning and creating final data set(s) for analysis.
• Develops, implements, and automates business and reporting solutions by working with stakeholders in their design, planning, and implementation while ensuring consistency and coherency; summarizing data and results; creating summary statistics; organizing data reports, visualizations, and/or interactive Business Intelligence (BI) reports; identifying needs for the development and implementation of additional reporting solutions; and preparing documentation as appropriate.
• Supports data analysis interpretation by applying findings to contextual settings under the guidance of more senior employees; and developing reports and presentations telling a compelling story to stakeholders to enable and influence decision making.
• Supports data-informed decisions by consulting with clients to identify and clarify key business needs; developing outcomes and process measures; translating business requirements; determining data/information needs and data collection methods; developing analysis plans; measuring the impact of business decisions on clients, customers, and/or members; working with clients and staff to identify opportunities and methods to improve efficiencies with analysis; supporting and training end-users; and documenting processes and deliverables.

This individual contributor is primarily responsible for designing and developing data pipelines and automation for data acquisition and ingestion of raw data from multiple data sources and data formats by transforming, cleansing, and storing data for consumption. This role is also responsible for developing detailed problem statements outlining hypotheses and their effect on target clients/customers, analyzing and investigating complex data sets and summarizing key characteristics, selecting, manipulating and transforming data into features used in machine learning algorithms, training statistical models, deploying and maintaining reliable and efficient models through production, verifying model performance, and collaborating with internal and external stakeholders across domains to develop and deliver statistical driven outcomes.

• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
• Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
• Develops detailed problem statements outlining hypotheses and their effect on target clients/customers by defining scope, objectives, outcome statements and metrics.
• Designs and develops data pipelines and automation for data acquisition and ingestion of raw data from multiple data sources and data formats by transforming, cleansing, and storing data for consumption by downstream processes; writing and optimizing diverse SQL queries; and demonstrating advanced knowledge of database fundamentals.
• Analyzes and investigates complex data sets and summarizes key characteristics by employing data visualization methods; and determining how best to manipulate data sources to discover patterns, spot anomalies, test hypotheses, and/or check assumptions.
• Selects, manipulates, and transforms data into features used in machine learning algorithms by leveraging techniques to conduct dimensionality reduction, feature importance, and feature selection.
• Trains statistical models by using algorithms and data mining techniques; testing models with various algorithms to assess the input dataset and related features; and applying techniques to prevent overfitting such as cross-validation.
• Deploys and maintains reliable and efficient models through production.
• Verifies model performance by demonstrating expertise in the practice of a variety of model validation techniques to assess and discriminate the goodness of model fit; and leveraging feedback and output to manage and strengthen model performance.
• Collaborates with internal and external stakeholders across domains to develop and deliver statistical driven outcomes by delivering insights and values from heterogeneous data to investigate complex problems for multiple use cases; driving informed decision-making; and presenting findings to both technical and non-technical audiences.

This senior individual contributor is primarily responsible for leading the design and development of data pipelines and automation for data acquisition and ingestion of raw data from multiple data sources and data formats. This role is also responsible for leading the development of detailed problem statements outlining hypotheses and their effect on target clients/customers, serving as an expert in the analysis and investigation of complex data sets, leading the selection, manipulation and transformation of data into features used in machine learning algorithms, training statistical models, leading the deployment and maintenance of reliable and efficient models through production, verifying and ensuring model performance, and partnering with internal and external stakeholders across domains to develop and deliver statistical driven outcomes.

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
• Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
• Leads the development of detailed problem statements outlining hypotheses and their effect on target clients/customers by ensuring comprehensive and accurate definitions of scope, objectives, outcome statements and metrics.
• Leads the design and development of data pipelines and automation for data acquisition and ingestion of raw data from multiple data sources and data formats by overseeing the transformation, cleansing, and storing of data for consumption by downstream processes; writing and optimizing diverse and complex SQL queries; and demonstrating expertise of database fundamentals.
• Serves as an expert in the analysis and investigation of complex data sets by ensuring optimum data visualization methods are employed; determining how best to manipulate data sources to discover patterns, spot anomalies, test hypotheses, and/or check assumptions; and reviewing and verifying summaries of key dataset characteristics.
• Leads the selection, manipulation, and transformation of data into features used in machine learning algorithms by leveraging and demonstrating expertise in techniques to conduct dimensionality reduction, feature importance, and feature selection.
• Trains statistical models by selecting and leveraging algorithms and data mining techniques; leading model testing by ensuring the proper use of various algorithms to assess the input dataset and related features; and applying techniques to prevent overfitting such as cross-validation.
• Leads the deployment and maintenance of reliable and efficient models through production.
• Verifies and ensures model performance by demonstrating advanced expertise in the practice of a variety of model validation techniques to assess and discriminate the goodness of model fit; and leveraging feedback and output to manage and strengthen model performance.
• Partners with internal and external stakeholders across domains to develop and deliver statistical driven outcomes by generating and delivering insights and values from heterogeneous data to investigate complex problems for multiple use cases; driving informed decision-making; and presenting findings to both technical and non-technical leadership.

** PLEASE NOTE: Salary ranges are geographically based and the posted range reflects the Northen CA region. Lower salary ranges will apply for other labor markets outside of NCAL

Overview:

The Risk Adjustment Operational Analytics leadership is seeking a Data Analyst to scope, deploy, and report on projects supporting prospective and retrospective risk adjustment initiatives. This pivotal role will build foundational reporting and analytical frameworks used to identify and prioritize risk adjustment opportunities, and will develop clear, insightful visualizations of opportunities and outcomes that directly inform strategic decision-making and operational excellence. The ideal candidate brings extensive, hands-on analytical experience and a demonstrated track record of translating complex data into actionable business intelligence within a dynamic healthcare environment. This position offers a significant opportunity to contribute to the organization's continued success in risk adjustment.

This role requires advanced technical coding expertise (e.g., SQL, R, or similar, with Python strongly preferred) sufficient to independently design, build, and optimize complex analytical solutions, or equivalent experience with statistical modeling programs. Prior knowledge of or experience in risk adjustment is preferred, along with familiarity in machine learning, predictive analytics, data modeling, and data visualization.

This individual contributor is primarily responsible for driving strategic data-informed decisions, gathering data and information on targeted variables in an established systematic fashion, and preparing data for analytic efforts. This position executes creative data analytic approaches leading to actionable outcomes, interprets data analyses, and develops analytical and/or statistical models enabling informed business decisions.

• Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback.
• Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities.
• Interprets data analyses by applying findings to contextual settings; and developing insights, reports, and presentations telling a compelling story to stakeholders to enable and influence decision making; and providing context related to data interpretations and/or limitations as appropriate.
• Executes creative data analytic approaches leading to actionable outcomes by defining and calculating metrics to be analyzed; defining, calculating, and validating algorithms; and conducting analyses, including descriptive, correlational, inferential, and/or predictive statistics.
• Develops analytical and/or statistical models enabling informed business decisions by determining data and analytical requirements; creating models leading to actionable insights; and testing, refining, and validating models.
• Gathers data and information on targeted variables in an established systematic fashion by validating data sources; querying, merging, and extracting data across sources; completing routine data refresh and update; developing and/or delivering tools for electronic data collection; and providing user training, support, and documentation.
• Drives strategic data-informed decisions by consulting with clients to identify and clarify key business needs; developing outcomes and process measures; translating business requirements; determining data/information needs and data collection methods; developing analysis plans; measuring the impact of business decisions on clients, customers, and/or members; working with clients and staff to identify opportunities and methods to improve efficiencies with analysis; supporting and training end-users; and documenting processes and deliverables.
• Prepares data for analytic efforts by integrating and consolidating data; ensuring data quality and accuracy; profiling data inaccuracies and recommending process improvements or system changes to enhance overall quality of the data; and cleaning and creating final data set(s) for analysis.

The ideal candidate is a web developer first, with deep technical knowledge of browser behavior, JavaScript, cookies, network calls, and client-side integrations, combined with extensive experience implementing privacy and consent solutions using OneTrust SDKs and Tag Management platforms.

In this role, you will design, develop, and maintain consent management solutions across web and omnichannel digital platforms, with a focus on implementing and customizing OneTrust and managing tag deployments through Adobe Launch (Tags) and other tag management platforms. You will develop and maintain JavaScript-based solutions that support consent workflows, event handling, and integrations, and ensure consent signals are accurately communicated across analytics, marketing, personalization, advertising, and other third-party platforms. The role requires hands-on troubleshooting of complex client-side issues involving cookies, local storage, browser behavior, network requests, caching, and synchronization across systems. You will partner closely with product, analytics, privacy, and engineering teams to implement consent strategies, optimize tag performance, and ensure digital experiences meet applicable privacy and compliance requirements. You will also contribute to technical documentation, implementation standards, and best practices that support consistent and effective consent and tag governance across the organization.
 

This individual contributor is primarily responsible for translating business requirements and functional specifications into software solutions, for assisting in contributing to and leveraging the technical direction for the development of integrated business and/or enterprise application solutions, and for providing consultation to help ensure new and existing software solutions are developed.

• Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; and recognizing and capitalizing on improvement opportunities.
• Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others and managers; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback.
• As part of the IT Engineering job family, this position is responsible for leveraging DEVOPS, and both Waterfall and Agile practices, to design, develop, and deliver resilient, secure, multi-channel, high-volume, high-transaction, on/off-premise, cloud-based solutions.
• Provides insight into recommendations for technical solutions that meet design and functional needs.
• Translates business requirements and functional specifications into physical program designs, code modules, stable application systems, and software solutions by partnering with Business Analysts and other team members to understand business needs and functional specifications.
• Assists in identification of specific interfaces, methods, parameters, procedures, and functions, as required, to support technical solutions.
• Leads systems incident support and troubleshooting for complex and non-complex issues.
• Supports component integration testing (CIT) and user acceptance testing (UAT) for application initiatives by providing triage, attending test team meetings, keeping the QC up-to-date, performing fixes and unit testing, providing insight to testing teams in order to ensure the appropriate depth of test coverage, and supporting the development of proper documentation.
• Builds and maintains trusting relationships with internal customers and third party vendors to ensure the alignment, buy-in, and support of diverse project stakeholders.
• Reviews and validates technical specifications and documentation.
• Identifies specific interfaces, methods, parameters, procedures, and functions to support technical solutions while incorporating architectural designs.
• Collaborates with architects and/or software consultants to ensure functional specifications are converted into flexible, scalable, and maintainable solution designs.
• Provides implementation and post-implementation triage and support of business software solutions by programming and/or configuring enhancements to new or packaged-based systems and applications.
• Reviews and makes changes to technical specifications and documentation.
• Develops and executes unit testing to identify application errors and ensure software solutions meet functional specifications.
• Writes technical specifications and documentation.
• Ensures new and existing software solutions are developed with insight into industry best practices, strategies, and architectures.
• Builds partnerships with IT teams and vendors to ensure written code adheres to company architectural standards, design patterns, and technical specifications.
• Leads, mentors, and trains other technical resources to develop software applications.
• Develops, configures, or modifies basic to moderately complex integrated business and/or enterprise application solutions within various computing environments by designing and coding component-based applications using programming languages.
• Participates and coaches others in all software development lifecycle phases by applying and sharing an in-depth understanding of company and industry methodologies, policies, standards, and controls.
• Assists with project estimation throughout the PLC.
• Develops and maintains specialist knowledge of database concepts, object and data modeling techniques and design principles, and a detailed knowledge of database architectures, software, and facilities. Analyses data requirements to establish, modify, or maintain object/data models. Evaluates potential solutions, demonstrating, installing, and commissioning selected products.
• Takes responsibility for the accessibility, retrievability, and security of specific subsets of information. Provides advice on the transformation of information from one format/medium to another, where appropriate. Maintains and implements information handling procedures. Enables the availability, integrity, and search ability of information through the application of formal data structures and protection measures. Manipulates specific data from information services to satisfy local or specific information needs.

This senior level employee is primarily responsible for translating business requirements and functional specifications into software solutions, for contributing to and leveraging the technical direction for the development of integrated business and/or enterprise application solutions, and for serving as a technical expert for project teams while providing consultation to help ensure new and existing software solutions are developed.

• Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks, as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; evaluating recommendations made; and influencing the completion of project tasks by others.
• Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and improve opportunity areas; and adapting to and learning from change, difficulties, and feedback.
• As part of the IT Engineering job family, this position is responsible for leveraging DEVOPS, and both Waterfall and Agile practices, to design, develop, and deliver resilient, secure, multi-channel, high-volume, high-transaction, on/off-premise, cloud-based solutions.
• Provides insight into recommendations for technical solutions that meet design and functional needs.
• Translates business requirements and functional specifications into physical program designs, code modules, stable application systems, and software solutions by partnering with Business Analysts and other team members to understand business needs and functional specifications.
• Ensures appropriate translation of business requirements and functional specifications into physical program designs, code modules, stable application systems, and software solutions by partnering with Business Analysts and other team members to understand business needs and functional specifications.
• Serves as an expert for innovative technical solutions that meet design and functional needs.
• Facilitates and serves as a technical expert for project teams throughout the release schedule of business and enterprise software solutions.
• Builds and maintains trusting relationships with internal customers, third party vendors, and senior management to ensure the alignment, buy-in, and support of diverse project stakeholders.
• Recommends complex technical solutions that meet design and functional needs.
• Collaborates with architects and/or software consultants to ensure functional specifications are converted into flexible, scalable, and maintainable solution designs.
• Provides expertise and guidance to team members for systems incident responses for complex issues.
• Provides implementation and post-implementation triage and support of business software solutions by programming and/or configuring enhancements to new or packaged-based systems and applications.
• Reviews and validates technical specifications and documentation.
• Identifies specific interfaces, methods, parameters, procedures, and functions to support technical solutions while incorporating architectural designs.
• Supports component integration testing (CIT) and user acceptance testing (UAT) for application initiatives by providing triage, attending test team meetings, keeping the QC up-to-date, performing fixes and unit testing, providing insight to testing teams in order to ensure the appropriate depth of test coverage, and supporting the development of proper documentation.
• Leads systems incident support and troubleshooting for complex and non-complex issues.
• Identifies specific interfaces, methods, parameters, procedures, and functions, as required, to support technical solutions serving as an escalation point for complex or unresolved issues related to requirements translation.
• Develops and validates complex testing scenarios to identify application errors and ensure software solutions meet functional specifications.
• Participates in all software development lifecycle phases by applying comprehensive understanding of company methodology, policies, standards, and internal and external controls.
• Develops, configures, or modifies basic to moderately complex integrated business and/or enterprise application solutions within various computing environments by designing and coding component-based applications using programming languages.
• Provides consultation to help ensure new and existing software solutions are developed with insight into industry best practices, strategies, and architectures.
• Builds partnerships with IT teams and vendors to ensure written code adheres to company architectural standards, design patterns, and technical specifications.
• Leads the development, validation, and execution of testing scenarios to identify application errors and ensure software solutions meet functional specifications.
• Leads, mentors, and trains other technical resources to develop software applications.

In addition to the responsibilities listed below, this position is responsible for providing support for customers (users), and assigned applications and/or information systems, including software implementation, cross-functional integration, complex configuration, and testing. Additional responsibilities also include leading solution design support efforts and research initiatives for translating requirements into workable technical solutions, and supporting the evaluation of third-party vendors as directed.

• Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks, as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; evaluating recommendations made; and influencing the completion of project tasks by others.
• Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and improve opportunity areas; and adapting to and learning from change, difficulties, and feedback.
• Develops requirements, or leads a team of IT consultants in the development of requirements for complex or specialized process or system solutions which may span multiple business domains by partnering with stakeholders and appropriate IT teams (for example, Solutions Delivery, Infrastructure, Enterprise Architecture).
• Leverages multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements (for example, SMART) across the enterprise.
• Leads and oversees the development and documentation of comprehensive business cases to assess the costs, benefits, ROI, and Total Cost of Ownership (TCO) of complex solution proposals.
• Provides insight, guidance, and recommendations throughout the evolution of applications, systems, and/or processes to a desired future state by maintaining and leveraging a comprehensive understanding of how current processes impact business operations across the enterprise.
• Maps current state against future state processes.
• Defines the impact of requirements on upstream and downstream solution components.
• Provides insight and influence to senior management and business leaders on how to integrate requirements with current systems and business processes across the enterprise.
• Reviews, evaluates, and prioritizes value gaps and opportunities for process enhancements or efficiencies.
• Influences solution design by providing insight and consultation at design sessions with IT teams to help translate requirements into workable business solutions.
• Recommends and advocates for additional data and/or services needed to address key business issues related to process or solutions design.
• Participates in evaluating third-party vendors as directed.
• Drives continuous process improvement by leading the development, implementation, and maintenance of standardized tools, templates, and processes across the enterprise.
• Recommends and advocates for regional and national process improvements which align with sustainable best practices, and the strategic and tactical goals of the business.

Overview:

We are seeking a highly skilled, hands-on Senior Consultant to join the Marketing Analytics organization. Reporting to the Senior Manager of Marketing Analytics, this role combines deep analytical expertise with strategic leadership. You will shape campaign and paid media channel measurement strategies, drive data governance, perform complex analyses, and translate insights into actionable recommendations. You will also lead initiatives that improve processes, strengthen analytical capabilities, and elevate how the organization uses data to make decisions. Success in this role requires the ability to navigate ambiguity, represent Analytics in strategic discussions and influence senior stakeholders, while remaining hands-on with the data as needed. The ideal candidate is a strong collaborator who works effectively with cross functional teams, media agencies, and vendor partners, and excels at managing multiple priorities in a matrix organization. 

Job Summary:

This individual contributor is primarily responsible for driving strategic data-informed decisions, gathering data and information on targeted variables in an established systematic fashion, preparing data for analytic efforts, and interpreting complex data analyses. This position drives the execution of creative data analytic approaches leading to actionable outcomes across functional areas, business and/or clinical lines, designs, implements, and automates business and reporting solutions, and leads the development of advanced analytical and/or statistical models enabling informed business decisions.

• Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and develop weaknesses; and adapting to and learning from change, difficulties, and feedback.
• Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and evaluating recommendations made by others.
• Interprets complex data analyses by applying findings to contextual settings; and developing insights, reports, and presentations telling a compelling story to stakeholders to enable and influence decision making; participating in peer reviews; and providing context related to data interpretations and/or limitations as appropriate.
• Leads the development of advanced analytical and/or statistical models enabling informed business decisions by determining data and analytical requirements; translating models and gaining stakeholder buy-in for implementation; creating complex models leading to actionable insights; and testing, refining, and validating models.
• Designs, implements, and automates business and reporting solutions by partnering with stakeholders to advise in their design, planning, and implementation while ensuring consistency and coherency; evaluating and summarizing data and results; creating summary statistics; designing data reports, visualizations, and/or interactive Business Intelligence (BI) reports; reporting to stakeholders on key findings; identifying needs for the development and implementation of additional reporting solutions; and preparing documentation as appropriate.
• Drives the execution of creative data analytic approaches leading to actionable outcomes across functional areas, business and/or clinical lines by defining and calculating complex metrics to be analyzed; defining, calculating, and validating algorithms; and conducting complex analyses, including descriptive, correlational, inferential, and/or predictive statistics.
• Prepares data for analytic efforts by integrating and consolidating data; ensuring data quality and accuracy; profiling data inaccuracies and recommending process improvements or system changes to enhance overall quality of the data; collaborating with stakeholders and source system owners to resolve data quality issues as appropriate; and cleaning and creating final data set(s) for analysis.
• Gathers data and information on targeted variables in an established systematic fashion by validating data sources; querying, merging, and extracting data across internal and external sources; completing routine data refresh and update; developing and/or delivering complex tools for electronic data collection; and providing user training, support, and documentation.
• Drives strategic data-informed decisions by consulting with clients and leadership to identify and clarify key business needs across functional areas, business and/or clinical lines; developing outcomes and process measures; translating business requirements; determining data/information needs and data collection methods; developing complex analysis plans; evaluating the impact of business decisions on clients, customers, and/or members; partnering with clients and staff to identify opportunities and methods to improve efficiencies with analysis; supporting and training end-users; and documenting processes and deliverables.

