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Business Process Consultant jobs at Kaiser Permanente

- 30 jobs
  • Consultant V - Shared Services/Process Improvement/Analytics

    Kaiser Permanente 4.7company rating

    Business process consultant job at Kaiser Permanente

    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. Essential Responsibilities: 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. Click here for Important Additional Job Requirements. Share this job with a friend You may also share this job description with a friend by email or social media. All the relevant details will be included in the message. Click the button labeled that is next to Submit. Minimum Qualifications: Minimum two (2) years experience in a leadership role with or without direct reports. Bachelors degree from an accredited college or university and Minimum eight (8) years experience in consulting, project management, data analytics, operations or a directly related field OR Masters degree in Business, Public Health, or a directly related field and Minimum six (6) years experience in consulting, project management, data analytics, operations or a directly related field OR Minimum ten (10) years experience in consulting, project management, data analytics, operations or a directly related field. Additional Requirements: Knowledge, Skills, and Abilities (KSAs)\: Business Acumen; Change Management; Negotiation; Creativity; Applied Data Analysis; Financial Acumen; Conflict Resolution; Managing Diverse Relationships; Process Validation; Project Management; Risk Assessment; Service Focus; Requirements Elicitation & Analysis
    $97k-129k yearly est. Auto-Apply 38d ago
  • Consultant IV - Strategic Initiatives & Projects Team

    Kaiser Permanente 4.7company rating

    Business process consultant job at Kaiser Permanente

    The Consultant IV - Strategic Initiatives & Projects Team will support the Central Valley in achieving its goals and strategic initiatives through consultation and project management. The ideal candidate should have extensive experience managing projects from start to finish and possess in-depth knowledge of performance improvement and project management. Additionally, the candidate must be willing to travel throughout the Central Valley Area facilities to support work in various locations. 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; 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. Minimum Qualifications: + Bachelors degree from an accredited college or university and Minimum five (5) years experience in consulting, project management, data analytics, operations or a directly related field OR Masters degree in Business, Public Health, or a directly related field and Minimum three (3) years experience in consulting, project management, data analytics, operations or a directly related field OR Minimum eight (8) years experience in consulting, project management, data analytics, operations or a directly related field. Additional Requirements: + Knowledge, Skills, and Abilities (KSAs): Business Acumen; Change Management; Negotiation; Creativity; Applied Data Analysis; Financial Acumen; Conflict Resolution; Managing Diverse Relationships; Process Validation; Project Management; Risk Assessment; Service Focus; Requirements Elicitation & Analysis Preferred Qualifications: + Three (3) years of experience consulting in a large multi-hospital system. + Three (3) years of experience working with outpatient/ambulatory service line optimization. COMPANY: KAISER TITLE: Consultant IV - Strategic Initiatives & Projects Team LOCATION: Modesto, California REQNUMBER: 1390775 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
    $111k-142k yearly est. 27d ago
  • Lead Process Analyst - Asset Management

