Kaiser Permanente Business Consultant Specialist 2 in Rancho Cucamonga, California
Serve as a the liaison and single point of contact for all compliance and regulatory related reporting requests (e.g., ad hoc and recurring reports, audit pulls, data validation, etc.) and existing reports on the National Claims Administration (NCA) Reporting & Analytics team. Build working relationships and communication channels across all regions served by the NCA to ensure requests are received and completed in a timely fashion. Coordinate activities and meetings across the NCA to ensure compliance related reporting requirements are accurately captured and delivered to the reporting development team. Ensure compliance and regulatory data definitions and requirements are properly vetted and signed off on before changes are implemented. Lead other major projects or initiatives that require the coordination of stakeholders outside of the NCA.
Essential Functions: - Broad application of principles, theories, and concepts in applicable discipline, plus working knowledge of other related fields. - Uses professional concepts in accordance with company objectives to solve complex problems in creative and effective ways. - This job is the fully-qualified, career-oriented, journey-level position. - Demonstrates functional area business processes and assigned and thoroughly understands crossfunctional areas. - Directs the analysis of enterprise-wide or very complex client needs in project areas such as new/existing business operating models, innovative approaches to solutions support, market research of emerging or available product functionality and operational readiness assessment. - Directs the development of comprehensive and strategic business cases with cost/benefit dimensions of proposed projects that are used at management and executive levels for funding and scope decisions. - Accountable for tracking and/or monitor and report for senior mgmt the results of actualization of benefits. - Directs/conducts the analysis of current business processes and functional requirements. - Prepares appropriate documentation to communicate and validate the information. - May develop project plans. - Identifies and coordinates within other project managers and implements schedule deadlines as appropriate. - Manages common resource demands. - Provides on-going project management and status reporting at all levels. - Provides advice and input into the project plan.
Qualifications: Basic Qualifications: Experience - Minimum ten (10) years of experience, to include a minimum three (3) years in a consulting role. - Minimum five (5) years of experience in a relevant environment such as a healthcare environment. Education - Bachelor's degree required. - High School Diploma or General Education Development (GED) required. License, Certification, Registration - N/A
Additional Requirements: - Influences multiple cross-functional and/or multiple cross divisional task forces to identify and document functional requirements, workflow, information sources and system/process specifications. - May establish cross-functional task forces. - Thorough knowledge of platforms of the assigned functional areas and multiple cross functionally based on assignment. - Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications: - Certification or advanced qualification by third party association that matches the function or field applicable to the business discipline (such as AHIP or HIAA) preferred. - Certification by professional society or industry group such as AHIP or HIAA preferred.
COMPANY Kaiser Permanente
TITLE Business Consultant Specialist 2
LOCATION Rancho Cucamonga, CA