Identifies various information and resources for others to leverage when identifying appropriate solutions to meet lead/prospect/customer needs and utilizes working knowledge to address lead/prospect/customer questions in issues in a timely manner. Generates prospective sales by following general procedures to work with others in prospecting, sourcing, developing, and maximizing referral networks. Provides information used for developing sales strategy, identifies data for sales status reports, and demonstrates working knowledge for applying research and information on health care to articulate internal sales strategies and drive external sales. Works within and across team to support data collection on trends related to sales strategy and follows pre-defined strategies to accomplish sales plans and help drive internal negotiations and sales strategy. Works with others to identify resources, including following through on intended outcomes, to achieve or support sales targets/goals/initiatives. Advocates for process improvement by following general procedures to work with others in identifying and implementing initiatives for overcoming obstacles to sales progress and ensuring objectives are met, identifying new and improving existing process-related initiatives, resolving risks to compliance, and tracking and articulating performance trends and updates, with limited degree of supervision.

• Pursues effective peer relationships within and across teams to obtain and share resources and information. Listens to, addresses, and seeks performance feedback; acts as an informal resource for less experienced team members. Actively seeks new relevant knowledge and skills based on strengths and weaknesses; reviews others work to help others learn. Adapts to change, challenges, and feedback with minimal guidance; demonstrates flexibility in work. Assesses and responds to the needs of others to support completion of work tasks.
• Follows instructions to complete routine and non-routine work assignments with limited supervision. Collaborates with others to recommend appropriate solutions for routine and non-routine issues; escalates complex issues; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities within ones team.
• Ensures a high level of customer service is provided by: identifying various information and resources for others to leverage to identify appropriate solutions based on lead/prospect/customer needs in fulfillment of performance and service quality goals, as well as the KP mission, with limited instructions; demonstrating working knowledge about various health plans and benefits to leads/prospects/customers and brokers/consultants to convey KPs unique value proposition; and utilizing working knowledge to address lead/prospect/customer questions or issues in a timely manner.
• Serves as an advocate for process improvement by: following general procedures to support others for overcoming obstacles to sales initiative progress and ensuring objectives are met on time and/or within budget with detailed guidance; serving as a sales support subject matter expert by collaborating with work groups, as selected, to meet department objectives, and assessing new and improved existing process-related initiatives, systems, and practices, with a limited degree of supervision; following routine and non-routine methods/processes for the continuous improvement of tools, technology, and processes to optimize effectiveness; developing working knowledge of Federal and State laws, regulations, contracts, and rulings, recording and escalating issues or risks to compliance; demonstrating working knowledge of standard processes to track performance trends and articulate the performance update consistent with the strategy, along with story behind what is occurring, with minimal guidance; and applying working knowledge to ensure group installation and/or member enrollment processing to ensure that all critical milestones are met.
• Generates prospective sales by: collaborating with others in the organization of open enrollment events, and preparing material for formal presentations to prospective customers following general instructions; following general procedures to support others inbuilding relationships with key influencers, brokers, consultants, decision makers, and/or community groups to support new business opportunities and prospective customers; exhibiting working knowledge of relevant practices on prospecting, sourcing, and developing and maximizing referral networks to build own book of business; completing routine and non-routine materials/forms for incoming business opportunities with minimal guidance; following general procedures closely to help partners work with key influencers, brokers, consultants, decision-makers, and/or community groups and successfully win new leads/prospects/customers by conveying the value of enrollment, with minimal guidance; and working on tasks as assigned to support and use new applicable and relevant resources such as the sales database, reports, media, and industry intelligence, on sales prospects with a limited degree of supervision, and providing updates to the team.
• Contributes to strategic development by: providing information for colleagues to leverage to develop strategy to meet annual sales targets, goals, and initiatives; identifying data for sales status reports including sales activity, follow-up, closings, and target achievement; demonstrating working knowledge of relevant practices for applying research and information on the health care marketplace to articulate internal sales strategies and drive external sales; working within team and with cross-team peers to support data collection on competitor, customer, and industry trends related to sales strategy; following routine strategies for using sales performance data to maximize performance and develop territory insights and sales strategies to accomplish sales plans; and following pre-defined strategies on optimal offering conditions and/or market segmentation (e.g., benefits, pricing) to help drive internal negotiations and sales strategy.

Please Note: Salary ranges are geographically based, and the posted range reflects the Northern CA region. Lower salary ranges will apply for other labor markets outside of NCAL.

As a Consultant IV in the Sales Enablement & Operations Department, you will be a part of exciting programs and initiatives centered on redefining our organization-s sales processes and supporting our Salesforce users across the enterprise. This role involves sales process and sales systems consulting. Preferred certifications: Salesforce Certified Administrator (or higher) and/or Lean Six Sigma Green Belt (or higher).

Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Contributes to business strategy and supports organizational alignment and prioritization of business initiatives. Manages complex projects or project components, participates in and may lead change management activities, and performs data analyses in support of business initiatives. Supports vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.

• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
• Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
• Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects across one or more functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; discussing involvement of business processes (e.g. project change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating tough issues to stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to various senior level audiences.
• Develops requirements for complex business, process, or system solutions within assigned business domain(s) by interfacing stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; developing and documenting comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions; and leading team members in the development process as appropriate.
• Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions or domains; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.
• Contributes to business strategy and supports organizational alignment and prioritization of business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing assigned initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives.
• Serves as a advocate of continuous learning and professional development by keeping abreast of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; contributing to the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results.
• Manages complex projects or project components by coordinating stakeholder contacts; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Participates in and may lead change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with management, project champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change.
• Performs data analyses to support business initiatives by identifying appropriate data analysis tools and approach to assess business 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; conducting analyses and performing experimental tests to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.
• Supports vendor management as required by assisting with reviews of vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate.
• Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

This senior level employee is primarily responsible for translating business requirements and functional specifications into software solutions, for contributing to and leveraging the technical direction for the development of integrated business and/or enterprise application solutions, and for serving as a technical expert for project teams while providing consultation to help ensure new and existing software solutions are developed.

• Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks, as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; evaluating recommendations made; and influencing the completion of project tasks by others.
• Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and improve opportunity areas; and adapting to and learning from change, difficulties, and feedback.
• As part of the IT Engineering job family, this position is responsible for leveraging DEVOPS, and both Waterfall and Agile practices, to design, develop, and deliver resilient, secure, multi-channel, high-volume, high-transaction, on/off-premise, cloud-based solutions.
• Provides insight into recommendations for technical solutions that meet design and functional needs.
• Translates business requirements and functional specifications into physical program designs, code modules, stable application systems, and software solutions by partnering with Business Analysts and other team members to understand business needs and functional specifications.
• Ensures appropriate translation of business requirements and functional specifications into physical program designs, code modules, stable application systems, and software solutions by partnering with Business Analysts and other team members to understand business needs and functional specifications.
• Serves as an expert for innovative technical solutions that meet design and functional needs.
• Facilitates and serves as a technical expert for project teams throughout the release schedule of business and enterprise software solutions.
• Builds and maintains trusting relationships with internal customers, third party vendors, and senior management to ensure the alignment, buy-in, and support of diverse project stakeholders.
• Recommends complex technical solutions that meet design and functional needs.
• Collaborates with architects and/or software consultants to ensure functional specifications are converted into flexible, scalable, and maintainable solution designs.
• Provides expertise and guidance to team members for systems incident responses for complex issues.
• Provides implementation and post-implementation triage and support of business software solutions by programming and/or configuring enhancements to new or packaged-based systems and applications.
• Reviews and validates technical specifications and documentation.
• Identifies specific interfaces, methods, parameters, procedures, and functions to support technical solutions while incorporating architectural designs.
• Supports component integration testing (CIT) and user acceptance testing (UAT) for application initiatives by providing triage, attending test team meetings, keeping the QC up-to-date, performing fixes and unit testing, providing insight to testing teams in order to ensure the appropriate depth of test coverage, and supporting the development of proper documentation.
• Leads systems incident support and troubleshooting for complex and non-complex issues.
• Identifies specific interfaces, methods, parameters, procedures, and functions, as required, to support technical solutions serving as an escalation point for complex or unresolved issues related to requirements translation.
• Develops and validates complex testing scenarios to identify application errors and ensure software solutions meet functional specifications.
• Participates in all software development lifecycle phases by applying comprehensive understanding of company methodology, policies, standards, and internal and external controls.
• Develops, configures, or modifies basic to moderately complex integrated business and/or enterprise application solutions within various computing environments by designing and coding component-based applications using programming languages.
• Provides consultation to help ensure new and existing software solutions are developed with insight into industry best practices, strategies, and architectures.
• Builds partnerships with IT teams and vendors to ensure written code adheres to company architectural standards, design patterns, and technical specifications.
• Leads the development, validation, and execution of testing scenarios to identify application errors and ensure software solutions meet functional specifications.
• Leads, mentors, and trains other technical resources to develop software applications.

Under the direct supervision of a Registered Nurse or physician provides nursing care in accordance with the legal scope of practice and within established standards of care, policies and procedures.  Demonstrates performance consistent with the Mission, Vision and Strategic Plan of the organization.  Demonstrates quality and effectiveness in work habits and clinical practice and treats co-workers, patients, families and all members of the health care team with dignity and respect.

• Representative Duties:
• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
• Performs patient care functions, within the scope of competency, considering age related needs of the patient as prescribed by physician/health care professional(s) following established protocols, policies and procedures.
• Assist medical personnel with special procedures, minor surgical procedures and/or diagnostic exams.
• Assess and monitor patients condition and notify physician/health care professional for disposition.
• Prepare and administer medications as directed by physician order following established protocols.
• Maintain equipment and supplies.
• Identify and arrange for equipment needing repair.  Apply principles of aseptic technique and infection control as directed by the Infection Control Manual.
• Monitor patient flow and assign/direct other ancillary personnel as needed.
• Provide medical information and education to patients, following established protocols and guidelines.
• Document pertinent patient information, assessment and nursing procedures following established protocols.
• Maintain patient confidentiality.
• Perform other duties as directed.  
• Patient/Care Procedures:
• Explain purpose and process of examinations, tests and medical procedures to patients, following established guidelines.
• Instruct patients on general health and basic self care procedures.
• Review, explain and clarify physician orders with patient.
• Instruct patient in use of home equipment.
• Administer patient first aid.
• Apply basic orthopedic devices, as ordered by physician.
• Apply and remove dressings.
• Execute treatments such as urinary catheterization, bladder irrigations, suction procedures and throat irrigations.
• Follow standard infection control procedures.
• Administer enemas.
• Initiate emergency procedures (including basic CPR) and provide emergency patient treatments
• Lift patients.
• Monitor patient vital signs.
• Monitor patients for bleeding.
• Observe machine monitors.
• Administer inhalation therapy.
• Participate in development of nursing care plans.
• Perform surgical preps.
• Prepare and position patients for procedures.
• Prepare patients for physical examinations.
• Provide therapeutic care as ordered by physician.
• Rinse and clean instruments and equipment.
• Sterilize instruments and equipment.
• Arrange for equipment repair and maintenance.
• Maintain clean work area.
• Monitor supply of oxygen and gas tanks.
• Complete laboratory, radiology requisitions and specialized test forms.
• Notify appropriate personnel of abnormal lab test results.
• Answer member inquires.
• Observe patient condition for reactions during and after procedures.
• Remove sutures following established protocols.
• Respond to Code Blues.
• Take and record patient vital signs, height, weight, etc.
• Obtain specimens from patients (urine, stool, etc.).
• Perform venipuncture and finger sticks to obtain blood samples.
• Prepare specimens and specimens for lab analysis.
• Perform urine tests (tablet or dipstick.)
• Perform vision screening using Snellen chart.
• Perform routine diagnostic tests, following established protocols.
• Perform skin tests.
• Assist as member of surgical team.
• Assist physicians with endotrachael intubations.
• Assists physician in obtaining tissue specimens and biopsies.
• Assist with proctological procedures (i.e. Sigmoidoscopies.)
• Restrain or support patients during procedures.
• Perform EKGs (electrocardiograms.)
• Assist patients with ambulation and exercises, following established protocols
• Administer topical or aerosol medication as ordered.
• Administer medications as prescribed, within scope of practice.
• Transportation:
• Transport patients to/from designated areas.
• Route specimens to laboratory.
• Transport laboratory specimens, medical records, laboratory supplies and materials.
• Transport office supplies and materials, patient related supplies and materials.
• Transport equipment, and procedures trays.
• Administrative/Clerical/Record Keeping:  
• Request charts/medical records.
• Schedule, cancel and reschedule patient appointments.
• Initiate follow up appointments with patients.
• Check in patients/members.
• Prepare outgoing mail.
• Locate personnel by paging system or beeper.
• Provide patient information to family members, following patient confidentiality guidelines.
• Record and send Faxs.
• Screen patient calls and take messages for providers.
• Maintain department logs.
• Maintain and update user manuals.
• Monitor and maintain protocol manuals.
• Respond to requests for information.
• Order medical supplies and equipment.
• Receive, store and distribute materials and supplies.
• Replenish linen.
• Adjust work schedules and/or reassign personnel as directed.
• Serve as resource to coworkers by answering procedure questions and assisting in problem solving.
• Participate in special projects and studies.
• Demonstrate safety procedures.
• Coordinate and monitor activities within the module.
• Function as team leader.
• Participate in department meetings.
• Train and orient new staff to equipment, general duties and procedures, following established protocols.
• Maintain proficiency in clinical skills.
• Answer call lights.
• Answer telephones and take messages.
• Call in telephone prescriptions, following established protocols.
• Assume other activities and responsibilities as directed.

Under the direct supervision of a Registered Nurse or physician provides nursing care in accordance with the legal scope of practice and within established standards of care, policies and procedures.  Demonstrates performance consistent with the Mission, Vision and Strategic Plan of the organization.  Demonstrates quality and effectiveness in work habits and clinical practice and treats co-workers, patients, families and all members of the health care team with dignity and respect.

• Representative Duties:
• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
• Performs patient care functions, within the scope of competency, considering age related needs of the patient as prescribed by physician/health care professional(s) following established protocols, policies and procedures.
• Assist medical personnel with special procedures, minor surgical procedures and/or diagnostic exams.
• Assess and monitor patients condition and notify physician/health care professional for disposition.
• Prepare and administer medications as directed by physician order following established protocols.
• Maintain equipment and supplies.
• Identify and arrange for equipment needing repair.  Apply principles of aseptic technique and infection control as directed by the Infection Control Manual.
• Monitor patient flow and assign/direct other ancillary personnel as needed.
• Provide medical information and education to patients, following established protocols and guidelines.
• Document pertinent patient information, assessment and nursing procedures following established protocols.
• Maintain patient confidentiality.
• Perform other duties as directed.  
• Patient/Care Procedures:
• Explain purpose and process of examinations, tests and medical procedures to patients, following established guidelines.
• Instruct patients on general health and basic self care procedures.
• Review, explain and clarify physician orders with patient.
• Instruct patient in use of home equipment.
• Administer patient first aid.
• Apply basic orthopedic devices, as ordered by physician.
• Apply and remove dressings.
• Execute treatments such as urinary catheterization, bladder irrigations, suction procedures and throat irrigations.
• Follow standard infection control procedures.
• Administer enemas.
• Initiate emergency procedures (including basic CPR) and provide emergency patient treatments
• Lift patients.
• Monitor patient vital signs.
• Monitor patients for bleeding.
• Observe machine monitors.
• Administer inhalation therapy.
• Participate in development of nursing care plans.
• Perform surgical preps.
• Prepare and position patients for procedures.
• Prepare patients for physical examinations.
• Provide therapeutic care as ordered by physician.
• Rinse and clean instruments and equipment.
• Sterilize instruments and equipment.
• Arrange for equipment repair and maintenance.
• Maintain clean work area.
• Monitor supply of oxygen and gas tanks.
• Complete laboratory, radiology requisitions and specialized test forms.
• Notify appropriate personnel of abnormal lab test results.
• Answer member inquires.
• Observe patient condition for reactions during and after procedures.
• Remove sutures following established protocols.
• Respond to Code Blues.
• Take and record patient vital signs, height, weight, etc.
• Obtain specimens from patients (urine, stool, etc.).
• Perform venipuncture and finger sticks to obtain blood samples.
• Prepare specimens and specimens for lab analysis.
• Perform urine tests (tablet or dipstick.)
• Perform vision screening using Snellen chart.
• Perform routine diagnostic tests, following established protocols.
• Perform skin tests.
• Assist as member of surgical team.
• Assist physicians with endotrachael intubations.
• Assists physician in obtaining tissue specimens and biopsies.
• Assist with proctological procedures (i.e. Sigmoidoscopies.)
• Restrain or support patients during procedures.
• Perform EKGs (electrocardiograms.)
• Assist patients with ambulation and exercises, following established protocols
• Administer topical or aerosol medication as ordered.
• Administer medications as prescribed, within scope of practice.
• Transportation:
• Transport patients to/from designated areas.
• Route specimens to laboratory.
• Transport laboratory specimens, medical records, laboratory supplies and materials.
• Transport office supplies and materials, patient related supplies and materials.
• Transport equipment, and procedures trays.
• Administrative/Clerical/Record Keeping:  
• Request charts/medical records.
• Schedule, cancel and reschedule patient appointments.
• Initiate follow up appointments with patients.
• Check in patients/members.
• Prepare outgoing mail.
• Locate personnel by paging system or beeper.
• Provide patient information to family members, following patient confidentiality guidelines.
• Record and send Faxs.
• Screen patient calls and take messages for providers.
• Maintain department logs.
• Maintain and update user manuals.
• Monitor and maintain protocol manuals.
• Respond to requests for information.
• Order medical supplies and equipment.
• Receive, store and distribute materials and supplies.
• Replenish linen.
• Adjust work schedules and/or reassign personnel as directed.
• Serve as resource to coworkers by answering procedure questions and assisting in problem solving.
• Participate in special projects and studies.
• Demonstrate safety procedures.
• Coordinate and monitor activities within the module.
• Function as team leader.
• Participate in department meetings.
• Train and orient new staff to equipment, general duties and procedures, following established protocols.
• Maintain proficiency in clinical skills.
• Answer call lights.
• Answer telephones and take messages.
• Call in telephone prescriptions, following established protocols.
• Assume other activities and responsibilities as directed.

The Consultant III also supports the team-s Power BI dashboard and other data analytic requests. Success depends on strong attention to detail and communication skills (written and oral), experience with assessing data integrity, and taking proactive initiatives towards the team and organization-s shared goals.

Serves as part of a consulting team to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Supports strategic planning and organizational alignment and prioritization of business initiatives. Manages moderately complex projects or project components, participates in change management activities, and performs data analyses in support of business initiatives. Supports vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.

• Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.
• Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.
• Serves as part of a consultant team to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects within a functional track or workstream by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; identifying and escalating tough stakeholder issues while maintaining an independent perspective; preparing presentations and reports; and leading or facilitating team meetings.
• Develops requirements for business, process, or system solutions within assigned business domain(s) by interfacing stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and developing and documenting comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions.
• Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a working understanding of how current processes impact business operations; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.
• Supports strategic planning and organizational alignment and prioritization of business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; and managing assigned initiatives to ensure delivery of measurable results and alignment with strategic objectives.
• Serves as a advocate of continuous learning and professional development by keeping abreast of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; contributing to the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; and serving as an advocate to ensure continuous learning and improvement is championed as a people strategy.
• Manages moderately complex projects or project components by coordinating stakeholder contacts; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Participates in change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; collaborating with management, project champions, and business owners to communicate and align improvement initiatives with business objectives; using appropriate change management methods and approaches; and ensuring stakeholders embrace a change management mindset, and understand initiative intent and purpose.
• Performs data analyses to support business initiatives by using appropriate data analysis tools and approach to assess business performance; deploying 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; conducting analyses and performing experimental tests to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.
• Supports vendor management as required by assisting with reviews of vendor performance levels; ensuring service level agreements are met; and partnering with Procurement and/or Legal to assist in the development of service level and/or scope of work agreements as appropriate.
• Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

This managing level employee is primarily responsible for developing and providing recommendations on avoiding financial risk to the organization, leading the completion of actuarial documentation, developing and designing product line evaluations and new or advanced actuarial models, and assessing, analyzing, and interpreting financial risk and opportunity for presentation to mid-level stakeholders.

• Pursues professional growth and provides developmental opportunities for others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; training and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst team members; executing performance management guidelines and expectations; and working closely with employees to set goals and provide open feedback and coaching to drive performance improvement.
• Manages designated work unit by translating business plans into tactical action items; ensuring all policies and procedures are followed; delegating tasks to meet goals and objectives; overseeing the completion of work assignments; aligning team efforts; building accountability for and measuring progress in achieving results; identifying and addressing improvement opportunities; removing obstacles that impact performance; and guiding performance and developing contingency plans accordingly.
• Completes actuarial documentation by reviewing and coordinating the actuarial portion of financial reports and tax returns, and responses to insurance regulations; recommending report needs; and presenting results internally to mid-level leadership.
• Develops and designs product line evaluations by interpreting and communicating findings of analysis of product line financials, pricing, reserve, valuation , cash flow analysis; interpreting product line performance, risk, and assumptions used in product development; and coaches and develops staff while ensuring business needs or requirements are met.
• Designs and develops actuarial research by designing complex methods to advance standards, assumptions, and the legal and regulatory environment; and ensuring staff completes activities.
• Assesses, analyzes and interprets financial risks and opportunities by using non-traditional actuarial methods and actuarial judgment when conducting actuarial analyses; and coaches and develops staff while ensuring business needs or requirements are met.
• Leads collaboration with business partners by translating complex actuarial constructs into actionable recommendations; and developing and formulating accurate actuarial and financial advice in compliance with the Actuarial Standards of Practice; and coaches and develops staff while ensuring business needs or requirements are met.
• Creates framework and assumptions for new, existing, and non-traditional actuarial models to meet business needs; and coaches and develops staff while ensuring business needs or requirements are met.

Manages a team of consultants to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Managers the development and implementation of business initiatives, systems, and/or processes to a desired future state. Develops business strategy and ensures alignment and prioritization of organizational objectives and business initiatives. Manages complex projects or project components for teams, manages change management plans, and manages team members in performing complex data analyses to drive business initiatives. Participates in vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.

• 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 a team of consultants to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects across multiple functional tracks or workstreams by ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; discussing involvement of business processes (e.g. project change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating and resolving tough issues with stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to senior level audiences.
• Manages a team of consultants in the development of requirements for complex business, process, or system solutions which may span multiple business domain(s) by partnering with stakeholders and cross-functional teams as appropriate; providing guidance in the use of multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and monitoring the development and documentation of comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions.
• Manages the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to senior management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions or domains; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.
• Develops business strategy and ensures alignment and prioritization of organizational objectives and business initiatives by developing and evaluating performance metrics, standards, and methods to establish business 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 learning and professional development by keeping abreast of cutting edge industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, and speaking events; leading the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results.
• Manages complex projects or project components for teams by coordinating stakeholder contacts; assembling team based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; partnering on the coordination of project schedules and resource forecasts; identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Manages change management plans associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with senior management, project/program champions, and business owners to communicate and align improvement initiatives with business objectives; recommending appropriate change management methods and approaches; 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 business initiatives by recommending appropriate data analysis tools and approach to assess business 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 identifying and alleviating risks through data-driven analysis.
• Participates in vendor management as required by reviewing vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/ or Legal to develop service level and/or scope of work agreements as appropriate.
• Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

The MCCAS (Member, Care, and Coverage Application Services) - Medical Device Integration team provides enterprise governance and technical oversight for integrations that securely and reliably transmit data from medical devices into clinical systems, including Epic, to support safe, scalable care delivery. The Solution Consultant owns a portfolio of diagnostic, therapeutic, and monitoring device integrations, defining product direction and leading solution design aligned with clinical workflows, platform architecture, and regulatory requirements. This role partners closely with clinical leaders, operational teams, biomedical engineering, vendors, and enterprise system owners to ensure data integrity, security, lifecycle governance, and the effective adoption of new medical technologies across the organization.

This senior level individual contributor is primarily responsible for serving as the lead technical expert on project teams, contributing to technical direction for varying technical solutions, and ensuring IT systems are effectively utilized.

• Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks, as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; evaluating recommendations made; and influencing the completion of project tasks by others.
• Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and improve opportunity areas; and adapting to and learning from change, difficulties, and feedback.
• Develops requirements, or leads a team of IT consultants in the development of requirements for complex or specialized process or system solutions which may span multiple business domains by partnering with stakeholders and appropriate IT teams (for example, Solutions Delivery, Infrastructure, Enterprise Architecture).
• Leverages multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements (for example, SMART) across the enterprise.
• Leads and oversees the development and documentation of comprehensive business cases to assess the costs, benefits, ROI, and Total Cost of Ownership (TCO) of complex solution proposals.
• Provides insight, guidance, and recommendations throughout the evolution of applications, systems, and/or processes to a desired future state by maintaining and leveraging a comprehensive understanding of how current processes impact business operations across the enterprise.
• Maps current state against future state processes.
• Defines the impact of requirements on upstream and downstream solution components.
• Provides insight and influence to senior management and business leaders on how to integrate requirements with current systems and business processes across the enterprise.
• Reviews, evaluates, and prioritizes value gaps and opportunities for process enhancements or efficiencies.
• Influences solution design by providing insight and consultation at design sessions with IT teams to help translate requirements into workable business solutions.
• Recommends and advocates for additional data and/or services needed to address key business issues related to process or solutions design.
• Participates in evaluating third-party vendors as directed.
• Drives continuous process improvement by leading the development, implementation, and maintenance of standardized tools, templates, and processes across the enterprise.
• Recommends and advocates for regional and national process improvements which align with sustainable best practices, and the strategic and tactical goals of the business.

• This leader is responsible for the following duties in KP hospitals and ambulatory settings:
• Effectively partner with the market Permanente Medical Group and Health Plan Ambulatory Operations Leaders to ensure care delivery strategies meet regulatory and accreditation compliance with quality, safety, service, and access requirements in the inpatient, ambulatory and post-acute settings.
• Ensure alignment with national and market policies and programs related to quality and safety.
• Establish oversight for quality management systems and governance regionally and locally across all components of the clinical organization.
• Provides quality oversight on behalf of the KFHP/H Board of Directors for both facility and provider credentialing decisions.
• Proactively collaborates with key Health Plan and physician leaders at the national level to support the delivery of high quality, cost-effective, integrated healthcare to members and patients.
• Partner with other KFHP/H and PMG executives to set standards, leverage capabilities, share best practices and drive performance across the market. In conjunction with national quality leaders, develop and implement the organizations safety system. Core work includes but is not limited to the following:
• Develop, implement and fulfill strategic quality and safety oversight objectives that are incorporated into national and regional business plans.
• Develop, implement and oversee all aspects of Safety and Risk Management including Infection Prevention.
• Develop and implement quality oversight programs and corrective action plans as needed to ensure safe, timely, effective, efficient, equitable, and person-centered care.
• Develop and support a patient and family centered care program (PFCC).
• Collaborate with behavioral health leadership in the market to ensure appropriate quality oversight of behavioral health operations.
• Responsible for quality oversight of external network contracts.
• Consistently supports compliance with the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, and reporting noncompliance.
• Adheres to the applicable federal, state, and local laws and regulations, accreditation and licensure requirements, and Kaiser Permanentes policies and procedures.
• Develop and implement a quality program for government programs such as Medicare Stars and Medicaid that establishes effective oversight and provides support for performance improvement.
• As the market health plan quality leader this individual is responsible for ensuring performance measures related to clinical quality including oversight of clinical registries and associations, safety, care experience, coordination of care, and access are established and regularly overseen by the market quality oversight committee.
• Where third party accreditation is available as a benchmark for specific operations this leader will collaborate with operational leader to ensure alignment with those accrediting standards. Examples include but are not limited to NCQA (Health plan accreditation), TJC (Hospital and Ambulatory accreditation), and AAAHC (Ambulatory Surgery accreditation).

• Oversee all aspects of assessment of student learning within the MD degree program, including formative and summative and course-based and programmatic assessment.
• Develop appropriate assessment and evaluation strategies and direct initiatives to improve assessment and evaluation strategies.
• Collaborate with faculty, deans, staff, students, and others to design, launch, and maintain effective assessment of medical student learning and faculty teaching.
• Work closely with key stakeholders to continually improve standards that are common across all sites for assessing clinical skills development.
• Provide oversight and guidance to faculty and staff working on evaluation of curriculum.
• In collaboration with the Senior Director of Faculty Educator Development, provide oversight and direct faculty development in assessment and evaluation.
• Facilitate the identification and remediation of at-risk students.
• Oversee programmatic curricular evaluation.
• Participate in the development of strategy and in the implementation for the incorporation of emerging technologies into assessment and evaluation Coordinate with the Schools technology team to identify, construct, and manage appropriate assessment platforms and databases to include student portfolios.
• Contribute to the creation and implementation of KPSOMs second strategic plan to advance our CBME model.
• Oversee the operations of the Office of Assessment and Evaluation. Manage and supervise leadership and staff roles.
• Within the curricular unit, provide leadership and oversight to the mapping and development of KPSOM Educational Program Outcomes and milestones.
• Identify and develop instruments to assess students, faculty, and aspects of the educational program, including tests, surveys, observation protocols, interview focus group questionnaires, and scoring rubrics.
• Provide the appropriate student data, analysis, and evaluations for writing medical student performance evaluations (Deans Letters) for graduating students each year and oversee the production of the medical student performance evaluation.
• Provide outcomes data and analysis as requested to support curricular governance bodies in continuous quality improvement of the educational program.
• In collaboration with leadership of the Office of Medical Education, facilitate strategic changes in the curriculum to enhance and improve medical education based on KPSOM outcomes data and analysis.
• Engage with the field of assessment and evaluation in the larger medical education community.
• In collaboration with the Associate Dean for Medical Education Research and Scholarship, support educational research and initiatives, collaborating with faculty, staff, and students to develop innovative ideas, prioritize pilot projects, and participate in these projects. Collaborate with the Dean and other research leaders to publish scholarship based on assessment and evaluation data related to the KPSOM educational program. Implement evaluation strategy for the school to be able to report on the effectiveness of its educational techniques.
• In collaboration with accreditation and strategy leaders and teams, create appropriate reports for the LCME, BPPE and WASC accrediting bodies and ensures the availability of assessment and evaluation data relevant to accreditation.
• Understand legal and ethical issues regarding maintenance of student records, and other data generated through the Office of Assessment and Evaluation and oversee the development and implementation of policies and procedures aligning with legal and ethical requirements.
• Prepare, oversee, and manage the budget related to all aspects of learner assessment and educational program evaluation.
• Serve on relevant KPSOM committees and teams.
• Attend regional and national meetings related to learner and teacher assessment and program evaluation.

Incumbent serves as a researcher on projects based in the Department of Research and Evaluation (R&E). Works under the supervision of a R&E Research Scientist.

• Designs, develops, and directs well-defined research with supervision from a R&E Research Scientist.
• Prepares grant proposals and publications independently and collaboratively.
• Provides consultation and direction to programmer/analysts with regard to data management and analysis strategies.
• May perform subject assessments or chart reviews or provide direction to research support staff performing these tasks.
• Submits abstracts to and presents papers at national scientific meetings.
• Seeks consultation from research scientists for specific scientific and administrative issues.
• Participates in R&E department meetings and projects as appropriate.

• Manages designated units by translating business plans into tactical action items; communicating goals and objectives; ensuring all policies and procedures are followed; overseeing the completion of work assignments; assuming responsibility for decision making; aligning team efforts; building accountability for and measuring progress in achieving results; incorporating resources, costs, and forecasts into unit plans; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; partnering with key stakeholders and business leaders to ensure products and/or services meet requirements and expectations while aligning with departmental strategies; and influencing units to operate in alignment with business objectives.


• Pursues professional growth and provides developmental opportunities for others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; hiring, training, and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst departments; strategically evaluating talent for succession planning; setting performance management guidelines and expectations across units; and working closely with employees to set goals and provide open feedback and coaching to drive performance improvement.


• Manages information relevant to forecasting businesss future technical and operational information needs.


• Provides suggestions to higher levels regarding the development and definition of the business/technology strategy by managing the input from lower levels.


• Manages business and/or technology plans to ensure capability for alignment with business unit and KPs national and regional strategies.


• Manages the processes of region-wide, complex information systems needs in project areas such as new business operating models, innovative approaches to IT solutions support, market research of emerging or available product functionality and operational readiness assessment.


• Manages the implementation of technology or business process integration plans.


• Provides support to senior leadership by providing information regarding business systems, data and process initiatives.


• Manages systems and business process activities.


• Provides support to senior leadership by providing information regarding business and technology issues.


• Leads and coordinates inter- and intra-departmental systems integration activities.


• Provides consultation and guidance to ensure technology or process owners have access to the required information and training for effective system or process operations.


• Manages resources to ensure deliverable due dates and requirements are met.


• Manages operational performance reports within and across business functions or areas.


• Manages the development of resource (for example, associates, vendors, infrastructure) capacity planning, demand management processes, and workforce planning.


• Tracks annual IT staffing, purchasing and operations and capital budgets.


• Manages the development, tracking, maintenance, and reporting of performance metrics (for example, data quality, customer metrics, financials).


• Supports senior leadership in reviewing performance metrics and outcomes to drive ongoing operational change and improvements.


• Provides analytics to evaluate and ensure efficient, cost effective operational solutions which support systems processes and functional requirements.


• Manages the development, implementation, and the maintenance of a comprehensive and integrated data quality improvement and training program.


• Analyzes identified problems in technology and business solutions to determine cause and desired resolution.


• Monitors local, national, and international trends and legislative changes in healthcare technology and information systems.


• Manages technologies, systems solution design, data, and metrics in alignment with the organizations vision, goals and objectives.


• Manages initiatives in alignment with other National initiatives.


• Manages the preparation of source documents and technical/business manuals and monitors the use of established and documented IT processes, tools, and best practices.


• Manages the physical security, infrastructure, network, application controls for designated department or area.


• Develops and manages business continuity and disaster recovery-procedures and infrastructure procedures.


• Manages cross-functional and/or cross divisional task forces to identify and document functional requirements, workflow, information sources and system specifications.


• Ensures designated department or business area maintains a knowledge repository of current technology and business processes.


• Reviews and summarizes research on topics related to technology and business initiatives for lower levels and customers.


• Manages information relevant to forecasting businesss future technical and operational information needs.


• Provides suggestions to higher levels regarding the development and definition of the business/technology strategy by managing the input from lower levels.


• Manages business and/or technology plans to ensure capability for alignment with business unit and KPs national and regional strategies.


• Manages the processes of region-wide, complex information systems needs in project areas such as new business operating models, innovative approaches to IT solutions support, market research of emerging or available product functionality and operational readiness assessment.


• Manages the implementation of technology or business process integration plans.


• Provides support to senior leadership by providing information regarding business systems, data and process initiatives.


• Manages systems and business process activities.


• Provides support to senior leadership by providing information regarding business and technology issues.


• Leads and coordinates inter- and intra-departmental systems integration activities.


• Provides consultation and guidance to ensure technology or process owners have access to the required information and training for effective system or process operations.


• Manages resources to ensure deliverable due dates and requirements are met.


• Manages operational performance reports within and across business functions or areas.


• Manages the development of resource (for example, associates, vendors, infrastructure) capacity planning, demand management processes, and workforce planning.


• Tracks annual IT staffing, purchasing and operations and capital budgets.


• Manages the development, tracking, maintenance, and reporting of performance metrics (for example, data quality, customer metrics, financials).


• Supports senior leadership in reviewing performance metrics and outcomes to drive ongoing operational change and improvements.


• Provides analytics to evaluate and ensure efficient, cost effective operational solutions which support systems processes and functional requirements.


• Manages the development, implementation, and the maintenance of a comprehensive and integrated data quality improvement and training program.


• Analyzes identified problems in technology and business solutions to determine cause and desired resolution.


• Monitors local, national, and international trends and legislative changes in healthcare technology and information systems.


• Manages technologies, systems solution design, data, and metrics in alignment with the organizations vision, goals and objectives.


• Manages initiatives in alignment with other National initiatives.


• Manages the preparation of source documents and technical/business manuals and monitors the use of established and documented IT processes, tools, and best practices.


• Manages the physical security, infrastructure, network, application controls for designated department or area.


• Develops and manages business continuity and disaster recovery-procedures and infrastructure procedures.


• Manages cross-functional and/or cross divisional task forces to identify and document functional requirements, workflow, information sources and system specifications.


• Ensures designated department or business area maintains a knowledge repository of current technology and business processes.


• Reviews and summarizes research on topics related to technology and business initiatives for lower levels and customers.

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.


• Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.


• Facilitates leadership and consultation by: independently providing expert consultation and leadership in designated areas of expertise; collaborating with interdisciplinary teams and stakeholders to influence strategic direction and address complex, large-scale projects/initiatives; communicating advanced knowledge and insights with peers and staff to drive innovation, technology, and ingenuity; and serving as a transformational leader, mentor and role model, fostering a culture of excellence and continuous learning.


• Facilitates policy development and implementation by: developing, revising, and implementing policies, procedures, and standards while providing recommendations for improvement with a focus on long-term impact; providing expert guidance and direction on interpretation and application of policies and procedures; developing, implementing, and revising policies, procedures, protocols, and educational programs to address complex regulatory challenges; and leading alignment with organizational objectives and strategic priorities, while anticipating and proactively addressing future regulatory or industry changes for organizational success. ensuring alignment with organizational objectives and strategic priorities; and anticipating and proactively addressing future regulatory or industry changes, driving strategic policy initiatives for organizational success.


• Facilitates regulatory compliance by: providing consultation using advanced and in-depth knowledge to ensure compliance in complex, large-scale projects/initiatives; leading and continuously monitoring audits, investigations, and chart reviews with a high degree of independence and innovation; developing, implementing, and revising policies, procedures, protocols, and educational programs to address complex regulatory challenges; and proactively anticipating and mitigating regulatory risks, driving strategic compliance initiatives for future organizational success.


• Facilitates evidence-based research and innovation by: participating in innovation opportunities to drive strategic goals and future success; and cultivating a culture of innovation, driving forward-thinking approaches and pioneering new solutions.