    Cleveland Clinic 4.7company rating

    Remote

    At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One.Job TitleLead Process Analyst - Asset ManagementLocationClevelandFacilityRemote LocationDepartmentITD Enterprise Asset and Config-Information Tech DivJob CodeT98401ShiftDaysSchedule8:00am-5:00pmJob SummaryJob Details Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. You will work alongside dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. The Lead Process Analyst role is responsible for the governance, design, and continuous improvement of the SAM process, aligning with ITIL, COBIT, and NIST frameworks. This includes facilitating process activities, ensuring the process is being performed as planned, championing procedural participation and policy compliance, reporting effectiveness in key performance indicator (KPI) and metrics attainment, analyzing process improvement, and communicating on a thorough and consistent basis throughout the IT organization. A caregiver in this position works remotely out of Ohio, Florida, or Nevada, Monday-Friday 8:00AM-5:00PM (EST). A caregiver who excels in this role will: Ensure that the day-to-day operational execution of the process is supported and performed within the defined approach. Work with the process owner to plan and coordinate all process activities, include regular process reviews improvements Ensure that all activities are carried out as required throughout the service lifecycle consistently across different IT teams Act as policy guardian for the process, including responsibility for tracking standards adherence Chair the Software Advisory Board (SAB), aligning software strategy with enterprise goals across IT, Security, Finance, and business units. Define and enforce enterprise-wide policies for software procurement, usage, and retirement. Develop and report on KPIs (e.g., license compliance, cost savings) and KRIs (e.g., audit exposure, EOL software). Lead end-to-end software lifecycle management within ServiceNow (request, approval, procurement, deployment, monitoring, reclamation, retirement). Ensure seamless integration with ITSM processes: CMDB: Maintain software relationships to hardware, users, and services. Service Catalog: Manage software request workflows and approved applications. Change Enablement: Evaluate impacts of software changes. Oversee license and entitlement management for complex models (Microsoft, Oracle, IBM, Adobe, SaaS). Drive automation and workflow optimization using ServiceNow SAM Pro. Identify opportunities for license harvesting, application rationalization, and cost avoidance. Collaborate with Finance and Procurement on budget forecasting, renewals, and chargeback/showback models. Lead internal true-ups and coordinate external vendor audits, minimizing financial and legal exposure. Maintain the SAM risk register, addressing license non-compliance, shadow IT, and EOL vulnerabilities. Ensure audit readiness and support remediation efforts aligned with NIST, ISO 27001, and other frameworks. Manage the Non-Standard Software Request (NSSR) process, evaluating business needs, security risk, and financial impact. Escalate any issues or concerns to the Process Owner along with options and recommended courses of action Recommend people for required roles and monitors resource alignment across the organization for issues / opportunities (e.g., process coordinators or practitioners within teams, etc.) Maintain and revises procedures, forms, quick reference guides and other supporting process materials as appropriate Identify improvement opportunities for inclusion in the CSI register and works with the CSI manager and process owner to review and prioritize improvements. Implement approved modifications and improvements to the process. Communicate objectives and concepts internally and externally. Participate in process design, implementation planning and resource requirements to run the IT process functions and team. Ensure consistency with best practice frameworks (e.g., ITIL v3, ISO/IEC 20000, COBIT, etc.). Liaises with other process managers to establish integration and collaboration (such as incident, problem, request and change management). Lead the regular review of the process, roles, responsibilities and documentation. Communicate updates/changes in process policies, standards, processes and procedures to all necessary organizations, executing process activities/tasks. Ensure that process metrics and KPI reports are produced and reviewed by the appropriate stakeholders. Arrange/facilitate appropriate process management team meetings. Act as a focal point for complaints and suggestions. Proactively monitors trends and leading indicators that the process could need intervention before KPIs are impacted. Provide training on the process and maintain training materials. Maintain and manages the roster of any process coordinators or practitioners (or other operational roles) that have designated roles for executing the process. Coordinate directly with ITSM tool team to ensure process automation and tool implementation is working and aligned for planned improvements. Manage process compliance with audit requirements by tracking and monitoring identified compliance artifacts, control objectives and active audit review activities. Solicit opportunities for process enhancements from process participants. Minimum qualifications for the ideal future caregiver include: Bachelor's degree in Information Technology/Computer Science, Health Sciences, Healthcare Admin, or related field. 6 years of system implementation experience, including directing, planning, and scheduling a major information system project. OR High School Diploma / GED or equivalent and 9 years of experience. OR Associates degree and 7 years of experience. For Information Technology Division caregivers, ITIL Foundations certification is required within 6 months of the position start date. Must have effective communication skills (both written and verbal) and the ability to work independently. Understands strategic business needs impacting on IT - Constantly look for opportunities to improve IT performance related to IT services and processes, ensuring metrics relevancy and accuracy. Hands-on experience with ServiceNow SAM, including licensing models, normalization, entitlement reconciliation, and compliance tracking. Proven experience managing or supporting ITSM processes within ServiceNow. Strong analytical, communication (written and verbal), and organizational skills. Demonstrated ability to translate business requirements into ServiceNow workflows and process improvements. Experience with KPI reporting, dashboard creation, and trend analysis in ServiceNow. Results driven with a continuous improvement mindset and practical problem-solving approach. Skilled in stakeholder communication, negotiation, and cross-functional collaboration Preferred qualifications for the ideal future caregiver include: ITIL Intermediate certification in Service Design (SD), Service Transition (ST), Service Operation (SO), or Continual Service Improvement (CSI). ServiceNow certification in Hardware Asset Management (HAM), Software Asset Management (SAM), Configuration Management (CMDB), or Discovery COBIT 2019 Foundation certification. SAM certifications (e.g., CSAM, CITAM, CHAMP). Experience with ServiceNow scripting/API integrations. Familiarity with agile methodologies. Ability to map business process for service management Applicable certifications within healthcare and information technology. Examples (PMP, CPHIMS). Physical Requirements: High degree of dexterity to produce materials on a computer. Requires normal or corrected vision, hearing and speech. Mobility sufficient to attend meetings. Ability to lift up to 25 pounds. The position must be available after hours for support by pager and computer dial-in. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
    $58k-87k yearly est. Auto-Apply 29d ago
  • Clinical Performance Improvement Consultant, Clinician

    Sutter Health 4.8company rating

    Emeryville, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Bay Provides clinical leadership, direction, consultation, guidance, and support for performance improvement strategies to improve treatment and care of patients with specific disease processes. Leads and facilitates the development, deployment and monitoring of clinical quality improvement projects, patient safety improvement initiatives, and organization improvements to achieve top decile clinical outcomes and accelerate the achievement of clinical quality and safety goals. Provides clinical expertise, performance improvement consultation, analysis, gap assessment, group/team facilitation and development, and guidance for the dissemination of practices that result in improved clinical outcomes. Deliverables result in practical, significant, and measurable improvements in quality, safety, service, and efficiency across the organization. Consults and coaches process owners, value stream owners, paired leaders, and sponsors. Contributes to the development and execution of training and infrastructures for the enterprise performance management system. This is a work from home role with onsite requirements. The successful candidate will live within the Sutter footprint. Job Description: EDUCATION: * Bachelor's: Nursing or related field * Graduate of an accredited school of nursing or equivalent education/experience. * Specific training or experience in performance Improvement CERTIFICATION & LICENSURE: * RN-Registered Nurse of California OR MD-Medical Doctor OR DO-Doctor of Osteopathy OR PA-Physician Assistant OR NP-Nurse Practitioner TYPICAL EXPERIENCE: * 8 years recent relevant experience. SKILLS AND KNOWLEDGE: * Thorough knowledge of health care delivery and quality improvement is required, including clinical care management and/or quality management. * Knowledge of lean performance improvement methodology and management systems. * Demonstrated ability to successfully influence and develop effective working relationships with healthcare executives, physician, and clinical leaders. Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $105.05 to $137.61 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $87k-99k yearly est. 8d ago
  • Clinical Performance Improvement Consultant, Clinician

    Sutterhealth 4.8company rating

    Emeryville, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Bay Provides clinical leadership, direction, consultation, guidance, and support for performance improvement strategies to improve treatment and care of patients with specific disease processes. Leads and facilitates the development, deployment and monitoring of clinical quality improvement projects, patient safety improvement initiatives, and organization improvements to achieve top decile clinical outcomes and accelerate the achievement of clinical quality and safety goals. Provides clinical expertise, performance improvement consultation, analysis, gap assessment, group/team facilitation and development, and guidance for the dissemination of practices that result in improved clinical outcomes. Deliverables result in practical, significant, and measurable improvements in quality, safety, service, and efficiency across the organization. Consults and coaches process owners, value stream owners, paired leaders, and sponsors. Contributes to the development and execution of training and infrastructures for the enterprise performance management system. This is a work from home role with onsite requirements. The successful candidate will live within the Sutter footprint. Job Description: EDUCATION: Bachelor's: Nursing or related field Graduate of an accredited school of nursing or equivalent education/experience. Specific training or experience in performance Improvement CERTIFICATION & LICENSURE: RN-Registered Nurse of California OR MD-Medical Doctor OR DO-Doctor of Osteopathy OR PA-Physician Assistant OR NP-Nurse Practitioner TYPICAL EXPERIENCE: 8 years recent relevant experience. SKILLS AND KNOWLEDGE: Thorough knowledge of health care delivery and quality improvement is required, including clinical care management and/or quality management. Knowledge of lean performance improvement methodology and management systems. Demonstrated ability to successfully influence and develop effective working relationships with healthcare executives, physician, and clinical leaders. Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $105.05 to $137.61 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $87k-99k yearly est. Auto-Apply 11d ago
  • Lead Business Analyst - Managed Care Operations

