This position will provide consultation and support to our Medicare / Medicaid Specialist D-SNP team. Bring your Medicare or Medicaid administrative experience to our team.

You can work remotely from a Kaiser Permanente location (CA is preferred).

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.

Essential Responsibilities :

• 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;

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; at

Last updated : 2024-05-24