• Facilitates stakeholder engagement and collaboration by: engaging independently with leadership and internal/external stakeholders to build partnerships and drive long-term organizational objectives; representing patient, organizational, and stakeholder viewpoints with a focus on advocating for community interests, strategic alignment, and future impact; and fostering collaborative relationships and influencing decision-making at all levels of the organization to drive innovation and success.


• Facilitates training and education by: providing consultation, designing, and delivering advanced training sessions, seminars, and workshops for staff and practitioners; mentoring and coaching staff on complex policies, procedures, protocols, educational programs, and innovative best practices; evaluating training effectiveness and continuously refining educational strategies to meet evolving needs and ensure alignment with policies, procedures, and protocols; and collaborating with peers on continuously assessing learning needs and leveraging several teaching modalities to drive a culture of continuous learning and improvement.

Serves as part of a consulting team to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Supports strategic planning and organizational alignment and prioritization of business initiatives. Manages moderately complex projects or project components, participates in change management activities, and performs data analyses in support of business initiatives. Supports vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.

• Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.
• Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.
• Serves as part of a consultant team to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects within a functional track or workstream by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; identifying and escalating tough stakeholder issues while maintaining an independent perspective; preparing presentations and reports; and leading or facilitating team meetings.
• Develops requirements for business, process, or system solutions within assigned business domain(s) by interfacing stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and developing and documenting comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions.
• Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a working understanding of how current processes impact business operations; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.
• Supports strategic planning and organizational alignment and prioritization of business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; and managing assigned initiatives to ensure delivery of measurable results and alignment with strategic objectives.
• Serves as a advocate of continuous learning and professional development by keeping abreast of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; contributing to the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; and serving as an advocate to ensure continuous learning and improvement is championed as a people strategy.
• Manages moderately complex projects or project components by coordinating stakeholder contacts; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Participates in change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; collaborating with management, project champions, and business owners to communicate and align improvement initiatives with business objectives; using appropriate change management methods and approaches; and ensuring stakeholders embrace a change management mindset, and understand initiative intent and purpose.
• Performs data analyses to support business initiatives by using appropriate data analysis tools and approach to assess business performance; deploying 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; conducting analyses and performing experimental tests to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.
• Supports vendor management as required by assisting with reviews of vendor performance levels; ensuring service level agreements are met; and partnering with Procurement and/or Legal to assist in the development of service level and/or scope of work agreements as appropriate.
• Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

This manager level position is primarily responsible for managing company compliance activities in partnership with internal and external stakeholders and managing strategic compliance initiatives. Responsibilities include managing compliance reporting efforts, compliance investigation, and activities associated with continued regulatory compliance across one or more business functions. Additional key responsibilities include managing the implementation of compliance efforts through monitoring, interpreting, and designing strategy around regulatory changes. This managing level employee also manages projects or compliance components of larger cross-functional projects including identifying and managing stakeholders.

• Pursues professional growth and provides developmental opportunities for others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; training and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst team members; executing performance management guidelines and expectations; and working closely with employees to set goals and provide open feedback and coaching to drive performance improvement.
• Manages designated work unit by translating business plans into tactical action items; ensuring all policies and procedures are followed; delegating tasks to meet goals and objectives; overseeing the completion of work assignments; aligning team efforts; building accountability for and measuring progress in achieving results; identifying and addressing improvement opportunities; removing obstacles that impact performance; and guiding performance and developing contingency plans accordingly.
• Manages company compliance activities by partnering with internal and external stakeholders; applying established regulations and standards to compliance efforts; managing the design, development, and execution of strategic compliance initiatives; overseeing the analysis of regulations and regulatory changes, and their application to operations; and overseeing the documentation of compliance activities.
• Manages compliance reporting efforts across one or more business functions by managing the evaluation and summary of compliance data, audit information, and potential risks and remedies; identifying and reporting key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations) to senior management; and developing complex presentations to convey key findings to leadership and external business stakeholders.
• Manages compliance investigations across one or more business functions by managing the collection and analysis of quantitative and qualitative data; leading interviews as appropriate; researching key business issues; and evaluating and recommending corrective action plans for substantiated allegations.
• Manages projects or compliance components of larger cross-functional projects by identifying and managing stakeholder contacts; assembling teams based on project needs and team member strengths; developing, analyzing, and managing project plans; negotiating and managing project schedules and resource forecasts; and managing project financials and deliverables.
• Manages activities associated with continued regulatory compliance for one or more business functions by monitoring, interpreting, and designing strategy around regulatory changes; determining the impact of changes to the business; providing direction on implementation of changes throughout the organization; and providing regulatory input before and during inspections to minimize the risks of future non-compliance.
• Manages the implementation of compliance efforts by approving compliance requirements; ensuring the assessment of current state compliance to identify gaps and corrective actions; managing the analysis and development of complex compliance standards, policies and procedures, and training; and ensuring and monitoring ongoing compliance adherence.

• Lead the development of facility requirements in collaboration with Delivery Service Strategy (DSS) and the Service Delivery Executive Director and develop options that deliver the most cost effective facilities solutions.
• Maintain active professional licensure as a Registered Architect.
• Develop the KP Architectural Design Studio with the VP, Planning and Design.
• Ensure planning and design solutions and the resulting clinical workflows reflect industrys best practices and maximize effective asset utilization.
• Develop, maintain, and continuously improve planning and design tools that align with best practices in healthcare design.
• Ensure both existing and new facilities consistently reflect and strengthen the Kaiser Permanente brand.
• In partnership with Hospitals/Health Plan and Permanente Medical Group leadership, ensure KPs core values are integrated into facility planning and design, including how team members relate (Integrity, Partnership, Diversity), how work is accomplished (Accountability, Flexibility, Innovation), and how success is defined (Quality, Service, Results).
• Support compliance with the Principles of Responsibility (KPs Code of Conduct) by safeguarding privacy and confidentiality, protecting organizational assets, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licensure requirements (as applicable), and KP policies and procedures.
• Partner with the Vice President, Facilities Planning and Design, and other NFDC leaders to ensure the people, tools, systems, and processes are in place and operating effectively to plan, design, and construct facilities.
• Develop and implement risk mitigation plans and strategies for facilities and projects, as appropriate.
• Provide leadership for compliance planning and implementation related to California Senate Bill 1953 (SB 1953).
• Provide leadership and direct support in working with Authorities Having Jurisdiction (AHJs), including the California Department of Health Care Access and Information (HCAI), as applicable.
• Provide leadership and direct support in setting, achieving, and exceeding energy and water conservation targets and design performance metrics.
• Provide leadership and direct support to advance active living and reduce harmful chemical exposures across the planning, design, construction, and operation of KP facilities.
• Project Management:
• Partner with regional planning committees to develop strategic options for capital planning scenarios.
• Support project entitlements in partnership with Real Estate and Project Acquisition.
• Improve planning and design productivity and reduce project costs by identifying, implementing, and sharing best practices Program-wide.
• Embed process improvement and operational excellence into planning and design work Program-wide.
• Build strong relationships with internal customers and address satisfaction issues promptly.
• Ensure consistent use of the KP Facilities Design Standards Program across consultants, contractors, and subcontractors.
• Develop facilities planning curriculum and ensure periodic training is delivered, in coordination with Training and Development and other partners, to support consistent implementation of planning and design policies and procedures.
• Accounting and Control:
• Ensure compliance with KP and NFDC business fundamentals, policies, and procedures.
• Help develop and implement a program to measure, manage, and improve project outcomes and team performance.
• Strategic Planning:
• Partner with the Vice President, Planning and Design, to set and maintain the strategic direction of NFDC business units Program-wide.

Certified Safety Professional (CSP) with extensive experience managing large-scale construction and healthcare safety programs, including oversight of comprehensive staffing and safety operations. Demonstrated expertise in insurance-related risk management methods, healthcare safety projects, and Owner Controlled Insurance Programs (OCIP). Skilled in preconstruction planning, safety strategy development, regulatory compliance, and implementing proactive risk mitigation measures to support safe, efficient project execution across complex environments.

In addition to the responsibilities listed below, this position is responsible for ensuring safe and efficient working conditions by implementing and administering various construction services safety, occupational health, hazardous material, and emergency preparedness programs; assessing levels of readiness, formulating suggested departmental goals and strategies while identify training elements that effectively mitigate the risks associated with construction department operations; and identifying and defining complex issues identified from the teams daily rounds and documentation and developing solutions.

• 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 staff supporting construction operations by: driving the application of strategies and concepts to provide strategic guidance, coordination, and management of the support team; using judgment and discretion to define issues and develop solutions to resolve complex problems; maintaining contact with capital project teams; and representing the department subject matter expert to senior management in National Facilities Services (NFS) and KP.

• Manages staff supporting construction deliverables by: managing and coordinating staffing of various deliverables with responsibility and accountability for teams deliverables; implementing planning and execution of the training criteria, training tools, development, analysis, oversight of staffing, which includes performance management, core behaviors, and resource forecast to provide successful implementation with moderate input of high-level managers; managing the related financials and ensures they are managed within budget allocations while making recommendations for budget development with moderate senior management oversight; providing governance oversight and monitoring of performance against plan, ensuring measurement of business benefits and outcomes, and makes adjustments as needed; implementing activities related to organizational change management (e.g., development and execution of user adoption, implementation, and training plans); and implementing allocation of resources, establishes schedules, and task assignments to ensure established management practices are in place.

• Contributes to vendor relationship management by: assessing current operational processes on an on-going basis while working with team to manage vendors, including vendor assessment and vendor performance analytics, to highlight trends and identify impactful process improvements that increase efficiency and effectiveness of vendor management; obtaining advanced research knowledge on vendor relationship management trends and applying strategies to business practices; and driving the team to improve the efficiency and effectiveness of vendor performance analytics and vendor assessment.

• Ensures KP compliance by: actively influencing the development of and participating in the implementation and evaluation of effective policies, standards, practices, and procedures in alignment with construction-related regulations; and driving the application of strategies and concepts to determine the best course of action to ensure that the buildings are in compliance with fire prevention, general safety, seismic conformance, health hazards protection, and disaster/emergency preparedness plans.

• Contributes to the management of knowledge and documents by: implementing tools to share professional and/or technical expertise to team members; encouraging team members to evolve template documents for continuous improvement; and influencing the content, design, and method of training and knowledge management practices to increase knowledge (e.g., Business Process Package, Community of Practice), and monitor subsequent performance.

• Utilizes data and metrics throughout construction management process by: analyzing and applying metrics to plan and scope complex future efforts (e.g., building the business case, timeline, resources required) in alignment with functional objectives; and driving the application of strategies for using metrics to monitor and improve upon performance.

This role serves as the primary business resource responsible for translating operational requirements into documented business and system requirements, managing complex business cycle activities, and ensuring operational readiness for critical enterprise initiatives impacting broker administration, attribution, licensing, appointments, compensation, and broker-facing service functions.

Job Summary:

Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Contributes to business strategy and supports organizational alignment and prioritization of business initiatives. Manages complex projects or project components, participates in and may lead change management activities, and performs data analyses in support of business initiatives. Supports vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.

• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
• Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
• Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects across one or more functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; discussing involvement of business processes (e.g. project change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating tough issues to stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to various senior level audiences.
• Develops requirements for complex business, process, or system solutions within assigned business domain(s) by interfacing stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; developing and documenting comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions; and leading team members in the development process as appropriate.
• Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions or domains; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.
• Contributes to business strategy and supports organizational alignment and prioritization of business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing assigned initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives.
• Serves as a advocate of continuous learning and professional development by keeping abreast of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; contributing to the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results.
• Manages complex projects or project components by coordinating stakeholder contacts; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Participates in and may lead change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with management, project champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change.
• Performs data analyses to support business initiatives by identifying appropriate data analysis tools and approach to assess business 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; conducting analyses and performing experimental tests to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.
• Supports vendor management as required by assisting with reviews of vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate.
• Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

Please Note: Salary ranges are geographically based, and the posted range reflects the Northern CA region. Lower salary ranges will apply for other labor markets outside of NCAL.

Kaiser Permanente-s Channel Partner & Data Solutions team-part of Enterprise Sales Solutions within National Health Plan Business Technology Solutions & Services-is seeking a senior Business Sales Solution Consultant to operate at the intersection of commercial sales, business operations, and technology. In this role, you will engage directly with sales, channel, and marketing leaders to understand business strategies, processes, and pain points, and translate them into scalable, data-driven solutions. You will design and deliver end-to-end sales capabilities leveraging Salesforce (CRM/PRM) and Enterprise Customer Data platforms, partnering closely with KPIT to execute. As a strategic advisor, you will shape technology and data roadmaps, evaluate solution alternatives, lead implementation, and influence senior leadership through industry best practices to enable modern, high-performing broker and employer group sales ecosystems.

Serves as lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state. Develops business strategy and ensures alignment and prioritization of organizational objectives and business initiatives. Manages complex projects or project components, leads change management activities, and performs complex data analyses to drive business initiatives. Participates in vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
• Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
• Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects across multiple functional tracks or complex workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; discussing involvement of business processes (e.g. project change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating and resolving tough issues with stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to executive level audiences.
• Develops requirements, or leads a team of consultants in the development of requirements, for complex or specialized business, process, or system solutions which may span multiple business domain(s) by partnering with stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and leading and overseeing the development and documentation of comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions.
• Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to senior management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions or domains; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.
• Develops business strategy and ensures alignment and prioritization of organizational objectives and business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business 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 learning and professional development by keeping abreast of cutting edge industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, and speaking events; leading the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results.
• Manages complex projects or project components by coordinating stakeholder contacts; assembling team based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Leads change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with senior management, project champions, and process owners to communicate align improvement initiatives with business objectives; 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.
• Performs complex data analyses to drive business initiatives by identifying appropriate data analysis tools and approach to assess business 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; conducting advanced analyses and performing experimental tests to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.
• Participates in vendor management as required by reviewing vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate.
• Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams. Drives business strategy, organizational alignment, and prioritization of business initiatives. Leads the work of project/program team members. Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state. Manages complex, cross-functional projects/programs, and serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks. Designs, leads, and serves as an expert for change management plans associated with business initiatives. Leads assessment of strategic performance metrics to support business initiatives. Participates in vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
• Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
• Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and executive management; working with stakeholders to develop goals and set the prioritization of deliverables; developing a menu of solutions for complex, competing, or ambiguous requests; discussing involvement of business processes (e.g. change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating and resolving tough issues with stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to executive level audiences.
• Drives business strategy, organizational alignment, and prioritization of business initiatives by working closely with senior executives to facilitate the development, refinement, and articulation of the business strategy; defining, developing, and evaluating performance metrics, standards, and methods to establish business success; leading the development of strategic roadmaps for solution development and deployment; collaborating with senior cross-functional 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.
• Leads the work of project/program team members by requesting and coordinating internal and/ or external resources based on the alignment of team member skills and project/program demands; delivering and promoting strategic vision and objectives to team members; and delivering performance feedback to team members supervisors and leadership as appropriate.
• Develops requirements, or leads a team of consultants in the development of requirements for large-scale, complex, or specialized business, process, or system solutions across business domain(s) by partnering with stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and leading and overseeing the development and documentation of comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions.
• Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; leveraging stakeholder partnerships to identify the operational needs and impact of requirements on upstream and downstream solution components; providing options and recommendations to executive management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions and domains; identifying and validating value gaps and opportunities for process enhancements or efficiencies; and leading the establishment of appropriate governance and workgroup infrastructures to accomplish strategic outcomes.
• Manages complex, cross-functional projects and/or programs by coordinating stakeholders; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project/program plans; collaborating on the coordination of project/program scope, schedules, and resource forecasts; proactively monitoring and identifying project/program/business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks, issues, and trigger events by leading the development of mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Designs, leads, and serves as an expert for change management plans associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with executive management, project/program champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change.
• Leads the assessment of strategic performance metrics to support business initiatives by building partnerships with data analytic teams to ensure the translation of business requirements into analytic specifications; identifying appropriate data analysis tools and approach to assess business 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; conducting advanced statistical analyses and/or testing to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.
• Serves as a lead advocate for continuous learning and professional development by keeping abreast of cutting edge industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, training seminars, and/or speaking events as appropriate; leading the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results.
• Participates in vendor management as required by reviewing vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate.
• Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

Manages the delivery of large-scale programs or components with multiple workstreams and strategic business goals across departments, functions, or regions with responsibility and accountability for achieving program outcomes from initiation to close-out in an extended or open-ended time frame. Manages programs team(s) members, holding them accountable for results, and provides guidance regarding internal and/or external resource requests. Proactively monitors, identifies, and mitigates risks, issues, and trigger events across multiple interdependent programs by developing mitigation plans and strategies. Manages compliance of program activities by ensuring program plans and team members adhere to relevant policies and procedures. Ensures the alignment, buy-in, engagement, and support of diverse program stakeholders. Manages vendor performance, provides guidance for service improvements, and manages relationships and contract negotiations with vendors.

• Creates and advocates for developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works with leaders and employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; hires, trains, and develops talent for growth opportunities; strategically evaluates talent for succession planning; sets performance management guidelines and expectations across teams / units. Oversees implementation, adapts, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends; shares best practices within and across teams. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams; motivates teams to meet business objectives. Delegates tasks and decisions as appropriate; provides appropriate support, guidance and scope; encourages development and consideration of options in decision making; fosters access to stakeholders.
• Manages designated units or teams 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; partners with key stakeholders and business leaders to ensure products and / or services meet requirements and expectations while aligning with departmental strategies. Aligns team efforts; builds accountability for and measuring progress in achieving results; assumes responsibility for decision making; fosters direct reports to resolve escalated issues as appropriate. Communicates goals and objectives; incorporates resources, costs, and forecasts into team and unit plans; ensures matrixed resources are fulfilling service or performance requirements across reporting lines. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams and units to operate in alignment with operational and business objectives.
• Manages the delivery of large-scale programs or components with multiple workstreams and strategic business goals across departments, functions, or regions with responsibility and accountability for achieving program outcomes from initiation to close-out in an extended or open ended time frame. Oversees development and execution of highly complex program plans, including scope identification and management, schedule, inter-dependencies, and resource forecast. Proactively manages and monitors the program financials of multiple large-scale programs and ensures they are managed within budget allocations. Oversees and drives program performance to ensure programs effectively deliver maximum long term value or benefit to the organization, and makes adjustments as needed in an uncertain environment where scope may be fluid. Manages program activities related to organizational change management (e.g., development and execution of user adoption, implementation, and training plans) as defined by the program. Establishes and drives proper allocation of resources, establishes schedules, and task assignments to ensure established program management practices are in place. This role may perform project management duties in addition to program management responsibilities.
• Manages programs team(s) members and holds team members accountable for results. Provides guidance to teams in reference to internal and/or external resource requests based on the alignment of team member skills and program demands. Empowers teams to develop and communicate a clear vision of program goals and objectives to the team. Delivers performance feedback to project managers.
• Proactively monitors, identifies, and mitigates program risks, issues, and trigger events across multiple interdependent programs by developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Manages adherence of program activities to policies and procedures by ensuring program plans and team members follow KP, departmental, and/or business line policies and procedures.
• Manages the alignment, buy-in, engagement and support of diverse programs stakeholders by building and maintaining relationships as well as communicating appropriately with internal customers, third party vendors, senior and/or executive management, and business leaders; and clarifying accountability and authority across stakeholders. Builds close relationships with key stakeholders across multiple functions based on their level of influence and decision making. Manages programs goals, influences the prioritization of deliverables, coordinates all business processes (e.g. project change management, communication) and facilitates decisions necessary for programs delivery by partnering with programs sponsors and/or review boards. Communicates tough issues to stakeholders while maintaining an independent opinion, providing recommendations, delivering formal presentations, and providing reports to senior and/or executive audiences. Engages with senior and/or executive stakeholders to identify long term value to the organization and define success.
• Manages vendor performance and provides guidance for service improvements or revisions to strategy. Partners with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate. Manages relationships and contract negotiations with vendors, and resolves issues with vendor invoices.