    Molina Healthcare 4.4company rating

    Long Beach, CA jobs

    Provides lead level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance for system changes. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. This role will work directly with Ohio Healthplan leadership including the Plan President, CFO, and other department heads to improve performance according to our Key Performance Indicators. Candidate will utilize SQL and Azure Databricks to query and analyze data however this is not just a technical role. They must be able to understand the business need, propose solutions, and meet KPIs. JOB DUTIES Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements. Monitors regulatory sources to ensure all updates are aligned. Uses comprehensive background to navigate analytical problems, including: clearly defining and documenting their unique specifications. Leads coordinated development and ongoing management / interpretation review process, committee structure and timing with key partner organizations. Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements. Provides status and updates to health plan/product team partners, senior management and stakeholders. Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. Where applicable, codifies the requirements for system configuration alignment and interpretation. Provides support and/or requirement interpretation inconsistencies and complaints. Assists with the development of requirement solution standards and best practices while suggesting improvement processes to consistently apply requirements across states and products where possible. Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials. Conducts industry research and engagement to evaluate, provide insights, and best practices as applicable. Coordinates with relevant teams for analysis, impact and implementation of changes that impact the product. Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes. Mentors and trains new staff as well as provide ongoing support, leadership, and training new/integrating health plans and corporate teams. KNOWLEDGE/SKILLS/ABILITIES Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning. Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas. Ability to lead complex projects across organizational boundaries with little direct instruction. Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company. Ability to concisely synthesize large and complex requirements. Ability to organize and maintain regulatory data including real-time policy changes. Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems. Ability to work independently in a remote environment. Ability to work with those in other time zones than your own. Create reporting tools to enhance communication on updates and initiatives. JOB QUALIFICATIONS Required Qualifications At least 6 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience. Policy/government legislative review knowledge. Strong analytical and problem-solving skills. Familiarity with administration systems. Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams. Previous success in a dynamic and autonomous work environment. Preferred Qualifications Project implementation experience Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $102k-128k yearly est. Auto-Apply 32d ago
  • Sterile Processing Lead

    Sutter Health 4.8company rating

    Santa Barbara, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SC - Sansum Clinic Oversees, organizes and coordinates the overall operation of sterilization and care of surgical instruments, including staffing and work assignments. Directs, implements and updates policies, procedures and protocols to streamline workflow, improve efficiency, and strengthen quality assurance. Ensures the timely delivery of assessments and oversees the efficient maintenance and decontamination of all equipment. Works independently and supports the functionality of the department by disinfecting and distributing supplies and performing equipment maintenance, testing, and setup as needed. Ensures treatment is provided in a manner consistent with best practices, accreditation standards and State and Federal regulations. Job Description: EDUCATION: * HS Diploma or General Education Diploma (GED) * Graduate of an accredited sterile processing program CERTIFICATION & LICENSURE: * CRCST-Certified Registered Central Service Technician * OR CSPDT-Sterile Process Distribution Technician TYPICAL EXPERIENCE: * 4 years recent relevant experience. SKILLS AND KNOWLEDGE: Demonstrated expertise of surgical tools, procedures, views, and equipment. Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form. Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. Time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline. Broad knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook). Prioritize and delegate assignments and work within standardized policies, procedures, and scientific methods to achieve department objectives and meet deadlines. Work autonomously, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions. Identify, evaluate and resolve complex issues that may arise in the department. Ensure the privacy of each patient's protected health information (PHI). Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $29.10 to $40.74 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
    $29.1-40.7 hourly 18d ago
  • Sterile Processing Lead

    Sutterhealth 4.8company rating

    Santa Barbara, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SC - Sansum Clinic Oversees, organizes and coordinates the overall operation of sterilization and care of surgical instruments, including staffing and work assignments. Directs, implements and updates policies, procedures and protocols to streamline workflow, improve efficiency, and strengthen quality assurance. Ensures the timely delivery of assessments and oversees the efficient maintenance and decontamination of all equipment. Works independently and supports the functionality of the department by disinfecting and distributing supplies and performing equipment maintenance, testing, and setup as needed. Ensures treatment is provided in a manner consistent with best practices, accreditation standards and State and Federal regulations. Job Description: EDUCATION: HS Diploma or General Education Diploma (GED) Graduate of an accredited sterile processing program CERTIFICATION & LICENSURE: CRCST-Certified Registered Central Service Technician OR CSPDT-Sterile Process Distribution Technician TYPICAL EXPERIENCE: 4 years recent relevant experience. SKILLS AND KNOWLEDGE: Demonstrated expertise of surgical tools, procedures, views, and equipment. Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form. Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. Time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline. Broad knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook). Prioritize and delegate assignments and work within standardized policies, procedures, and scientific methods to achieve department objectives and meet deadlines. Work autonomously, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions. Identify, evaluate and resolve complex issues that may arise in the department. Ensure the privacy of each patient's protected health information (PHI). Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $29.10 to $40.74 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
    $29.1-40.7 hourly Auto-Apply 20d ago
  • Business Strategy Consultant

