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Medical Policy Consultant

3 months ago

Pasadena CA, United States Kaiser Permanente Full time

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. Manages complex projects or project components, leads change management activities, and performs complex data analyses to drive business initiatives. Participates in vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.
Promotes learning in others by communicating information and providing advice to drive projects forward; Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. influences team members within assigned team or unit. Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. escalates high-priority issues or risks, as appropriate; 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; discussing involvement of business processes (e.g. project change management, communication) and facilitating decisions necessary for the delivery of business initiatives; and making formal presentations and providing reports to executive level audiences.

~ 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; 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; 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; Serves as a lead advocate for continuous learning and professional development by keeping abreast of cutting edge industry practices, standards, and benchmarks; leading the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; providing training and guidance to stakeholders as appropriate; 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; 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;