The Area Vice President for the National Accounts - Professional Employer Organizations (PEO) is accountable for leading and advancing a distinct and rapidly expanding business line representing 15 national PEOs, 141,000 members, and approximately $1 billion in revenue. This role oversees the full performance, strategy, and market positioning of the PEO segment within National Accounts, ensuring strong operational execution, sustained growth, and alignment with enterprise priorities.

This leader manages a portfolio of national PEO customers and directs the PEO account teams, including EAM team, support team, and a PEO field manager, to deliver consistent value, retention, and in-group growth. The role sets the strategic agenda for the PEO business line, establishes business priorities, and partners closely with regional leadership and cross-functional stakeholders to meet evolving market expectations and support expansion opportunities.

The Area Vice President serves as the primary external representative for the PEO segment, engaging with customer executives, industry influencers, consultants, and national associations to strengthen market presence, support business development, and advance the organization-s PEO strategy. This role is accountable for driving segment growth, supporting new business and expansion pipelines, and ensuring the PEO line of business contributes meaningfully to overall National Accounts performance.

Oversees the long-term strategic direction of sales and retention strategies for health insurance or workers compensation accounts in alignment with company-wide initiatives. Empowers innovation for utilizing resources, technology tools, and customer performance data (e.g., cost utilization, financial, clinical) to meet competitive revenue and growth targets. Oversees relationships with customers, consultants, brokers, and/or channel partners, ensuring that their overall needs are being met. Provides expert consultation to teams in developing recommendations to support health benefits strategy and offering. Represents the marketplace perspective to guide strategic direction and decision-making of senior leadership. Accountable for Key Performance Indicators (KPIs) to drive the sustained growth and competitive position of KP in the market.

• Builds organizational capacity and prepares high potentials for growth opportunities and advancement; builds collaborative networks inside and outside the organization for self and others. Provides framework for soliciting and acting on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement. Models and drives continuous learning and oversees the recruitment, selection, and development of talent; stays current with industry trends, benchmarks, and best practices; ensures performance management guidelines and expectations to achieve business needs. Acts as a thought leader on industry trends, benchmarks, and best practices; shares best practices within and across teams to drive improvement. Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning cross-functional resource plans with business objectives. Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact across teams.
• Oversees the operation of multiple units and/or departments by identifying member and operational needs; ensures the management of work assignment allocation and completion; translates business strategy into actionable business requirements; ensures products and/or services meet member requirements and expectations while aligning with organizational strategies. Engages strategic, cross-functional business units to champion and drive support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and ensures resolution of escalated issues. Sets and communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; obtains and distributes resources. Anticipates and removes obstacles that impact performance; addresses performance gaps and implements contingency plans accordingly; ensures teams accomplish business objectives; serves as a subject-matter expert and trusted source to executive leadership; provides influence and consultation in the development of the larger organizational or business strategy.
• Manages experience customer and market turnaround by: overseeing long-term strategic direction for team member communications with customers, consultants, brokers, and/or channels for contract, benefit/service, and renewal activities and resolve escalations when needed; serving as an expert on product knowledge and championing team members to educate customers, consultants, brokers, and/or channel partners, resolving any questions or concerns; overseeing best practices for building expertise in prospect or customer business to ensure that Request for Renewal (RFR) response and engagement strategies are in alignment with customer and company-wide goals; championing team relationships with engagement team/specialist, and setting long-term strategic direction for engagement programs (e.g., member wellness); and providing expert consultation on long-term strategic direction for providing recommendations for new products, benefits/services offerings, and pricing models to address customer, consultant, broker, and/or channel needs.
• Demonstrates commitment to KP sales and retention goals by: championing the team to meet or exceed challenging targets for retention and growth for accounts in the Book of Business; overseeing company-wide progress on Key Performance Indicators (KPIs) using the Customer Relationship Management (CRM) platform, and reporting progress to executive leadership; and directing the team in alignment with the sustained growth and competitive position of KP in the market.
• Contributes to the execution of sales and renewals by: overseeing broad strategy for RFR processes, troubleshooting and resolving escalations when necessary; overseeing teams sales and renewals including administration, negotiations, and presentations and rate product and benefit/service validation; overseeing teams across organizations to ensure that contracts, pricing, and membership accounting implement the negotiated terms for sales and renewals; and providing expert consultation across organizations to develop and implement highly advanced strategies for cross-sell and upsell opportunities to increase growth and retention.
• Supports internal and external communication by: championing teams across organizations to collaborate on account strategy, and ensuring alignment with company-wide long-term objectives; championing the flow of information across the company to advance the ensure deadlines and objectives are met; providing expert consultation to teams developing highly advanced recommendations for customer channels on all aspects of health benefits/services strategy and offering; and representing the marketplace perspective to strategic direction and influence decision-making of senior leadership.

• Pursues effective relationships with others by sharing information with coworkers and members. Listens to and addresses performance feedback. Pursues self-development; acknowledges strengths and weaknesses, and takes action. Adapts to and learns from change, challenges, and feedback. Responds to the needs of others to support a business outcome.
• Completes routine work assignments by following procedures and policies and using data, and resources with oversight and management. Collaborates with others to address business problems; escalates issues or risks as appropriate; communicates progress and information. Adheres to established priorities, deadlines, and expectations.  Identifies and speaks up for improvement opportunities.
• Ensures a high level of customer service is provided by: helping to identify appropriate solutions based on lead/prospect/customer needs in fulfillment of performance and service quality goals, as well as the KP mission, with detailed instructions; exhibiting basic knowledge about various health plans and benefits to leads/prospects/customers and brokers/consultants to convey KPs unique value proposition; and helping to resolve standard lead/prospect/customer questions or issues in a timely manner with detailed guidance.
• Serves as an advocate for process improvement by: identifying solutions for overcoming obstacles to sales initiative progress and ensuring objectives are met on time and/or within budget with detailed guidance; acting as a sales subject matter expert by participating in work groups, as selected, to meet department objectives, and identify new and improve existing process-related initiatives, systems, and practices with detailed instructions; applying routine methods/processes for the continuous improvement of tools, technology, and processes to optimize effectiveness; utilizing basic knowledge of Federal and State laws, regulations, contracts and rulings and escalating issues or risks to compliance; utilizing basic knowledge to track performance trends and articulate the performance update consistent with the strategy, along with story behind what is occurring, with detailed guidance; and contributing to group installation and/or member enrollment processing to ensure that all critical milestones are met.
• Generates prospective sales by: helping to organize open enrollment events, and preparing material for formal presentations to prospective customers with detailed guidance; utilizing routine protocols to build relationships with key influencers, brokers, consultants, decision makers, and/or community groups to support new business opportunities and prospective customers; exhibiting basic knowledge on prospecting, sourcing, and developing and maximizing referral networks to build own book of business; collecting and/or submitting materials/forms for incoming business opportunities with detailed instructions; using routine protocols to work with key influencers, brokers, consultants, decision-makers, and/or community groups and successfully win new leads/prospects/customers by conveying the value of enrollment, with detailed guidance; and completing tasks as assigned to maintain and use new applicable and relevant resources such as the sales database, reports, media, and industry intelligence, on sales prospects with detailed guidance, and providing updates to the team.
• Contributes to strategic development by: developing strategy to meet annual sales targets, goals, and initiatives, with detailed instructions; helping to gather data for sales status reports including sales activity, follow-up, closings, and target achievement; utilizing research and basic knowledge of health care marketplace to articulate internal sales strategies and drive external sales with detailed guidance; gathering, analyzing, and applying data on competitor, customer, and industry trends related to sales strategy with detailed guidance from a supervisor; assisting team members in using sales performance data to maximize performance and develop insights and basic sales strategies to accomplish sales plans; and collaborating with team members on optimal offering conditions and/or market segmentation (e.g., benefits, pricing) to drive internal negotiations and sales strategy, with detailed guidance.

In addition to the responsibilities listed below, this position is responsible for monitoring the progress of complex IT audit testing based on an approved test strategy, supporting test planning with Internal Audit Services, reporting the information out to appropriate parties as required, and assisting in managing/performing testing and general work paper reviews as required. This position will also support the IT control certification process and assist team members in the creation of documentation regarding IT control standards and guidance; developing stakeholder relationships across the organization to ensure a sustained understanding of IT control requirements in areas such as documentation and evidence; demonstrating an understanding of how business controls rely on applications; and conveying this understanding to both business and IT stakeholders. This position is also expected to lead special projects and process improvement priorities in support cross-functional, organization-wide priorities and objectives.

• Practices self-leadership and promotes learning in others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; communicating information and providing advice to drive projects forward; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership; influencing, mentoring, and coaching team members; fostering open dialogue amongst team members; evaluating and responding to the strengths and weaknesses of self and unit members; and adapting to and learning from change, difficulties, and feedback.
• Drives the execution of multiple work streams by identifying customer and operational needs; developing and updating new procedures and policies; gaining cross-functional support for objectives and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; solving highly complex issues; and influencing the completion of project tasks by others.
• Leads risk assessment activities by leveraging expertise in area of risks; and deciding which risk projects will be completed.
• Plans, schedules, and supervises assigned projects and staff in accordance with the audit plan, project budgets, and milestones; reviews and approves project level risk assessments; develops audit and project plans; approves work papers or other documentation; approves/prepares reports; and adheres to professional standards.
• Partners with company leaders on risk matters and acts as an internal consultant on analyzing and interpreting organizational risks and/or mitigation strategies.
• Develops the strategy and sets priorities for multiple client or functional areas by leveraging and engaging other members of the team; taking the lead role in driving client or functional area development based on risk assessment activities, client interactions, and industry knowledge; and directing the on-going risk assessment and audit planning process.
• Leads department initiatives.

Incumbent serves as a researcher on projects based in the Department of Research and Evaluation (R&E). Works under the supervision of a R&E Research Scientist.

• Designs, develops, and directs well-defined research with supervision from a R&E Research Scientist.
• Prepares grant proposals and publications independently and collaboratively.
• Provides consultation and direction to programmer/analysts with regard to data management and analysis strategies.
• May perform subject assessments or chart reviews or provide direction to research support staff performing these tasks.
• Submits abstracts to and presents papers at national scientific meetings.
• Seeks consultation from research scientists for specific scientific and administrative issues.
• Participates in R&E department meetings and projects as appropriate.

• Clinical Rotation Scheduling Administration:
• Coordinates the annual Phase 3 scheduling cycle, including development and publication of the Phase 3 course catalog for clinical science selectives and electives, Health Systems Science (HSS) selectives, and other required Phase 3 courses.
• Builds and maintains Phase 3 courses within the student information system and ensures accurate course configuration and registration functionality.
• Develops, tests, maintains, and supports scheduling tools and processes used by third- and fourth-year students to create and manage clinical schedules.
• Integrates departmental course offerings into the master clinical schedule to support curriculum delivery and student progression.
• Coordinates annual registration processes for all Phase 3 students and maintains scheduling documentation and operational resources.
• Student Schedule Management/Graduation Progression:
• Educates third- and fourth-year students regarding curriculum requirements, scheduling processes, degree requirements, and registration procedures.
• Reviews student scheduling submissions and rotation preferences to facilitate equitable assignment of students to clinical rotations within established capacity limits and degree requirements.
• Schedules students into available clinical science selectives and electives, HSS selectives, and other required Phase 3 courses.
• Processes schedule change requests, rotation trades, and scheduling adjustments while ensuring compliance with degree requirements andschool policies.
• Applies academic and registrar policies when evaluating schedule changes and communicates approvals, denials, and schedule updates to students and stakeholders.
• Monitors student progress toward degree completion and maintains accurate scheduling and enrollment records within institutional systems.
• Extramural and Away Rotation Administration (VSLO):
• Administers institutional participation in the Visiting Student Learning Opportunities (VSLO) platform and oversees processes related to visiting andextramural rotations.
• Completes annual VSLO system setup, student verification, institutional configuration and documentation activities.
• Uploads transcripts, institutional approvals, malpractice documentation, and other supporting materials required for student applications.
• Reviews and pre-screens extramural elective applications; uploads transcripts, institutional approvals, malpractice documentation, and other materials required, and releases student applications to host institutions .
• Monitor application status, enrollment activity, approvals, deadlines, and placement outcomes; communicates next steps to students and internal stakeholders
• Enrolls students in approved away rotations and extramural electives and updates student schedules and institutional systems, and adjusts schedules when external rotation dates do not align.
• Tracks and reports away rotation participation and enrollment data.
• Clinical Affiliation Agreement Administration:
• Coordinates the development, review, execution, and maintenance of clinical affiliation agreements required for student participation in away rotations and extramural clinical experiences, with oversight from the Director of Clinical Affairs.
• Collaborates with legal, compliance, contracting, and external clinical site representatives to facilitate timely review and execution of affiliation agreements.
• Maintains records of active affiliation agreements and monitors agreement status and expiration dates to ensure uninterrupted student placement eligibility.
• Communicates agreement status updates and timing needs to internal stakeholders and external partners to support student placements.
• Compliance and Clinical Placement Requirements:
• Verifies student eligibility for clinical placements by confirming completion of required compliance, credentialing, and onboarding requirements.
• Coordinates with internal departments and external clinical partners to ensure completion of placement requirements for away rotations and extramural clinical experiences.
• Maintains documentation supporting student eligibility for clinical placements and external rotations.
• Monitors compliance with institutional policies governing away rotations and extramural clinical experiences, and communicates with students regarding outstanding requirements and placement readiness

In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to coding functions within all settings of care, maintaining compliance with national coding policies and procedures, assisting with coding questions and related topics, and auditing all lines of business for coding. Additionally, this position is responsible for assisting with the development of audit result reports to regional staff and senior management and supporting compliance and the Principles of Responsibility (KPs code of conduct).

• Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback.
• Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities.
• Conducts company compliance activities by collaborating with internal and external stakeholders; applying established regulations and standards to compliance efforts; providing insight and recommendations for the design, development, and execution of strategic compliance initiatives; and documenting compliance activities.
• Develops compliance reports by evaluating and summarizing compliance data, audit information, and potential risks and remedies; reporting to management on key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations); and developing draft presentations to convey key findings.
• Conducts compliance investigations by collecting and analyzing quantitative and qualitative data; conducting interviews as appropriate; researching key business issues; identifying potential action steps; and providing input for the creation of corrective action plans for substantiated allegations.
• Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
• Assists with ensuring regulatory compliance by monitoring regulatory changes; conducting analysis on regulatory impacts; and supporting the implementation of designated changes.
• Coordinates the implementation of compliance efforts by identifying compliance requirements; assessing the current state of compliance to identify gaps and corrective actions; creating or revising moderately complex compliance standards, policies and procedures, and training; and monitoring ongoing compliance adherence.

Drives strategy development by defining complex business problems and opportunities and identifying, weighing, and selecting alternative approaches. Performs moderately to highly complex analysis and drives interpretation of market data and tests hypotheses using advanced knowledge of qualitative and quantitative analytical tools to drive towards insightful and actionable insights for the business. Drives the development and execution of complex projects and programs to drive deliverables and effective execution to ensure high-quality business outcomes. Identifies opportunities to adapt processes to improve Return on Investment (ROI), service quality, and operations for cross-functional initiatives. Fosters strategic partnerships across organizational lines and establishes trusting relationships to better navigate the diverse and complex needs of key stakeholders.

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
• Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
• Analyzes and interprets market data by: developing and implementing a plan to address complex research questions and test hypotheses with advanced knowledge in one or more specialty areas of data collection and analysis; driving moderately or to highly complex quantitative and qualitative analyses and investigating alternative hypotheses; and driving interpretation of key findings, conclusions, and recommendations for the future for senior leadership.
• Facilitates process improvement efforts by: identifying opportunities to adapt processes to improve return on investment (ROI), operations, service quality, and results for cross-functional initiatives; utilizing advanced knowledge of business operations to drive the implementation of best practices across functions; and facilitating adoption of best practices and future innovations.
• Effectively manages projects and programs by: driving the development of complex project proposals, including establishing objectives, key stakeholders, milestones, and providing deep technical leadership across programs; driving progress on program deliverables in alignment with greater business strategy and key business outcomes across functions; refining existing methodologies, and identifying and implementing new methodologies to complete initiatives with little support; and driving the execution of project plan, and supporting high-quality outcomes.
• Proactively maintains open streams of communication by: fostering trusting relationships to better navigate the diverse and complex needs of stakeholders across the organizational landscape; identifying complex issues or risks to strategic program implementation and developing solutions to resolve them; fostering strategic partnerships across organizational lines to consult and influence the development and refinement of key priorities and strategy; and proactively and persuasively communicating strategic issues and recommendations to senior leadership, and across the organization.
• Contributes to the development and execution of business strategy by: developing complex strategic plans based on business case and advanced knowledge in one or more specialty areas of health care marketplace; driving complex problem scoping and the processes and resources needed; developing alternative strategic options, and recommending the best option(s) based on complex problem scoping, external marketplace research, and analysis of organizational and external strategic approaches; selecting challenging business goals and the processes and resources needed to accomplish them; driving alignment around the strategic plan and intended outcomes, and finding opportunities for collaboration and synergy across functions; developing and implementing advanced strategies to mitigate complex barriers, constraints, and risks to execution; and driving strategic direction in response to a changing environment.

The Plan & Benefits QA Consultant III position is responsible for benefits testing using UiPath automation for California and in addition auditing plan and benefit validation activities performed by external vendors in Markets Outside California (MOC). This role ensures accuracy, quality, compliance, and efficiency of benefits testing, configuration validation, and plan setup processes. The position serves in providing quality oversight, SOX control support, metrics management, and governance for plan and benefit validation activities. The role also contributes to strategic initiatives and ongoing projects within National Benefits Administration (NBA) programs.

Serves as part of a consulting team to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Supports strategic planning and organizational alignment and prioritization of business initiatives. Manages moderately complex projects or project components, participates in change management activities, and performs data analyses in support of business initiatives. Supports vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.

• Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.
• Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.
• Serves as part of a consultant team to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects within a functional track or workstream by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; identifying and escalating tough stakeholder issues while maintaining an independent perspective; preparing presentations and reports; and leading or facilitating team meetings.
• Develops requirements for business, process, or system solutions within assigned business domain(s) by interfacing stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and developing and documenting comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions.
• Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a working understanding of how current processes impact business operations; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.
• Supports strategic planning and organizational alignment and prioritization of business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; and managing assigned initiatives to ensure delivery of measurable results and alignment with strategic objectives.
• Serves as a advocate of continuous learning and professional development by keeping abreast of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; contributing to the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; and serving as an advocate to ensure continuous learning and improvement is championed as a people strategy.
• Manages moderately complex projects or project components by coordinating stakeholder contacts; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Participates in change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; collaborating with management, project champions, and business owners to communicate and align improvement initiatives with business objectives; using appropriate change management methods and approaches; and ensuring stakeholders embrace a change management mindset, and understand initiative intent and purpose.
• Performs data analyses to support business initiatives by using appropriate data analysis tools and approach to assess business performance; deploying 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; conducting analyses and performing experimental tests to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.
• Supports vendor management as required by assisting with reviews of vendor performance levels; ensuring service level agreements are met; and partnering with Procurement and/or Legal to assist in the development of service level and/or scope of work agreements as appropriate.
• Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Contributes to business strategy and supports organizational alignment and prioritization of business initiatives. Manages complex projects or project components, participates in and may lead change management activities, and performs data analyses in support of business initiatives. Supports vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.

• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
• Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
• Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects across one or more functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; discussing involvement of business processes (e.g. project change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating tough issues to stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to various senior level audiences.
• Develops requirements for complex business, process, or system solutions within assigned business domain(s) by interfacing stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; developing and documenting comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions; and leading team members in the development process as appropriate.
• Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions or domains; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.
• Contributes to business strategy and supports organizational alignment and prioritization of business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing assigned initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives.
• Serves as a advocate of continuous learning and professional development by keeping abreast of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; contributing to the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results.
• Manages complex projects or project components by coordinating stakeholder contacts; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Participates in and may lead change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with management, project champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change.
• Performs data analyses to support business initiatives by identifying appropriate data analysis tools and approach to assess business 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; conducting analyses and performing experimental tests to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis.
• Supports vendor management as required by assisting with reviews of vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate.
• Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

This individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization, aligning actuarial documentation with financial reports and tax returns, developing and designing product line evaluations and actuarial models, and assessing, analyzing, and interpreting financial risk and opportunity.

• Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and develop weaknesses; and adapting to and learning from change, difficulties, and feedback.
• Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and evaluating recommendations made by others.
• Completes actuarial documentation by reviewing and coordinating the actuarial portion of financial reports and tax returns, and responses to insurance regulations; and presenting results internally to mid-level leadership.
• Develops and designs product line evaluations by interpreting and communicating findings of analysis of product line financials, reserve, valuation , cash flow analysis; and interpreting product line performance, risk, and assumptions used in product development.
• Designs and develops actuarial research by designing complex methods to advance standards, assumptions, and the legal and regulatory environment.
• Assesses, analyzes and interprets financial risks and opportunities by using non-traditional actuarial methods and actuarial judgment when conducting actuarial analyses.
• Leads collaboration with business partners by translating complex actuarial constructs into actionable recommendations; and developing and formulating accurate actuarial and financial advice in compliance with the Actuarial Standards of Practice.
• Creates framework and assumptions for new, existing, and non-traditional actuarial models to meet business needs.

Promotes accurate assignment of system codes for billing and revenue processes by translating moderately complex charge throughput guidelines and services capture code reviews. Reviews include codes, pricing, and data integrity impacting throughput for accuracy and completeness in alignment with coding and billing guidelines. Performs account reviews and maintenance of system codes to ensure codes are updated, compliant, and accurately reflect policy and regulatory changes. Executes monitoring activities and process improvements by analyzing findings from monitoring activities, identifying deficiencies and/or compliance issues, partnering with other departments to resolve deficiencies and/or compliance issues, and implementing corrective action plans. Provides guidance to the department, physicians, and practitioners by consulting on moderately complex coding/billing issues, charging inquiries, and relevant policies and regulations.

• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
• Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
• Promotes accurate assignment of system codes for billing and revenue processes by: translating moderately complex charge throughput guidelines and services into codes to facilitate accurate billing of services provided; reviewing codes configured in the system for proper alignment with charge throughput and coding guidelines and services; and independently analyzing regional and national policies and reimbursement practices to provide recommendations for charge integrity updates.
• Performs routine review and maintenance of system codes by: performing a regular review (e.g., quarterly, annually) of coding records to ensure codes are updated, compliant, and accurately reflect policy and regulatory changes; conducting pre- and post-implementation assessments of automated and manual charge capture for quality and accuracy; analyzing moderately complex billing issues related to charges/codes and proposing and implementing action plans to resolve charge capture issues; and contributing to the maintenance of all Current Procedural Terminology (CPT)/ Healthcare Common Procedure Coding System (HCPCS) codes, descriptions, revenue codes, Relative Value Units (RVU) information, and generic codes to assist in the understanding of fee schedule implications.
• Serves as a billing and coding expert for the department by: providing guidance to other departments, physicians, and practitioners on moderately complex coding/billing issues, charge inquiries, and relevant policies and regulations; and participating in and supporting trainings to improve revenue cycle processes and outcomes.
• Executes monitoring activities and process improvements by: independently performing tasks that support monitoring activities of the region(s) documentation, charge capture, coding, billing, and/or compliance activities; recording findings in accordance with relevant policies/procedures to ensure complete and consistent data integrity, partnering with other departments to resolve moderately complex deficiencies and/or compliance issues identified through monitoring activities; communicating results of monitoring activities to senior team members and/or department leaders; and implementing corrective action plans resulting from monitoring activities.

Technical Summary:

The Director, Marketing Compliance & Governance provides strategic leadership for enterprise-wide marketing compliance, governance, and regulatory readiness programs, ensuring all marketing communications, campaigns, and customer-facing content comply with legal, regulatory, accessibility, and organizational standards. The role oversees compliance-driven communications for the Enterprise Marketing and Enterprise Creative Services organizations, including compliance review processes, due diligence, audit readiness, risk mitigation, and regulatory change management across marketing channels and platforms.

Reporting to the Executive Director, Marketing Operations & Administration, the Director partners closely with Line of Business leaders, Legal, Compliance, Risk, Privacy, Technology, and Marketing stakeholders to translate complex regulatory requirements into scalable governance frameworks, operational controls, and standardized business processes. The role drives operational excellence through workflow optimization, training and enablement programs, AI-powered solutions, and strategic resourcing models that leverage onshore, nearshore, and offshore capabilities to support business objectives while maintaining compliance integrity.

As a people leader, the Director builds and develops high-performing teams, establishes accountability measures, provides oversight of complex projects and high-visibility initiatives, including associated budget stewardship as applicable, and serves as a trusted advisor to senior leadership on compliance performance, regulatory risk, audit outcomes, and governance strategy.

This director level position is primarily responsible for directing and overseeing integrated marketing communications programs and strategies, directing and overseeing market data collection and synthesis, and providing oversight and direction to the creative team. This position directs complex marketing projects, directs and oversees the design and implementation of complex marketing strategies, and directs and oversees the development and implementation of complex strategic go-to-market plans for all products/business lines.

Essential Responsibilities:

• Demonstrates continuous learning and maintains a highly skilled and engaged workforce by aligning resource plans with business objectives; overseeing the recruitment, selection, and development of talent; motivating teams; preparing individuals for growth opportunities and advancement; staying current with industry trends, benchmarks, and best practices; providing guidance when difficult decisions need to be made; and ensuring performance management guidelines and expectations drive business needs.
• Oversees the operation of multiple units and/or departments by identifying customer and operational needs; analyzing resources, costs, and forecasts and incorporating them into business plans; gaining cross-functional support for business plans and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; and ensuring products and/or services meet customer requirements and expectations while aligning with organizational strategies.
• Directs and oversees market data collection and synthesis by managing the development of actionable, evidence-based marketing plans using data and insights; partnering with research and strategy teams to gather marketplace and consumer dynamics driving marketing strategies; defining market research needs; partnering with analytics teams to drive marketing strategies and track performance; and defining and optimizing ROI on strategies and tactics.
• Directs and oversees the development and implementation of complex strategic go-to-market plans for all products/business lines by defining the channel strategy; managing relationships with channel partners; evaluating channel partner needs and performance on an ongoing basis; analyzing audience needs using data-driven learnings to evaluate and identify new multi-channel opportunities; and leading channel marketing programs to drive go-to-market strategies.
• Directs and oversees the design and implementation of complex marketing strategies by ensuring strategies support membership growth, retention, and product/service promotion initiatives to meet business goals; establishing strategic plan deliverables; verifying brand consistency and brand standard compliance through all marketing channels; leveraging market research to identify new opportunities and/or validate assumptions; analyzing sales and marketing metrics; tracking progress to overall enterprise objectives; and driving improvement and optimization efforts toward established goals.
• Directs complex marketing projects by reviewing and approving project plans; managing cross-functional stakeholder contacts; assembling teams based on project needs and team member strengths; forecasting and adhering to project budget; overseeing vendor selection; defining scope and negotiating vendor contracts; managing vendor relationships at the leadership level; presenting project updates; managing project financials and deliverables; and ensuring projects align with marketing strategy and overall business goals and objectives.
• Directs and oversees integrated marketing communications programs and strategies by driving the development of communication strategies and engagement plans consistent with KP core strategies; integrating business-to-business, business-to-consumer, and line of business; reviewing and analyzing information from market research teams to understand stakeholder attitudes and needs; translating insights into promotional strategies; ensuring alignment of activities across enterprise teams; communicating consistent positioning and messages across all media; evaluating effectiveness of plans, programs, and campaigns; and making recommendations to optimize campaigns.
• Provides oversight and direction to creative team by reviewing and analyzing data, research, and customer input and sign-off to develop an understanding of the work; collaborating with communication and marketing teams; reviewing, evaluating, and approving complete creative briefs that inform and inspire writers, designers, and other creative professionals; reviewing the completed brief with the customer and relevant stakeholders; and presenting the brief.

• Pursues self-development and effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and customers; influencing others through technical explanations and examples; providing occasional mentoring to team members; listening and responding to, seeking, and addressing performance feedback; creating plans to capitalize on strengths and develop weaknesses; anticipating and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback.


• Completes work assignments by applying up-to-date expertise in subject area to generate creative solutions; ensuring all procedures and policies are followed; leveraging an understanding of data, and resources to support projects or initiatives; collaborating cross-functionally to solve business problems; identifying and monitoring priorities, deadlines, and expectations; communicating progress and information; identifying, recommending, and implementing ways to address improvement opportunities; and escalating issues or risks as appropriate.


• Supports the evaluation of the business environment by conducting financial assessments (e.g., Situational, Strengths/Weaknesses/Opportunities/Threats, Opportunity-Based Strategic Planning, system value chain analysis); and generating reports summarizing business, financial, or economic data.


• Completes costing activities by identifying cost avoidance and cost recovery opportunities.


• Supports improving financial performance by identifying financial trends; using results of analyses; calling attention to operational issues that need to be addressed to improve performance; and partnering with the business to address operational performance issues.


• Supports business modeling by developing best-practice models; analyzing risk alternatives; and developing what-if scenarios and forecasts using in-house models or software.


• Supports reporting of region/business unit financial information by evaluating financial trends, data analysis reports, and forecasts of income and expense; reviewing assets, liabilities, revenues, and expenses; and using data/inputs from region/business unit systems to support analyses (e.g., membership and utilization reports, volume reporting, day sales inventory, analysis spreadsheets, investment schedules).


• Supports assessment of the business vision, objectives, and strategic initiatives by conducting research to assess financial impact of strategies and initiatives.


• Creates budgets and/or forecasts under the guidance of others in accordance with business strategic initiatives by analyzing budgeting trends; preparing budget and forecasting; and coordinating with others to develop department/regional budgets.


• Evaluates performance/operations/ financial state by using and implementing templates (e.g., cash flow, RFA process, weekly unit case report) and computer applications; conducting complex financial analyses (e.g., operating cash flow analyses, pro forma P&L, line item walk forwards, volume building blocks, NPV, IRR, Discounted Cash Flow, statistical analyses, economic analyses); and completing complex variance analysis (e.g., volume, P&L line item, cost of goods, rate).


• Supports internal and external audits by assisting with preparation of audit schedules and review of audit results.


• Supports field operations by analyzing their operational/financial performance.


• Supports Financial Statement Analysis of business partners (e.g., suppliers, customers, co-packers, acquisition targets) by using software systems (Internet, Bloomberg, and D&B), annual reports, and/or interviews; determining the financial status (viability) of business partners; and assessing risk implications.


• Supports others in advising region/business unit leaders on strategic fiscal matters by preparing regular and special reports for both financial and statistical matters in order to facilitate financial management throughout the organization; and organizing regular meetings with leadership to review financial results for their areas.


• Supports strategic financial planning by performing and evaluating financial, utilization, and benchmark analytics.


• Supports strategic financial planning by gathering and preparing recommendations for financial plans, acquisition activity, financial requirements, and operating forecasts; and applying financial concepts for financial planning and control.

Assists with and/or coordinates portions of research projects. Works under general supervision. Final review required for each phase of assignment.

The KPSOM HSS department mission includes: 1) the pursuit of a broad scholarship agenda that will improve population health and health care through systems transformation and redesign; and 2) delivery of an innovative foundational curriculum in four domains: community and population health, health care and social systems, quality and safety, and research methods to inform evidence-based clinical practice. This position will support a randomized controlled trial that will test whether telephone-based care coordination through 211 LA increases referral to and receipt of Adverse Childhood Experiences (ACEs)-related services for children ages 0-11 years and improves parent and child wellbeing outcomes.

Essential Responsibilities:

• Collect project data through interviews, chart review or other methods.
• Set up tracking tools, assist in develop forms and document procedures.
• Monitors and tracks study over time and provides follow-up as needed.
• Summarizes data for progress reports.
• Orient and provide training to team members and/or clinical staff on specific project tasks.
• If assigned to clinical trial, may work with monitors at clinical sites.
• Adheres to compliance and privacy/ confidentiality requirements and standards.
• Adheres to GCP and compliance regulations for clinical trials.
• Responsible for reviewing own work to ensure data quality.
• Acquires and maintains knowledge of KP systems and databases.
• Identifies study issues and collaborates with team members to develop and implement solutions.
• Serves as a member on department or study-related committees.
• May assist with tracking information for invoices.

• Serves as chief negotiator in the conduct of collective bargaining negotiations for designated unions. Negotiates all components of the collective bargaining agreements on good faith for represented sites with appropriate union officials, ensuring that an agreement between both parties is reached. Develops proposals and counter proposals for negotiation and provides leadership and consultation to management stakeholders serving on the bargaining team.
• Oversees strategic and operational efforts to achieve and maintain effective labor-management relations
• Assumes key leadership role in shaping and executing Kaiser Permanentes Labor Relations philosophy, visions and goals.
• Analyzes Kaiser Permanente business needs, anticipates potential barriers, and successfully navigates implementation to a successful outcome. Develops the collective bargaining strategy for operations with union representation, in collaboration with operations management to support overall business objectives. Participates as an active member in ongoing forums as assigned (ie: LMP Oversight Committee, Negotiations Teams) to provide consultation, direction, information, and expertise.
• Responsible for the development and implementation of strategic planning for all activities related to the Labor Relations department. Participates in the development and management of the department operating and capital budget planning process.
• Counsels senior leadership regarding the interpretation and application of the collective bargaining agreement as well as the intent, application, and compliance requirements of labor and regulatory laws. Represents Kaiser Permanente in grievance or mediation hearings.
• Monitors changes in local, state and federal regulations and revises and updates company policies to reflect the current legislation.
• Evaluates grievances and other local conflicts resulting from the labor agreements to determine if contractual violations have occurred and implement appropriate remedies to grieving parties.
• Ensures that labor relations plans are implemented, as agreed with local management, to mitigate the potential negative impact of any issues on continued operations.
• Develops and implements early warning systems to identify labor relations issues that may escalate beyond the local level.
• Is the key strategist relating to all labor and union activity. Develops plans and approaches for all campaign efforts.
• Develops Labor Relations training programs, systems, tools and resources, incorporating best practices, to serve as resources to the medical centers and to support the creation of alignment, consistency and accountability in the management of labor issues.
• Develops sustainable relationships with senior management in order to facilitate effective dialogue to address and resolve issues and proactively implements effective workplace practices.
• Builds relationships with key labor organizations in the assigned Market, including relationships with various national and/or local labor union organizations and their key representatives, to create a positive platform to address issues as they arise and builds future positive relationships by obtaining input on a proactive basis.

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
• Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
• Manages large-scale programs or components with multiple workstreams and strategic business goals across departments, functions, or regions with responsibility and accountability for achieving program outcomes from initiation to close-out in an extended or open ended time frame. Develops, analyzes, and manages highly complex program plans which include scope identification and management, schedule, inter-dependencies, and resource forecast. Manages and monitors the program financials of large-scale programs. Monitors program performance to ensure programs effectively deliver maximum long term value or benefit to the organization, and makes adjustments as needed in an uncertain environment where scope may be fluid. Leads program activities related to organizational change management (e.g., development and execution of user adoption, implementation, and training plans) as defined by the program. Drives allocation of resources, establishes schedules, and task assignments to ensure established program management practices are in place. This role may perform project management duties in addition to program management responsibilities.
• Leads the work of large program teams by monitoring internal and external resources. Leads others in requesting and coordinating internal and/ or external resources based on the alignment of team member skills and program demands. Communicates a clear vision of program goals and objectives to the team. Delivers performance feedback to team members supervisors.
• Proactively monitors, identifies, and mitigates program risks, issues, and trigger events by developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate.
• Monitors adherence of program activities to policies and procedures by ensuring program plans and team members follow KP, departmental, and/or business line policies and procedures.
• Ensures the alignment, buy-in, engagement and support of diverse program stakeholders by building and maintaining relationships as well as communicating appropriately with internal customers, third party vendors, senior management, and business leaders; and clarifying accountability and authority across stakeholders. Identifies and works closely with key stakeholders based on their level of influence and decision making and ensures all appropriate stakeholders are represented and included. Provides insight to key stakeholders and program sponsors by developing program goals, setting the prioritization of deliverables, discussing involvement of business processes (e.g. program change management, communication) and facilitating decisions necessary for program delivery. Communicates tough issues to stakeholders while maintaining an independent opinion, providing recommendations, delivering formal presentations, and providing reports to various senior audiences. Engages with senior stakeholders to identify long term value to the organization and define success.
• Reviews vendor performance levels and ensures service level agreements are met. Partners with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate. Participates in contract negotiations with vendors and reviews program invoices submitted by vendors for accuracy.

• 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.


• Facilitates the accurate assignment of system codes for billing and revenue processes by: managing work performed by team members to translate charge throughput guidelines and services into codes to facilitate accurate billing of services provided; delegating tasks across the team to review codes configured in the system for proper alignment with charge throughput and coding guidelines and services; and reviewing recommendations for charge integrity updates based on teams analysis of regional and national policies and approving changes that will have considerable impact across the organization.


• Oversees routine review and maintenance of system codes by: monitoring the regular review (e.g., quarterly, annually) of coding records to ensure codes are updated, compliant, and accurately reflect policy and regulatory changes; providing guidance on conducting pre- and post- implementation assessments of automated and manual charge capture for quality and accuracy; reviewing analyses of complex and/or region-wide billing issues related to charges/codes and guiding the resolution of charge capture issues; and contributing to the maintenance of all Current Procedural Terminology (CPT)/ Healthcare Common Procedure Coding System (HCPCS) codes, descriptions, revenue codes, Relative Value Units (RVU) information, and generic codes to assist in the understanding of fee schedule implications.


• Serves as a billing and coding expert for the department by: supervising team members in providing guidance to other departments, physicians, and practitioners on coding/billing issues, charge inquiries, and relevant policies and regulations, offering guidance as needed; and providing guidance on the development and implementation of trainings to improve revenue cycle processes and outcomes, which may involve providing trainings to department staff and other departments.


• Manages monitoring activities and process improvements by: overseeing the performance of tasks that support monitoring activities of the region(s) documentation, charge capture, coding, billing, and/or compliance activities; providing guidance on analyzing findings from monitoring activities to identify deficiencies and/or compliance issues in billing codes and processes and partnering with other departments to resolve deficiencies and/or compliance issues; driving the development of reports of monitoring activity results to share with department leaders and/or other departments; and ensuring the implementation of corrective action plans resulting from monitoring activities.