    Sutter Health 4.8company rating

    San Francisco, CA jobs

    Opportunity Information Sutter West Bay Medical Group (SWBMG) is seeking a highly motivated and analytical Business Strategy Consultant to join our team. This dynamic role acts as an internal consultant, driving critical business decisions by developing, maintaining, and presenting complex financial models for major corporate initiatives. Key areas of focus include structuring Professional Service Agreements (PSAs), contract negotiations, provider compensation models, group acquisitions, and corporate strategy analysis. The ideal candidate will blend deep financial acumen with strong project management skills and the ability to influence stakeholders across the organization. Key Responsibilities Financial Modeling & Strategic Agreements: * Design, build, and manage sophisticated financial models to support the negotiation and structuring of Hospital Service Agreements and other strategic contracts, analyzing various operational and financial scenarios (e.g., staffing models, shared service arrangements). * Develop and maintain financial models for Professional Service Agreements (PSAs) with hospitals and other organizations, analyzing fair market value (FMV) and compensation benchmarks to ensure compliance and financial viability. * Create and refine physician and provider compensation models for new programs, ensuring alignment with organizational goals, internal contract performance metrics, and compliance guidelines. * Conduct comprehensive financial due diligence and modeling for potential group acquisitions and partnerships, including valuation, synergy analysis, and integration planning. Consulting & Project Management: * Serve as a finance subject matter expert on cross-functional project teams, guiding strategic initiatives from concept through execution, particularly those involving new facility or provider arrangements. * Translate complex financial data and model outputs into clear, concise, and actionable recommendations for senior leadership and department heads involved in contract governance. * Prepare high-impact presentations and reports summarizing key financial findings, risks, and strategic opportunities related to internal and affiliated contracts. * Manage project timelines and deliverables, ensuring models are maintained and updated to reflect current business conditions and internal contracting terms. Data Analysis & Reporting: * Collaborate with Data Analytics and FP&A teams to source, validate, and integrate operational and financial data into models, particularly utilization and cost data associated with hospital contracts. * Perform scenario and sensitivity analysis to test the robustness of financial plans under various operational and structural assumptions. * Monitor and report on the actual financial performance of executed strategies (e.g., new PSAs, acquired groups) against modeled projections. Qualifications Required: * Bachelor's degree in Finance, Accounting, or a closely related quantitative field. * 4+ years of experience in financial analysis, corporate finance, management consulting with a focus on complex financial modeling. * Demonstrated expertise in advanced Microsoft Excel for building robust, flexible, and scalable financial models. * Strong understanding of healthcare financial dynamics, including provider compensation structures and the financial relationship between medical groups and hospitals/facilities. * Excellent written and verbal communication skills, including the ability to present complex financial concepts to executive and non-financial audiences. Preferred: * Prior experience in management consulting, corporate strategy, or business development within the healthcare industry. * Experience working for or consulting with a large health system or large, multi-specialty medical group. * Direct experience with modeling for Professional Service Agreements (PSAs), hospital alignment strategies, or Fair Market Value (FMV) assessments. * Experience with due diligence and M&A modeling. * Proficiency with financial planning systems (e.g., Hyperion, Anaplan) and data visualization tools (e.g., Tableau, Power BI). * Master's degree (MBA, MHA) or relevant professional certification (CFA, CPA). Join Us and Enjoy Sutter West Bay Medical Group is a multispecialty medical group made up of over 400 physicians and advanced practice clinicians across Northern California. As part of our administrative team, you'll play an essential role in supporting the physicians who deliver exceptional, coordinated care to our communities. At SWBMG, you'll find a collaborative, mission-driven environment that values innovation, accountability, and compassion. Your work will directly impact how our group operates-and how our patients experience care. Join Sutter West Bay Medical Group and help shape the systems that power better healthcare. Organization Details Sutter West Bay Medical Group (SWBMG) is rapidly growing in San Francisco. Our structure enables clinicians to work within a supportive team to provide excellent care. Our caregivers develop and share best practices, mentor new peers and contribute to clinical initiatives. The collegial environment attracts physicians and advance practice clinicians who are patient-centered, innovative, value teamwork and are committed to excellence. Community Information San Francisco is the leading financial and cultural center of Northern California and the San Francisco Bay Area. San Francisco is one of the top tourist destinations in the world and is renowned for its temperate weather, steep rolling hills, unique architecture, arts and culture, and fine dining. The population is very diverse and there is high demand for primary care. Equal Opportunity Statement It is the policy of Sutter Health and its partners to provide equal employment for all qualified individuals; to prohibit discrimination in employment because of basis of race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state or federal law, ordinance or regulation. We promote the full realization of equal employment opportunities through a positive continuing program within each medical group, company, hospital, department, and service area. Equal employment opportunities apply to every aspect of Sutter's employment policies and practices.
    $102k-121k yearly est. 12d ago
  • Accreditation & Licensure Consultant

    Sutter Health 4.8company rating

    Turlock, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SGMF-Sutter Gould Med Foundation Oversees, coordinates, and provides classroom/online training to enhance the skill level of the unit, including department orientation, skill assessment programs, and in-services, as needed, to certify staff competencies. Creates new programs and modifies existing curriculum/training materials to ensure classes are relevant and responsive to advances in technology, new equipment, changes in regulations, and adjustments in corporate needs. Develops and revises policies and procedures as well as assists in the maintenance of educational and competency records to meet regulatory and the Joint Commission (TJC) standards. Fostering an environment conducive to successful learning, serves as a preceptor for diagnostic imaging students on rotation and as a mentor for new graduate radiologic technologists. May also function as Diagnostic Imaging staff to maintain clinical skills and contribute to the performance and efficiency of the department. Job Description: E DUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. Bachelor's in Nursing, Business or Healthcare Administration or related field. TYPICAL EXPERIENCE: 8 years recent relevant experience SKILLS AND KNOWLEDGE: Working knowledge of cms, cdph, tjc and institute of medical quality (imq) accreditation standards and licensing requirements. Working knowledge of healthcare delivery, clinical care coordination, and quality improvement/management methodologies. Ability to define issues, collect data, establish facts and draw valid conclusions. Critical thinking and analytical skills with a keen attention to details. Demonstrates a proactive approach in identifying and addressing issues and concerns. Ability to influence others by persuasion and problem solving to achieve desired outcome. Collaboration skills to facilitate open sharing of information and cooperation with various stakeholders. Displays a customer service focus in all decisions and actions. Organization skills to effectively manage and/or re-prioritize activities and projects to meet deadlines while maintaining a high degree of responsiveness. Ability to communicate through verbal and written means, and to present information to a variety of audiences. Ability to interact and maintain effective working relationships with those contacted in the performance of required duties. Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment. Demonstrates initiative in providing feedback/input to improve workflow/processes. Ability to work effectively in a dynamic and fast-paced environment with changing business priorities. Ability to maintain and work discreetly with confidential information. Ability to use essential applications and/or databases associated with the role's duties and responsibilities. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $50.16 to $75.24 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $50.2-75.2 hourly 6d ago
  • Accreditation & Licensure Consultant

    Sutter Health 4.8company rating

    Modesto, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SGMF-Sutter Gould Med Foundation Oversees, coordinates, and provides classroom/online training to enhance the skill level of the unit, including department orientation, skill assessment programs, and in-services, as needed, to certify staff competencies. Creates new programs and modifies existing curriculum/training materials to ensure classes are relevant and responsive to advances in technology, new equipment, changes in regulations, and adjustments in corporate needs. Develops and revises policies and procedures as well as assists in the maintenance of educational and competency records to meet regulatory and the Joint Commission (TJC) standards. Fostering an environment conducive to successful learning, serves as a preceptor for diagnostic imaging students on rotation and as a mentor for new graduate radiologic technologists. May also function as Diagnostic Imaging staff to maintain clinical skills and contribute to the performance and efficiency of the department. Job Description: E DUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. Bachelor's in Nursing, Business or Healthcare Administration or related field. TYPICAL EXPERIENCE: 8 years recent relevant experience SKILLS AND KNOWLEDGE: Working knowledge of cms, cdph, tjc and institute of medical quality (imq) accreditation standards and licensing requirements. Working knowledge of healthcare delivery, clinical care coordination, and quality improvement/management methodologies. Ability to define issues, collect data, establish facts and draw valid conclusions. Critical thinking and analytical skills with a keen attention to details. Demonstrates a proactive approach in identifying and addressing issues and concerns. Ability to influence others by persuasion and problem solving to achieve desired outcome. Collaboration skills to facilitate open sharing of information and cooperation with various stakeholders. Displays a customer service focus in all decisions and actions. Organization skills to effectively manage and/or re-prioritize activities and projects to meet deadlines while maintaining a high degree of responsiveness. Ability to communicate through verbal and written means, and to present information to a variety of audiences. Ability to interact and maintain effective working relationships with those contacted in the performance of required duties. Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment. Demonstrates initiative in providing feedback/input to improve workflow/processes. Ability to work effectively in a dynamic and fast-paced environment with changing business priorities. Ability to maintain and work discreetly with confidential information. Ability to use essential applications and/or databases associated with the role's duties and responsibilities. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $50.16 to $75.24 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $50.2-75.2 hourly 6d ago
  • Accreditation & Licensure Consultant

    Sutterhealth 4.8company rating

    Modesto, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SGMF-Sutter Gould Med Foundation Oversees, coordinates, and provides classroom/online training to enhance the skill level of the unit, including department orientation, skill assessment programs, and in-services, as needed, to certify staff competencies. Creates new programs and modifies existing curriculum/training materials to ensure classes are relevant and responsive to advances in technology, new equipment, changes in regulations, and adjustments in corporate needs. Develops and revises policies and procedures as well as assists in the maintenance of educational and competency records to meet regulatory and the Joint Commission (TJC) standards. Fostering an environment conducive to successful learning, serves as a preceptor for diagnostic imaging students on rotation and as a mentor for new graduate radiologic technologists. May also function as Diagnostic Imaging staff to maintain clinical skills and contribute to the performance and efficiency of the department. Job Description: E DUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. Bachelor's in Nursing, Business or Healthcare Administration or related field. TYPICAL EXPERIENCE: 8 years recent relevant experience SKILLS AND KNOWLEDGE: Working knowledge of cms, cdph, tjc and institute of medical quality (imq) accreditation standards and licensing requirements. Working knowledge of healthcare delivery, clinical care coordination, and quality improvement/management methodologies. Ability to define issues, collect data, establish facts and draw valid conclusions. Critical thinking and analytical skills with a keen attention to details. Demonstrates a proactive approach in identifying and addressing issues and concerns. Ability to influence others by persuasion and problem solving to achieve desired outcome. Collaboration skills to facilitate open sharing of information and cooperation with various stakeholders. Displays a customer service focus in all decisions and actions. Organization skills to effectively manage and/or re-prioritize activities and projects to meet deadlines while maintaining a high degree of responsiveness. Ability to communicate through verbal and written means, and to present information to a variety of audiences. Ability to interact and maintain effective working relationships with those contacted in the performance of required duties. Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment. Demonstrates initiative in providing feedback/input to improve workflow/processes. Ability to work effectively in a dynamic and fast-paced environment with changing business priorities. Ability to maintain and work discreetly with confidential information. Ability to use essential applications and/or databases associated with the role's duties and responsibilities. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $50.16 to $75.24 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $50.2-75.2 hourly Auto-Apply 4d ago
  • Accreditation & Licensure Consultant