We are seeking a Director, Digital Products Strategy & Marketing to establish and lead enterprise digital product strategy for member-facing experiences across Kaiser Permanente's digital ecosystem. This role is responsible for developing end-to-end strategies that drive awareness, adoption, engagement, and retention across key digital platforms, including MyChart/Epic, the KP mobile app, KP.org, eCommerce experiences, and rewards programs. The position will lead the integration of digital product strategy with existing lifecycle marketing and clinical services efforts to create a more connected, personalized, and measurable member experience across Kaiser Permanente's digital ecosystem.

This director level position is primarily responsible for directing and overseeing integrated marketing communications programs and strategies, directing and overseeing market data collection and synthesis, and providing oversight and direction to the creative team. This position directs complex marketing projects, directs and oversees the design and implementation of complex marketing strategies, and directs and oversees the development and implementation of complex strategic go-to-market plans for all products/business lines.

• Demonstrates continuous learning and maintains a highly skilled and engaged workforce by aligning resource plans with business objectives; overseeing the recruitment, selection, and development of talent; motivating teams; preparing individuals for growth opportunities and advancement; staying current with industry trends, benchmarks, and best practices; providing guidance when difficult decisions need to be made; and ensuring performance management guidelines and expectations drive business needs.
• Oversees the operation of multiple units and/or departments by identifying customer and operational needs; analyzing resources, costs, and forecasts and incorporating them into business plans; gaining cross-functional support for business plans and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; and ensuring products and/or services meet customer requirements and expectations while aligning with organizational strategies.
• Directs and oversees market data collection and synthesis by managing the development of actionable, evidence-based marketing plans using data and insights; partnering with research and strategy teams to gather marketplace and consumer dynamics driving marketing strategies; defining market research needs; partnering with analytics teams to drive marketing strategies and track performance; and defining and optimizing ROI on strategies and tactics.
• Directs and oversees the development and implementation of complex strategic go-to-market plans for all products/business lines by defining the channel strategy; managing relationships with channel partners; evaluating channel partner needs and performance on an ongoing basis; analyzing audience needs using data-driven learnings to evaluate and identify new multi-channel opportunities; and leading channel marketing programs to drive go-to-market strategies.
• Directs and oversees the design and implementation of complex marketing strategies by ensuring strategies support membership growth, retention, and product/service promotion initiatives to meet business goals; establishing strategic plan deliverables; verifying brand consistency and brand standard compliance through all marketing channels; leveraging market research to identify new opportunities and/or validate assumptions; analyzing sales and marketing metrics; tracking progress to overall enterprise objectives; and driving improvement and optimization efforts toward established goals.
• Directs complex marketing projects by reviewing and approving project plans; managing cross-functional stakeholder contacts; assembling teams based on project needs and team member strengths; forecasting and adhering to project budget; overseeing vendor selection; defining scope and negotiating vendor contracts; managing vendor relationships at the leadership level; presenting project updates; managing project financials and deliverables; and ensuring projects align with marketing strategy and overall business goals and objectives.
• Directs and oversees integrated marketing communications programs and strategies by driving the development of communication strategies and engagement plans consistent with KP core strategies; integrating business-to-business, business-to-consumer, and line of business; reviewing and analyzing information from market research teams to understand stakeholder attitudes and needs; translating insights into promotional strategies; ensuring alignment of activities across enterprise teams; communicating consistent positioning and messages across all media; evaluating effectiveness of plans, programs, and campaigns; and making recommendations to optimize campaigns.
• Provides oversight and direction to creative team by reviewing and analyzing data, research, and customer input and sign-off to develop an understanding of the work; collaborating with communication and marketing teams; reviewing, evaluating, and approving complete creative briefs that inform and inspire writers, designers, and other creative professionals; reviewing the completed brief with the customer and relevant stakeholders; and presenting the brief.

Support Health Plan Risk Adjustment operations through government audit readiness, compliance oversight, and internal quality assurance reviews. Perform coding validation, documentation review, and data-driven analysis to ensure accurate risk capture, regulatory compliance, and coding integrity. Partner with operational, clinical, and compliance teams to identify risks, improve coding quality, support audit activities, and drive continuous improvement across Risk Adjustment programs

In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to coding functions within all settings of care, maintaining compliance with national coding policies and procedures, assisting with coding questions and related topics, and auditing all lines of business for coding. Additionally, this position is responsible for assisting with the development of audit result reports to regional staff and senior management and supporting compliance and the Principles of Responsibility (KPs code of conduct).

• Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback.
• Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities.
• Conducts company compliance activities by collaborating with internal and external stakeholders; applying established regulations and standards to compliance efforts; providing insight and recommendations for the design, development, and execution of strategic compliance initiatives; and documenting compliance activities.
• Develops compliance reports by evaluating and summarizing compliance data, audit information, and potential risks and remedies; reporting to management on key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations); and developing draft presentations to convey key findings.
• Conducts compliance investigations by collecting and analyzing quantitative and qualitative data; conducting interviews as appropriate; researching key business issues; identifying potential action steps; and providing input for the creation of corrective action plans for substantiated allegations.
• Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
• Assists with ensuring regulatory compliance by monitoring regulatory changes; conducting analysis on regulatory impacts; and supporting the implementation of designated changes.
• Coordinates the implementation of compliance efforts by identifying compliance requirements; assessing the current state of compliance to identify gaps and corrective actions; creating or revising moderately complex compliance standards, policies and procedures, and training; and monitoring ongoing compliance adherence.

In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to functions within all settings of care, maintaining compliance with national coding policies and procedures, assisting with coding questions and related topics, and auditing and monitoring the quality of coding assignments across all lines of business. Additionally, this position is responsible for developing and presenting audit result reports to regional staff and senior management and supporting compliance and the Principles of Responsibility (KPs code of conduct).

• Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and develop weaknesses; and adapting to and learning from change, difficulties, and feedback.
• Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and evaluating recommendations made by others.
• Conducts company compliance activities by partnering with internal and external stakeholders; applying established regulations and standards to compliance efforts; designing, developing, and executing strategic compliance initiatives; analyzing regulations and regulatory changes, and their application to operations; and documenting compliance activities.
• Leads compliance reporting efforts by evaluating and summarizing compliance data, audit information, and potential risks and remedies; identifying and reporting key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations) to management; and developing presentations to convey key findings to management and other key stakeholders.
• Leads compliance investigations by coordinating the collection and analysis of quantitative and qualitative data; leading interviews as appropriate; researching key business issues; identifying potential action steps; and evaluating and recommending corrective action plans for substantiated allegations.
• Manages projects or compliance components of larger cross-functional projects by identifying and managing stakeholder contacts; assembling teams based on project needs and team member strengths; developing, analyzing, and managing project plans; negotiating and managing project schedules and resource forecasts; and managing project financials and deliverables.
• Drives regulatory compliance by monitoring and interpreting complex regulatory changes; leading analysis on regulatory impacts; and overseeing the implementation of designated changes.
• Drives the implementation of compliance efforts by identifying compliance requirements; leading the assessment of current state compliance to identify gaps and corrective actions; creating or revising complex compliance standards, policies and procedures, and training; and monitoring ongoing compliance adherence.

Kaiser Permanente is seeking a qualified candidate for the Executive Director of Service Delivery within Healthcare Technology Management. This position will provide integrated strategic direction, planning, and managerial support to Healthcare Technology Management in the Southern California and Hawaii markets. Healthcare Technology Management is responsible for the implementation of technology programs and standards in accordance with Enterprise Business Services (EBS) and National Shared Services Operations (NSSO), market HTM executive leadership directions, Kaiser Permanente (KP), and goals and priorities. This position is responsible for managing relationships with care delivery operations, market medical groups, KPIT, groups within NSSO (e.g., Capital Project teams, National Facilities Design & Construction (NFDC), National Facilities Operations (FacOps), National Real Estate, Supply Chain Services (SCS), National Security Services (NSS)), KP Health Connect (KPHC), and KFH to:
1) Provide technical, content expertise and related leadership to support market efforts and ensure consistent enterprise lifecycle planning processes across Service Areas for selecting and deploying the clinical equipment and systems across imaging, lab and instrumentation.
2) Deliver comprehensive medical equipment maintenance and service program that leverages best established safe and efficient healthcare technology management service practices in support of patient care.

• Strategic & Operational Leadership
• Provide executive leadership and governance for the HTM organization, ensuring achievement of service level agreements, fiscal responsibility, and accreditation and regulatory compliance.
• Align with and deploy operational standards, service models, and performance metrics to ensure safe, consistent, and reliable medical technology operations across all facilities.
• Capital Planning & Execution
• In collaboration with HTMs Technology Coordination Group develop regional capital and operating equipment plans informed by asset condition, lifecycle, utilization, and clinical need.
• Oversee execution and deployment of approved plans, including progress reporting and communication with market and regional leadership.
• Enterprise Integration & Technology Enablement
• Ensure effective integration of medical devices with IT architecture, EHR, and CMMS in alignment with national HTM standards and enterprise service models.
• Partner with KPIT, Nursing, Operations, Facilities, and NSSO teams to support reliable system performance and technology enabled care delivery.
• Clinical Risk, Quality & Compliance
• Oversee comprehensive medical equipment maintenance and support programs using established CMMS and best practices to support patient safety, quality, access, and operational efficiency.
• Establish processes to identify, monitor, and mitigate clinical technology risks across the market.
• Asset Lifecycle, Inventory & Disposition
• Lead programs for medical equipment redeployment and disposal in a financially, environmentally, and regulatory compliant manner, including management of hazardous materials, licensed components, and ePHI.
• Ensure accurate asset inventories are maintained in the enterprise CMMS in partnership with HTM CMMS leaders.
• Financial Management
• Lead development and management of the regional HTM operating and capital budgets, supported by benchmarked staffing models, utilization forecasts, and long range operational projections.
• Ensure appropriate financial controls, reporting, and accountability are in place to support sustainable operations.
• Stakeholder Partnership
• Serve as a key partner to Care Delivery Operations, Facilities, Finance, HR, KPIT, and other enterprise and regional stakeholders to align HTM services with organizational priorities and care delivery needs.

The Director of Treasury oversees the organization's treasury function, managing cash positions, liquidity, banking operations, payment systems, merchant processing, governance, and financial risk. This role provides financial stewardship through cash management, liquidity planning, banking relationships, fraud prevention, and treasury operations.

The Director collaborates with Finance, Accounting, Revenue Cycle, Supply Chain, KPWA, and other leaders to support business priorities, initiatives, acquisitions, and growth. This position establishes treasury policies and controls to ensure operational resilience, regulatory compliance, and strong risk management.

The Director leads the Treasury bank reconciliation team, offering direction and oversight to maintain continuity and align operations with enterprise goals. Through proactive financial management and collaboration, this role helps the organization meet operational needs and safeguard resources for long-term success.

This managing level employee is responsible for overseeing and providing guidance to complex company financial activities across multiple business functions through managing the evaluation and summary of economic, market, and financial data, directing the execution and interpretation of financial analyses to identify risks and opportunities, managing large cross-functional projects or treasury components, and managing and negotiating vendor contracts and transitions while driving compliance to guidelines and requirements.

• Demonstrates continuous learning and maintains a highly skilled and engaged workforce by aligning resource plans with business objectives; overseeing the recruitment, selection, and development of talent; motivating teams; preparing individuals for growth opportunities and advancement; staying current with industry trends, benchmarks, and best practices; providing guidance when difficult decisions need to be made; and ensuring performance management guidelines and expectations drive business needs.
• Oversees the operation of multiple units and/or departments by identifying customer and operational needs; analyzing resources, costs, and forecasts and incorporating them into business plans; gaining cross-functional support for business plans and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; and ensuring products and/or services meet customer requirements and expectations while aligning with organizational strategies.
• Oversees complex company financial activities by ensuring team members, including external business partners, provide support to finance and operations; reviewing and approving reconciliation activities; optimizing controls for financial transactions; and ensuring financial processes are fully documented.
• Directs treasury reporting efforts across multiple financial/business functions by overseeing the evaluation and summary of economic data, market conditions, and financial commitments; identifying and reporting key financial/business drivers, liabilities, and performance indicators (e.g., funding issues, returns on investment, cash-related risks, etc.) to senior management; and developing compelling presentations to convey key findings to executive leadership and external business stakeholders.
• Directs the execution of complex analyses (e.g., financial, risk, regulatory, business) and the interpretation of results to ensure risks and opportunities are identified by influencing and communicating assumptions; overseeing the development of financial models consistent with regulatory, statutory, and legal guidelines and requirements; and validating conclusions and recommendations based on findings.
• Manages projects or treasury components of larger cross-functional projects by identifying and managing stakeholder contacts; assembling teams based on project needs and team member strengths; developing, analyzing, and managing project plans; negotiating and managing project schedules and resource forecasts; and managing project financials and deliverables.
• Drives compliance with regulatory, statutory, and legal controls by developing and coordinating policies and procedures to achieve compliance and control objectives (e.g., audit controls, financial commitments, etc.).
• Manages vendor contracts and transactions (e.g., lease agreements, investment portfolios, etc.) for complex, high-impact initiatives by actively building and managing a network of strategic/financial/business partners; negotiating and reviewing financial agreements in accordance with regulatory policies and guidelines; identifying and evaluating key performance indicators; and ensuring vendor performance meets established service level agreements.

• Managing outside counsel relationships with a team of litigators to craft overall litigation strategy with the objective of implementing or facilitating company-wide business objectives and for portfolios of high reputational and economic significance and implementing strategies for cost control and mitigation
• Leading collaborations with the business to implement key changes and ensuring alignment with overall business strategy; Overseeing cross-functional collaborations and communications with business groups, government, clinical, and other groups within KP to ensure achievement towards a common goal; and overseeing practical and effective legal advice and promoting proactive strategies to prevent, mitigate and resolve legal, regulatory and enterprise risk. 
  This position may be responsible for proactively identifying government enforcement risk areas and priorities and communicating and addressing these within compliance and operations and providing training to compliance and operations on key statutes and regulations that are priorities for the government. 
• This position is responsible for managing relationships with a team of lawyers to facilitate efficient and proactive legal services; dealing with high-risk cases and identifying when to escalate as necessary; counseling on remediation of identified risk areas over the course of an investigation; and implementing guidelines and standards. 
• The position is also responsible for establishing arguments in preparation of cases; representing KP during legal proceedings, mediation, and negotiation of settlements; providing strategic legal advice and working on unique and complicated risk initiatives, remediation, and/or compliance projects; ensuring adherence to legal obligations and settlement agreements; reviewing, evaluating, and aligning team efforts on resolving complex and unique claims and lawsuits related to unique subject matter expertise; advising the enterprise on highly complex legal and risk matters; and identifying operational concerns and collaborating with the enterprise to approve solutions to highly complex and unique concerns.

• Participates in the creation, review, and negotiation of legal documents by: preparing, drafting, creating, and reviewing
  highly complex and nuanced written legal advice, contracts, and/or other documents related to subject matter expertise;
  overseeing work product of others; and providing highly technical, expert and actionable guidance to clients and other legal professionals (e.g., legal counsel, paralegals, and legal assistants).
• Performs and analyzes legal research by: performing or managing highly complex research and analyses of case law and
  statutory/regulatory authority including but not limited to federal and state laws, rules, regulations, accreditation standards, and/or other applicable guidance; analyzing highly complex industry patterns and trends impacting legal questions or issues; and effectively synthesizing and communicating legal research findings and legal analysis to cross-functional senior business stakeholders to inform program-wide strategy and critical business decisions.
• Assesses legal risk and/or provides legal guidance by: applying expert knowledge of legal principles, business risks,
  regulatory landscape, and compliance considerations to provide legal advice and recommendations on matters highly critical to the organization; leading legal strategies for senior business stakeholders and implementing innovative solutions that mitigate legal risks, drive program-wide business strategy, and further advance Kaiser Permanente's mission; managing and overseeing outside counsel on highly technical and complex legal matters; effectively collaborating with other attorneys to leverage and share expertise and resources in a highly matrixed environment; and overseeing junior-level attorneys and other legal professionals or guiding more junior attorneys in their area of expertise, and as appropriate.
• Contributes to legal planning and strategy by: formulating and managing legal strategy for the implementation of significant and innovative solutions to unique issues; driving the resolution of highly complex legal issues through collaboration among legal colleagues and stakeholders; advising senior stakeholders on health plan and/or care delivery business and/or clinical strategies; engaging with regulatory services and government relations on Kaiser Permanente's advocacy strategies to address legislative, regulatory and litigation risk; and managing, leading, or guiding responses to regulatory actions as appropriate for practice areas (e.g., audits and enforcement actions).
   

• Provides operational oversight for designated functional areas within the office, ensuring efficient workflows and alignment with departmental goals and priorities.
• Provide oversight over the design and implementation of programs and events that promote awareness, education and engagement around inclusive excellence.
• Partners with internal and external partners on strategic initiatives, coordinate activities, and foster collaborative relationships that support organizational objectives.
• Collaborate with Senior Associate Dean for Admissions; Senior Associate Dean for Inclusive Excellence to align on outreach, recruitment and pathway strategies with KPSOMs mission and strategic goals.
• Establish metrics to measure impact, inform decision making and evaluate the success of programs.
• Use data-driven insights to guide continuous program improvement and innovation.
• Oversee the development and delivery of inclusive resources that inspire and prepare students across educational pathways to pursue careers in medicine.
• Oversee workshops, mentorship opportunities, and other initiatives that expand access and align with institutional priorities.
• Oversee the design and implementation of comprehensive health professions pathway programs that provide academic support, mentorship, and career guidance for aspiring medical students.
• In consultation with the Senior Associate Dean for Admissions; Senior Associate Dean for Inclusive Excellence, establish a system of monitoring, assessing, and evaluating pathways programs and goals.
• Identify funding opportunities and write grant proposals to sustain and expand programming.
• Collaborate with the Office of Student Affairs to provide pathways engagement opportunities for KPSOM medical students.
• Serve on relevant KPSOM committees and perform other administrative tasks as needed.
• Supervise and develop Office of Inclusive Excellence through hiring, onboarding, coaching, performance management, training, resource planning, accountability, and succession planning.
• Partner with KPSOM team members to ensure compliance with Western Association of Schools and Colleges (WASC), Senior College and University Commission (WSCUC) and Liaison Committee for Medical Education (LCME) accreditation standards related to inclusive excellence.

• Serves as chief negotiator in the conduct of collective bargaining negotiations for designated unions. Negotiates all components of the collective bargaining agreements on good faith for represented sites with appropriate union officials, ensuring that an agreement between both parties is reached. Develops proposals and counter proposals for negotiation and provides leadership and consultation to management stakeholders serving on the bargaining team.
• Oversees strategic and operational efforts to achieve and maintain effective labor-management relations
• Assumes key leadership role in shaping and executing Kaiser Permanentes Labor Relations philosophy, visions and goals.
• Analyzes Kaiser Permanente business needs, anticipates potential barriers, and successfully navigates implementation to a successful outcome. Develops the collective bargaining strategy for operations with union representation, in collaboration with operations management to support overall business objectives. Participates as an active member in ongoing forums as assigned (ie: LMP Oversight Committee, Negotiations Teams) to provide consultation, direction, information, and expertise.
• Responsible for the development and implementation of strategic planning for all activities related to the Labor Relations department. Participates in the development and management of the department operating and capital budget planning process.
• Counsels senior leadership regarding the interpretation and application of the collective bargaining agreement as well as the intent, application, and compliance requirements of labor and regulatory laws. Represents Kaiser Permanente in grievance or mediation hearings.
• Monitors changes in local, state and federal regulations and revises and updates company policies to reflect the current legislation.
• Evaluates grievances and other local conflicts resulting from the labor agreements to determine if contractual violations have occurred and implement appropriate remedies to grieving parties.
• Ensures that labor relations plans are implemented, as agreed with local management, to mitigate the potential negative impact of any issues on continued operations.
• Develops and implements early warning systems to identify labor relations issues that may escalate beyond the local level.
• Is the key strategist relating to all labor and union activity. Develops plans and approaches for all campaign efforts.
• Develops Labor Relations training programs, systems, tools and resources, incorporating best practices, to serve as resources to the medical centers and to support the creation of alignment, consistency and accountability in the management of labor issues.
• Develops sustainable relationships with senior management in order to facilitate effective dialogue to address and resolve issues and proactively implements effective workplace practices.
• Builds relationships with key labor organizations in the assigned Market, including relationships with various national and/or local labor union organizations and their key representatives, to create a positive platform to address issues as they arise and builds future positive relationships by obtaining input on a proactive basis.

• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.


• Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.


• Supports the review of training programs by: measuring the accuracy, comprehension, and effectiveness of training sessions; monitoring test scores and working with management to analyze results; leveraging survey and status reporting tools and other training metrics, to determine the effectiveness of training programs and the next steps to supporting the resolution of survey/data issues, and troubleshooting moderately complex issues; and creating the needs and/or knowledge assessment, administer, and review diagnostic/needs assessments for clinicians and staff for immediate or short-term departmental learning success.


• Verifies certain standards are implemented and met by: verifying that all processes are in compliance with all legal, regulatory, and accreditation requirements; reviews others work and ensures that information provided is accurate, consistent, and delivered within prescribed protocols; and developing and implementing policies and procedures, operations, and automated systems providing information to staff and providers.


• Participates in the creation of training content by: developing specialized system content and training materials (e.g., handouts, review activities, and visual aids) and implementing moderately complex training programs; and writing business cases/proposals to create projects that can address training needs.


• Participates in continuous improvement by: analyzing moderately complex feedback and monitoring training needs to identify procedural deficiencies and participate in providing refresher training; applying advanced knowledge of industry practices, standards, and benchmarks to contribute to the refinement of processes across the department; and acting as an advocate to ensure continuous learning within their team by identifying and implementing improvements in training.


• Creates meaningful relationships with stakeholders by: developing effective working relationships with inter/intraorganizational and external stakeholders to the organization; and developing and maintaining contact with internal customers and various parties (e.g., union representatives) to ensure training needs are met.


• Trains all internal and external stakeholders by: leveraging advanced knowledge to deliver training by fostering a continuous learning environment using adult learning theory, addressing concerns leveraging various forms of media, current industry practices, regulatory requirements, and supporting business operations; and providing training to end users and addressing concerns leveraging various forms of media (e.g., in-person, classroom, on-site, just-in-time support, web sessions, and conference calls).

Please Note: Salary ranges are geographically based.  Lower salary ranges will apply for other labor markets outside of NCAL.

In addition to the responsibilities listed below, the position is also responsible for serving as a compliance subject matter expert related to coding functions, managing and directing audit activity related to coding within all settings of care, ensuring compliance with national coding policies and procedures, assisting with escalated coding questions and related topics, ensuring teams are educated in latest coding developments, and evaluating the quality of coding assignments across all lines of business. Additionally, this position is responsible for developing the annual coding audit plan in collaboration with reimbursement compliance teams, reviewing reports of audit results, helping set the direction for coding and focused projects related to audit outcomes, and supporting compliance and the Principles of Responsibility (KPs code of conduct).

• Pursues professional growth and provides developmental opportunities for others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; hiring, training, and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst departments; strategically evaluating talent for succession planning; setting performance management guidelines and expectations across units; and working closely with employees to set goals and provide open feedback and coaching to drive performance improvement.
• Manages designated units by translating business plans into tactical action items; communicating goals and objectives; ensuring all policies and procedures are followed; overseeing the completion of work assignments; assuming responsibility for decision making; aligning team efforts; building accountability for and measuring progress in achieving results; incorporating resources, costs, and forecasts into unit plans; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; partnering with key stakeholders and business leaders to ensure products and/or services meet requirements and expectations while aligning with departmental strategies; and influencing units to operate in alignment with business objectives.
• Manages company compliance activities by partnering with internal and external stakeholders; applying established regulations and standards to compliance efforts; managing the design, development, and execution of strategic compliance initiatives; overseeing the analysis of regulations and regulatory changes, and their application to operations; and overseeing the documentation of compliance activities.
• Manages compliance reporting efforts across one or more business functions by managing the evaluation and summary of compliance data, audit information, and potential risks and remedies; identifying and reporting key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations) to senior management; and developing complex presentations to convey key findings to leadership and external business stakeholders.
• Manages compliance investigations across one or more business functions by managing the collection and analysis of quantitative and qualitative data; leading interviews as appropriate; researching key business issues; and evaluating and recommending corrective action plans for substantiated allegations.
• Manages projects or compliance components of larger cross-functional projects by identifying and managing stakeholder contacts; assembling teams based on project needs and team member strengths; developing, analyzing, and managing project plans; negotiating and managing project schedules and resource forecasts; and managing project financials and deliverables.
• Manages activities associated with continued regulatory compliance for one or more business functions by monitoring, interpreting, and designing strategy around regulatory changes; determining the impact of changes to the business; providing direction on implementation of changes throughout the organization; and providing regulatory input before and during inspections to minimize the risks of future non-compliance.
• Manages the implementation of compliance efforts by approving compliance requirements; ensuring the assessment of current state compliance to identify gaps and corrective actions; managing the analysis and development of complex compliance standards, policies and procedures, and training; and ensuring and monitoring ongoing compliance adherence.

The role is expected to drive solution architecture and design on the initiatives that National products team engages in. This would require the individual to work closely with business and product partners to understand requirements and then translate those into implementable solutions engaging IT/System teams across Kaiser and vendors.  This is a key technical leadership role within our team, so we need the person to have strong leadership and communication skills.

Our team is National products IT team. Our team works closely with Product Launch Services team to manage the solutioning and delivery to launch products Kaiser brings to market in the Commercial, Medicare and other lines of business. We have a very healthy roadmap of products that we need to launch in the next few years so this role will play a key role in driving the solutioning work related to some of those initiatives.  

In addition to the responsibilities listed below, this position is responsible for providing support for customers (users), and assigned applications and/or information systems, including software implementation, cross-functional integration, complex configuration, and testing. Additional responsibilities also include leading solution design support efforts and research initiatives for translating requirements into workable technical solutions, and supporting the evaluation of third-party vendors as directed.

• Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks, as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; evaluating recommendations made; and influencing the completion of project tasks by others.
• Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and improve opportunity areas; and adapting to and learning from change, difficulties, and feedback.
• Develops requirements, or leads a team of IT consultants in the development of requirements for complex or specialized process or system solutions which may span multiple business domains by partnering with stakeholders and appropriate IT teams (for example, Solutions Delivery, Infrastructure, Enterprise Architecture).
• Leverages multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements (for example, SMART) across the enterprise.
• Leads and oversees the development and documentation of comprehensive business cases to assess the costs, benefits, ROI, and Total Cost of Ownership (TCO) of complex solution proposals.
• Provides insight, guidance, and recommendations throughout the evolution of applications, systems, and/or processes to a desired future state by maintaining and leveraging a comprehensive understanding of how current processes impact business operations across the enterprise.
• Maps current state against future state processes.
• Defines the impact of requirements on upstream and downstream solution components.
• Provides insight and influence to senior management and business leaders on how to integrate requirements with current systems and business processes across the enterprise.
• Reviews, evaluates, and prioritizes value gaps and opportunities for process enhancements or efficiencies.
• Influences solution design by providing insight and consultation at design sessions with IT teams to help translate requirements into workable business solutions.
• Recommends and advocates for additional data and/or services needed to address key business issues related to process or solutions design.
• Participates in evaluating third-party vendors as directed.
• Drives continuous process improvement by leading the development, implementation, and maintenance of standardized tools, templates, and processes across the enterprise.
• Recommends and advocates for regional and national process improvements which align with sustainable best practices, and the strategic and tactical goals of the business.

• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.


• Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.


• Analyzes and reports on data by: evaluating moderately complex data to understand premium, claim, exposure, and inform understanding of population risk; applying advanced knowledge to evaluate credibility, utilization, and risk based on population size and prior predictive behavior of the pool/account; identifying and escalating actionable insights and potential data irregularities and recommending solutions; determining and executing on the best course of action for creating and using models (e.g., rate models and benefit pricing tools) and data analytics tools that support the analysis of business strategy and financial/underwriting risk management; and consistently documenting models, tools, assumptions, and data elements for increasingly complex accounts, as required.


• Completes case and underwriting work by: independently processing renewal activities (e.g., running reports, re-quotes, investments, sold rates) for customers and/or book of business; in collaboration with internal departments, driving the development of rates that appropriately mitigate risk for the organization and optimize sustainable membership growth; exercising judgment and discretion when developing and executing an account plan that addresses threats and opportunities to ensure attainment of goals in collaboration with Sales and Account Management; negotiating rates with external parties (e.g., brokers, consultants, and customers); and representing Underwriting in partnership with internal and external partners to co-create effective consultative solutions (e.g., case strategy, investment strategy, benefits strategy).


• Contributes to case review and preparation by: independently conducting account risk assessment using competitive analyses, broker behavior, network cost profiles, legislative and regulatory impacts, revenue requirements, and contributions, with guidance as needed, especially when working on complex cases; utilizing data and standardized tools to present underwriting and renewal actions and recommendations (e.g., rate drivers, potential risk, glide path, membership impact, projections for future) to clients and/or the organization, with guidance as needed; developing, applying, and expanding advanced knowledge of the external business environment and how it applies to the line of business and/or region; and collaborating with Sales and Account Management to develop case/investment strategies and recommendations with appropriate documentation.


• Engages with the external market by: helping moderately complex market/customers understand the underwriting approach (e.g., rating methodology, rate drivers, reporting capabilities, and uniqueness from fee for service carriers); addressing complex data needs and requests reactively and proactively, as they arise; building relationships and influencing outcomes with customers and channel partners that enable them to understand KPs value; and collaborating with account management and sales partners to bring strategic, financial solutions to customers, communicate product capabilities, explain funding arrangements, and negotiate conditions of offering and pricing within the limits of their authority for increasingly complex accounts.


• Contributes to goals, initiatives, and program development efforts by: making recommendations to address issues in implementation of innovative new quality and process improvement efforts; and executing their work in support of department initiatives, program goals, and enterprise goals.


• Ensures compliance of Underwriting work by: providing self/peer review of complex cases, as required, to ensure accuracy and appropriateness of quotes and incorporating feedback from others; appropriately obtaining and documenting case approvals and any policy exceptions and investments; making investment decisions within their authority and escalating to the appropriate level, as needed; and maintaining awareness of and compliance with all relevant policies, guidelines, and procedures, applying them to their own work.

• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
• Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
• Works on clinical documentation reviews by: reviewing a moderate caseload of medical/health records to promote accuracy and completeness of clinical documentation; reviewing results of a moderate to large caseload of medical record reviews and working alongside others to rectify identified omissions or contradictions in medical records; completing medical codes and diagnostics-related groups (DRGs) to facilitate the accurate capture of diagnoses in collaboration with senior team members and leadership; contributing to the identification of medical conditions that impact the severity of illness (SOI) and risk of mortality (ROM) indicators; and monitoring the documentation clarification queries to support efficient resolution of open queries.
• Integrates processes to improve clinical documentation by: supporting reviews of clinical documentation improvement/integrity (CDI) programs and integrating processes to improve the accuracy and completeness of clinical documentation and documentation issue resolution; determining areas to improve clinical review and documentation processes; and collaborating with team members to identify and implement documentation improvement initiatives.
• Conducts staff training and education by: collaborating with others on CDI training (e.g., medical review and coding, quality standards, documentation requirements for diagnosis capture); and working with others to determine areas of improvement and collaborate with senior professionals to develop programs for clinical documentation education/training.
• Drives regulatory compliance by: completing reviews and documenting in line with regulatory requirements; following established procedures to perform audits of clinical documentation to support compliance with federal, state, and local regulations; documenting cases of non-compliance; and working with others to maintain up-to-date knowledge of relevant regulations and sharing opportunities with team members.

• Pursues self-development and effective relationships with others by sharing resources, information, and knowledge with coworkers and customers; listening, responding to, and seeking performance feedback; acknowledging strengths and weaknesses; assessing and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback.


• Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; following procedures and policies and applying data, and resources to support projects or initiatives; collaborating with others, often cross-functionally, to solve business problems; supporting the completion of priorities, deadlines, and expectations; communicating progress and information; identifying and recommending ways to address improvement opportunities when possible; and escalating issues or risks as appropriate.


• Assists with data analysis interpretation by organizing and editing reports and presentations telling a compelling story to stakeholders to enable and influence decision making.
  


• Supports data-informed decisions under the guidance of more senior employees by working with clients to identify and clarify key business needs; assisting in the development of outcomes and process measures; translating business requirements; informing data/information needs and data collection methods; measuring the impact of business decisions on clients, customers, and/or members; working with clients and staff to identify opportunities and methods to improve efficiencies with analysis; supporting end-users; and documenting processes and deliverables.


• Assists with the development, implementation, and automation of business and reporting solutions by creating summary statistics; organizing data reports, visualizations, and/or interactive Business Intelligence (BI) reports; identifying opportunities to improve exiting reporting solutions; and preparing documentation as appropriate.
  


• Supports data preparation for analytic efforts under the guidance of more senior employees by cleaning data to ensure quality and accuracy based on provided guidelines; and consolidating data.
  


• Assists with data and information gathering for targeted variables in an established systematic fashion by cleaning and organizing data; querying, merging, and extracting data across sources; completing routine data refresh and update; and providing user support and documentation.

Oversees clinical documentation reviews by performing quality assurance reviews of medical/health records and overseeing the scheduling and coverage of medical/health record reviews to promote the accuracy and completeness of clinical documentation, and providing mentorship and serving as an expert resource within a market or markets for applying and documenting medical codes and diagnostics-related groups to accurately capture diagnoses. Drives the improvement of the clinical documentation improvement/integrity (CDI) program by leading data and root cause analyses and reviewing reports to identify improvement opportunities in CDI processes. Oversees regulatory compliance by managing audits of clinical documentation to ensure compliance with coding guidelines and federal regulations, and leading the resolution of cases of non-compliance. Drives staff training and education by overseeing training and establishing partnerships between the CDI team and medical leadership to facilitate and promote CDI trainings.

• Creates and advocates for developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works with leaders and employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; hires, trains, and develops talent for growth opportunities; strategically evaluates talent for succession planning; sets performance management guidelines and expectations across teams / units. Oversees implementation, adapts, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends; shares best practices within and across teams. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams; motivates teams to meet business objectives. Delegates tasks and decisions as appropriate; provides appropriate support, guidance and scope; encourages development and consideration of options in decision making; fosters access to stakeholders.
• Manages designated units or teams 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; partners with key stakeholders and business leaders to ensure products and/or services meet requirements and expectations while aligning with departmental strategies. Aligns team efforts; builds accountability for and measuring progress in achieving results; assumes responsibility for decision making; fosters direct reports to resolve escalated issues as appropriate. Communicates goals and objectives; incorporates resources, costs, and forecasts into team and unit plans; ensures matrixed resources are fulfilling service or performance requirements across reporting lines. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams and units to operate in alignment with operational and business objectives.
• Oversees clinical documentation reviews by: performing quality assurance reviews of medical/health records and overseeing the scheduling and coverage of medical/health record reviews to promote the accuracy and completeness of clinical documentation; ensuring identified omissions or contradictions in medical records are rectified efficiently; providing mentorship and serving as an expert resource within a market or markets for applying and documenting medical codes and diagnostics-related groups (DRGs) to accurately capture diagnoses; overseeing the review of records to promote the accuracy of identification and documentation of the presence of medical conditions that impact severity of illness (SOI) and risk of mortality (ROM) indicators; and reviewing clinical documentation improvement/integrity (CDI) query data and processes to facilitate accuracy and efficiency in the resolution of open queries.
• Drives the improvement of clinical documentation processes by: analyzing reports to ensure the CDI program is effectively improving the accuracy and completeness of clinical documentation and documentation issues are efficiently resolved; leading the performance of data and root cause analyses to identify trends and improvement opportunities in clinical review and documentation processes; and overseeing market operations to ensure productivity and quality standards are achieved and driving the implementation of CDI process improvement initiatives.
• Drives staff training and education by: overseeing training and establishing partnerships between the CDI team and medical leadership to facilitate and promote CDI trainings; and serving as an expert resource for clinical documentation education/training programs.
• Oversees regulatory compliance by: outlining procedures for documenting clinical information in line with regulatory requirements; managing audits of clinical documentation to facilitate compliance with coding guidelines and federal regulations; leading the resolution of cases of non-compliance; and identifying needs and opportunities across the CDI team to maintain up-to-date knowledge of relevant regulations.

• Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.


• Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities.


• Contributes to the execution of research studies by: conducting research surveys, focus groups, qualitative interviews, or other data gathering activities for straightforward projects or complex projects with guidance; assisting and/or leading the training of others on project support activities (e.g., data collection, administering informed consent, conducting procedures), under the guidance and supervision of more experienced team members; coding open-ended/qualitative responses and preparing data for analysis; reviewing data for accuracy and checking for inconsistencies in data; independently performing tasks related to the recruitment, enrollment, consenting, and follow-up with participants; and answering participant questions regarding basic studies, while serving as a resource to more junior personnel, and escalating issues as needed.


• Contributes to the development of research materials and procedures by: assisting in the creation and/or drafting of study materials (e.g., recruitment, data collection, retention) in a variety of formats including online.


• Assists in the documentation and reporting of research study activities by: using tools, systems, and forms for project tracking and documentation; and documenting and maintaining files related to study progress while escalating issues to project managers or investigators.


• Assists with research support operations by: executing day-to-day operations of projects; providing support for research studies including ordering supplies, scheduling/coordinating meetings, filing, and copying; performing literature reviews to support drafts of grant proposals; supporting drafts of Institutional Review Board (IRB) protocols, amendments, continuing reviews, and other documentation; supporting drafts of Institutional Review Board (IRB) protocols, amendments, continuing reviews, and other documentation; and following federal and local regulations, standard operating procedures, and IRB approved protocols and supporting compliance for handling research data.

• Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.


• Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.


• Contributes to the execution of research studies by: independently conducting research surveys, focus groups, qualitative interviews, or other data gathering activities for moderately complex projects; training others on project support activities (e.g., data collection, administering informed consent, conducting procedures); preparing open-ended/qualitative data for analysis and building analytical datasets; preparing data reports and identifying data quality issues; performing complex tasks related to the recruitment, enrollment, consenting, and follow-up with participants; and answering participant questions regarding basic and/or complex studies and escalating issues if necessary.


• Contributes to the development of research materials and procedures by: drafting study materials (e.g., recruitment, data collection, retention) in a variety of formats including online.


• Assists in the documentation and reporting of research study activities by: assisting the development of tools, systems, and forms for project tracking and documentation; and documenting the progress of study activities and escalating issues to project managers or investigators.


• Assists with research support operations by: implementing day-to-day operations of projects; monitoring resources for research studies; contributing to and/or assisting the management of project budgets; performing literature reviews and/or contributing to the development of grant proposals; contributing to drafts of Institutional Review Board (IRB) protocols, amendments, continuing reviews, and other documentation; contributing to drafts of Institutional Review Board (IRB) protocols, amendments, continuing reviews, and other documentation; and following federal and local regulations, standard operating procedures, and IRB approved protocols and maintaining compliance for handling research data.