    Sutter Health 4.8company rating

    Stockton, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SGMF-Sutter Gould Med Foundation Oversees, coordinates, and provides classroom/online training to enhance the skill level of the unit, including department orientation, skill assessment programs, and in-services, as needed, to certify staff competencies. Creates new programs and modifies existing curriculum/training materials to ensure classes are relevant and responsive to advances in technology, new equipment, changes in regulations, and adjustments in corporate needs. Develops and revises policies and procedures as well as assists in the maintenance of educational and competency records to meet regulatory and the Joint Commission (TJC) standards. Fostering an environment conducive to successful learning, serves as a preceptor for diagnostic imaging students on rotation and as a mentor for new graduate radiologic technologists. May also function as Diagnostic Imaging staff to maintain clinical skills and contribute to the performance and efficiency of the department. Job Description: E DUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. Bachelor's in Nursing, Business or Healthcare Administration or related field. TYPICAL EXPERIENCE: 8 years recent relevant experience SKILLS AND KNOWLEDGE: Working knowledge of cms, cdph, tjc and institute of medical quality (imq) accreditation standards and licensing requirements. Working knowledge of healthcare delivery, clinical care coordination, and quality improvement/management methodologies. Ability to define issues, collect data, establish facts and draw valid conclusions. Critical thinking and analytical skills with a keen attention to details. Demonstrates a proactive approach in identifying and addressing issues and concerns. Ability to influence others by persuasion and problem solving to achieve desired outcome. Collaboration skills to facilitate open sharing of information and cooperation with various stakeholders. Displays a customer service focus in all decisions and actions. Organization skills to effectively manage and/or re-prioritize activities and projects to meet deadlines while maintaining a high degree of responsiveness. Ability to communicate through verbal and written means, and to present information to a variety of audiences. Ability to interact and maintain effective working relationships with those contacted in the performance of required duties. Demonstrates respect for cultural and linguistic differences and promotes an inclusive work environment. Demonstrates initiative in providing feedback/input to improve workflow/processes. Ability to work effectively in a dynamic and fast-paced environment with changing business priorities. Ability to maintain and work discreetly with confidential information. Ability to use essential applications and/or databases associated with the role's duties and responsibilities. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday, Variable Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $50.16 to $75.24 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $50.2-75.2 hourly 6d ago
  • Consultant IV - Strategic Initiatives & Projects Team

    Kaiser Permanente 4.7company rating

    Business process consultant job at Kaiser Permanente

    The Consultant IV - Strategic Initiatives & Projects Team will support the Central Valley in achieving its goals and strategic initiatives through consultation and project management. The ideal candidate should have extensive experience managing projects from start to finish and possess in-depth knowledge of performance improvement and project management. Additionally, the candidate must be willing to travel throughout the Central Valley Area facilities to support work in various locations. 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; 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.
    $71k-120k yearly est. 28d ago
  • IRIS Consultant (Milwaukee, WI, South Milwaukee, WI, & Glendale, WI))

    Molina Healthcare 4.4company rating

    Long Beach, CA jobs

    Do you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with long-term health care needs? Then TMG wants to hear from you! We're currently looking for someone with a social services or human services background to join our team. This is a remote position, where you will partner with people in your community who are enrolled in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. While your office will be home-based, you will have regularly scheduled visits with IRIS participants in their home and community. As an IRIS Consultant (IC), you will build relationships with the people you partner with and help them navigate and get the most out of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people with disabilities. You can learn more about the IRIS program on the Wisconsin Department of Health Services website here. Together, you will identify the long-term care goals of the people enrolled in IRIS, and find creative ways to achieve those goals. ICs play an important role in helping people of various backgrounds and abilities live the lives that they choose. In fact, people constantly tell us how supportive our ICs are and what a positive impact our ICs have had on their lives! Successful candidates for this position will be compassionate, genuine, resourceful partners with an eye for high quality work, and who are excited to work side-by side with people enrolled in IRIS. As an IC, you will connect people to the resources available in their community. You will also help them develop customized IRIS plans for achieving their goals related to employment, housing, health, safety, community membership, transportation, and lasting relationships. While you will have a routine for the work that you do, no two days are alike! TMG wants to find the best possible candidates, so we created this Realistic Job Preview to provide you with an inside look at the position and our organization. Find out more about the IRIS Consultant position by clicking on the link and then reviewing the job posting below. TMG is committed to maintaining a diverse and inclusive workforce and prioritizes helping staff have a good work/life balance. Even though the position is remote, you'll have lots of support from your TMG team and coworkers across the organization. If this sounds like the job for you, apply today! KNOWLEDGE/SKILLS/ABILITIES Required to meet in person with the IRIS participant a minimum of four times per year, with one required annual visit in the home of the participant. Because IRIS is a self-directed program, it is important for ICs to be available upon the request of the participant. Responsible for providing program orientation to new participants. During this time, participants will learn their rights and responsibilities as someone enrolled in the IRIS program, including verifying legal documents, completing employee paperwork and the responsible use of public dollars. Explore a broad view of the participant's life, including goals, important relationships, connections with the local community, interest in employment, awareness of the Self-Directed Personal Care option, and back-up support plans. Assist participants in identifying personal outcomes and ensure those outcomes are being met on an ongoing basis, all while staying within the participant's IRIS budget and within the requirements of the IRIS program determined by the Department of Health Services (DHS). Responsible for documenting all orientation and planning activities within the IRIS data system (WISITs) within 48 business hours of the visit with the participant. Research community resources and natural supports that will fit the individual outcomes for each participant and share that information with them as it becomes available. Responsible for documenting progress and changes as needed within the plan and the data system anytime a modification is requested by a participant. Budget Amendment or One-Time Expense paperwork may be required depending upon factors associated with the participant and their individual IRIS budget. Educate participants on how to read and interpret their monthly budget reports to ensure that participants operate within their budget. Being a liaison between the Fiscal Employer Agency and the IRIS Consultant Agency is also a large part of the position, which includes assisting participants with provider billing, seeking support brokers, tracking receipts, ensuring their workers are paid and mitigating areas of potential risk or conflicts of interest. Responsible to develop engaged and trusting relationships with participants and communicate program changes and compliance effectively. Responsible to maintain confidentiality and HIPPA compliance. Work collaboratively with other IRIS Consultant Agency staff in order to ensure a successful implementation of participants' plans. Attend in-person monthly team meetings with other ICs and their supervisor. In addition, weekly IC and IRIS Consultant Supervisor phone check-ins may occur, along with other duties as assigned. Required Qualifications • At least 2 years experience in health care, preferably in care coordination, and at least 1 year of experience serving target groups of the IRIS program (adults with intellectual/physical disabilities or older adults), or equivalent combination of relevant education and experience. • Bachelor's degree in a social work, psychology, human services, counseling, nursing, special education, or a closely related field (or four years of commensurate experience if no degree). • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements unless otherwise required by law. • Ability to develop positive and effective work relationships with coworkers, clients, participants, providers, regulatory agencies and vendors. • Ability to work independently with minimal supervision and demonstrate self-motivation. • Demonstrated knowledge of long-term care programs. • Familiarity with principles of self-determination. • Problem-solving and critical-thinking skills. • Excellent time-management and prioritization skills. • Ability to focus on multiple projects simultaneously and adapt to change. • Ability to develop and maintain professional relationships and work through challenging situations. • Comfortable working within a variety of settings with ability to adjust style as needed to work with diverse populations, various personalities, and personal situations. • Demonstrated knowledge of community resources. • Proactive and detail-oriented. • Excellent verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJHS #HTF
    $94k-156k yearly est. Auto-Apply 6d ago
  • Data Reporting and Analytics Consultant IV - Medicare, ACA, Risk Adjustment

    Kaiser Permanente 4.7company rating

    Business process consultant job at Kaiser Permanente

    Remote from any KP location in CA, OR, CO, WA, GA, MD, VA, HI or D.C. Only. ** 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 Prospective Risk Adjustment Operations team is seeking a Data Reporting and Analytics Consultant to support scoping, deploying, and reporting out on projects to support prospective risk adjustment projects. This pivotal role will support the development of foundational reporting and analytical frameworks crucial for identifying and prioritizing prospective risk initiatives, developing and supporting comprehensive reporting and insightful visualization of opportunities and outcomes, and directly supporting strategic decision-making and operational excellence. Ideal candidates will possess robust analytical skills and a proven ability to translate 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 a background in technical coding (i.e SQL, Python, R etc.) or other statistical modeling programs. Familiarity with data science disciplines (i.e machine learning, predictive analytics, data visualization etc.), data modeling is preferred. 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 data analyses. This position executes creative data analytic approaches leading to actionable outcomes, develops, implements, and automates business and reporting solutions, and develops analytical and/or statistical models enabling informed business decisions. Essential Responsibilities: + 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. + 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, implements, and automates business and reporting solutions by working with stakeholders in their design, planning, and implementation while ensuring consistency and coherency; evaluating and summarizing data and results; creating summary statistics; developing 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. + 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. + 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. + 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. + 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. + 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. Minimum Qualifications: + Minimum one (1) year experience in a leadership role with or without direct reports. + Bachelors degree in Mathematics, Statistics, Engineering, Social/Physical/Life Science, Business, or related field and Minimum five (5) years experience in data analytics or a directly related field. Additional equivalent work experience in a directly related field may be substituted for the degree requirement. Additional Requirements: + Knowledge, Skills, and Abilities (KSAs): Negotiation; Business Planning; Written Communication; Data Extraction; Data Mining; Data Visualization Tools; Statistical Programming Language; Relational Database Management; Vendor Management; Project Management Preferred Qualifications: + Two (2) years project management experience. + Two (2) years experience in process improvement. COMPANY: KAISER TITLE: Data Reporting and Analytics Consultant IV - Medicare, ACA, Risk Adjustment LOCATION: Oakland, California REQNUMBER: 1360692 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
    $99k-134k yearly est. 60d+ ago
  • Data Reporting and Analytics Consultant IV - Medicare, ACA, Risk Adjustment

    Kaiser Permanente 4.7company rating

    Business process consultant job at Kaiser Permanente

    Remote from any KP location in CA, OR, CO, WA, GA, MD, VA, HI or D.C. Only. 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 Prospective Risk Adjustment Operations team is seeking a Data Reporting and Analytics Consultant to support scoping, deploying, and reporting out on projects to support prospective risk adjustment projects. This pivotal role will support the development of foundational reporting and analytical frameworks crucial for identifying and prioritizing prospective risk initiatives, developing and supporting comprehensive reporting and insightful visualization of opportunities and outcomes, and directly supporting strategic decision-making and operational excellence. Ideal candidates will possess robust analytical skills and a proven ability to translate 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 a background in technical coding (i.e SQL, Python, R etc.) or other statistical modeling programs. Familiarity with data science disciplines (i.e machine learning, predictive analytics, data visualization etc.), data modeling is preferred. 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 data analyses. This position executes creative data analytic approaches leading to actionable outcomes, develops, implements, and automates business and reporting solutions, and develops analytical and/or statistical models enabling informed business decisions. Essential Responsibilities: * 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. * 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, implements, and automates business and reporting solutions by working with stakeholders in their design, planning, and implementation while ensuring consistency and coherency; evaluating and summarizing data and results; creating summary statistics; developing 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. * 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. * 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. * 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. * 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. * 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.
    $99k-134k yearly est. 4d ago
  • Principal IT Solutions Consultant, Oracle/HCM

    Kaiser Permanente 4.7company rating

    Business process consultant job at Kaiser Permanente

    We are seeking a seasoned IC-6 HR Technology Leader who will serve as a key architect and execution leader within the HRConnect ecosystem. This role requires a strong HR domain expert who can design and deliver large-scale, enterprise-wide solutions, provide end-to-end solution architecture, and lead complex, multi-year programs across Payroll, Absence, Timekeeping, Benefits, and related capabilities. The ideal candidate brings deep HR functional knowledge, strong technical acumen in Oracle HCM and integration platforms, and demonstrated experience driving large programs from strategy through deployment. This is a hands-on, high-visibility role that requires strategic thinking, cross-functional leadership, and the ability to operate in a fast-paced, transformational environment. Job Summary: In addition to the responsibilities listed below, this position is responsible for managing support for customers (users), assigned applications, and/or information systems, including software implementation, integration across functions and regions, complex configuration, system testing, and customization of software utilities. Additional responsibilities also include leading complex solution design support efforts and research initiatives for translating requirements into workable technical solutions, and supporting the evaluation of third-party vendors as directed. Essential Responsibilities: + 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. + 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. + Leads a team of IT consultants in the development of requirements, for process or system solutions which may span multiple business domains by leveraging partnerships 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 highly unique or complex solution proposals. + Leads the evolution of applications, systems, and/or processes to a desired future state by translating how current processes impact business operations across the enterprise. + Leads teams of IT Consultants in the mapping of current state against future state processes. + Defines the impact of requirements on upstream and downstream solution components. + Provides insight and influence to executive 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. + Leads solution design by translating requirements into workable business solutions and leading in design sessions with IT teams. + Recommends and advocates for additional data and/or services needed to address key business issues related to process or solutions design. + Leads the evaluation of 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. Minimum Qualifications: + Minimum three (3) years experience in software or system testing across multiple IT environments. + Minimum two (2) years software or application development experience. + Bachelors degree in Business Administration, Computer Science, CIS or related field and Minimum ten (10) years experience in IT consulting, business analysis, or a related field. Additional equivalent work experience may be substituted for the degree requirement. Additional Requirements: Preferred Qualifications: + Five (5) years experience in large scale software implementations + Three (3) years experience in the development of imaging solutions and the maintenance of imaging repositories. COMPANY: KAISER TITLE: Principal IT Solutions Consultant, Oracle/HCM LOCATION: Pleasanton, California REQNUMBER: 1394568 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
    $117k-160k yearly est. 17d ago
  • Principal IT Solutions Consultant, Oracle/HCM

    Kaiser Permanente 4.7company rating

    Business process consultant job at Kaiser Permanente

    We are seeking a seasoned IC-6 HR Technology Leader who will serve as a key architect and execution leader within the HRConnect ecosystem. This role requires a strong HR domain expert who can design and deliver large-scale, enterprise-wide solutions, provide end-to-end solution architecture, and lead complex, multi-year programs across Payroll, Absence, Timekeeping, Benefits, and related capabilities. The ideal candidate brings deep HR functional knowledge, strong technical acumen in Oracle HCM and integration platforms, and demonstrated experience driving large programs from strategy through deployment. This is a hands-on, high-visibility role that requires strategic thinking, cross-functional leadership, and the ability to operate in a fast-paced, transformational environment. Job Summary: In addition to the responsibilities listed below, this position is responsible for managing support for customers (users), assigned applications, and/or information systems, including software implementation, integration across functions and regions, complex configuration, system testing, and customization of software utilities. Additional responsibilities also include leading complex solution design support efforts and research initiatives for translating requirements into workable technical solutions, and supporting the evaluation of third-party vendors as directed. Essential Responsibilities: * 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. * 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. * Leads a team of IT consultants in the development of requirements, for process or system solutions which may span multiple business domains by leveraging partnerships 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 highly unique or complex solution proposals. * Leads the evolution of applications, systems, and/or processes to a desired future state by translating how current processes impact business operations across the enterprise. * Leads teams of IT Consultants in the mapping of current state against future state processes. * Defines the impact of requirements on upstream and downstream solution components. * Provides insight and influence to executive 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. * Leads solution design by translating requirements into workable business solutions and leading in design sessions with IT teams. * Recommends and advocates for additional data and/or services needed to address key business issues related to process or solutions design. * Leads the evaluation of 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.
    $117k-160k yearly est. 17d ago
  • Managerial Consultant V

    Kaiser Permanente 4.7company rating

    Business process consultant job at Kaiser Permanente

    For this Managerial Consultant V role on the National Channel Strategy and Partnerships team, you will be analyzing and developing recommendations on compensation for Kaiser Permanente's sales distribution channels, critical to driving membership growth. Over 90% of health insurance is sold via channel partners such as brokers, consultants and other long-standing and emerging channels. The position involves assessing our partners to identify opportunities to grow leveraging compensation, monitoring KP's position in the market, market dynamics and competitors, designing and costing compensation programs, evaluating the impact of our programs, and consulting with and presenting recommendations to leaders of our National Lines of Business and Sales & Account Management across KP. This is a new individual contributor position that will be working with other functional teams to advance KP's channel partner compensation strategy and capabilities. Remote from any KP authorized state to include CA, OR, WA, CO, GA, VA, HI, MD & D.C. however work hours are PST 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. Job Summary: 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. Essential Responsibilities: 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. Click here for Important Additional Job Requirements. Share this job with a friend You may also share this job description with a friend by email or social media. All the relevant details will be included in the message. Click the button labeled that is next to Submit. Minimum Qualifications: Minimum two (2) years experience in a leadership role with or without direct reports. Bachelors degree from an accredited college or university and Minimum eight (8) years experience in consulting, project management, data analytics, operations or a directly related field OR Masters degree in Business Administration, Public Health, Health Services Administration, or related field and Minimum six (6) years experience in consulting, project management, data analytics, operations or a directly related field OR Minimum eleven (11) years experience in consulting, project management, data analytics, operations or a directly related field. Additional Requirements: Knowledge, Skills, and Abilities (KSAs)\: Business Acumen; Change Management; Negotiation; Business Process Improvement; Creativity; Applied Data Analysis; Financial Acumen; Business Relationship Management; Conflict Resolution; Managing Diverse Relationships; Process Validation; Project Management; Risk Assessment; Service Focus; Requirements Elicitation & Analysis
    $68k-118k yearly est. Auto-Apply 36d ago

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