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Consultant II

2 months ago

Rockville, United States Kaiser Permanente Full time

PLEASE NOTE-THIS IS A 15 MONTH DURATIONAL ROLE

The Membership Administration (MA) shared services organization at Kaiser Permanente (KP) is a customer-facing group that provides critical information to support care delivery, revenue management, and health plan operations. Within KP, the MA function oversees over 100 million transactions (e.g., enrollment, premium billing, reconciliation) per year to support $70+ billion of annual premiums for 12+ million members and 90K+ employer groups. MA is currently implementing a new administration platform (KP MembershipConnect) that will enhance transaction processing automation and facilitate business process standardization across multiple MA lines of business (Commercial, individual & Family, Medicare, and Medicaid) across all KP markets. KP MembershipConnect (KPMC) is a multi-year system implementation and process optimization program that will roll out industry leading capabilities for premium billing, enrollment/eligibility updates, group/contract setup, and self-service transaction processing.

The Solution Implementation Business Consultant II reports to the role of Manager, Managerial Consulting and is assigned to the KPMC program. The role will work closely with MA operational SMEs (subject matter experts) and IT counterparts across one or more components of the KPMC platform. This key role will operate as a business consultant who analyzes application configuration against approved requirements, conducts root cause analysis and solution recommendations to testing defects, and documents business process flows to validate integration with upstream/downstream KPMC components.

Job Summary:

Serves as part of a consultant team under the guidance of more senior team members to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Supports strategic planning and organizational alignment and prioritization of business initiatives. Manages projects or project components under the guidance of team members, participates in change management activities, and performs data analyses in support of business initiatives. Supports compliance of work activities by adhering to relevant policies and procedures.

Essential Responsibilities:

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

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

  • Serves as part of a consultant team under the guidance of more senior team members to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects within a functional track or workstream by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; identifying and escalating tough stakeholder issues while maintaining an independent perspective; and preparing presentations and reports.

  • Develops requirements for business, process, or system solutions within assigned business domain(s) by working with stakeholders and cross-functional teams as appropriate; leveraging business requirements gathering methodologies to identify business, functional, and non-functional requirements; and assisting in the development and documentation of business cases to assess the costs, benefits, and ROI of proposed solutions.

  • Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a working understanding of how current processes impact business operations; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.

  • Supports strategic planning and organizational alignment and prioritization of business initiatives by evaluating performance metrics, standards, and methods to establish business success; working with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; and executing assigned initiatives to ensure delivery of measurable results and alignment with strategic objectives.

  • Serves as a advocate of continuous learning and professional development by building a working knowledge of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; supporting the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; and serving as an advocate to ensure continuous learning and improvement is championed as a people strategy.

  • Manages projects or project components under the guidance of team members by coordinating stakeholder contacts; recommending 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; and resolving or escalating risks or issues as appropriate.

  • Participates in change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; using appropriate change management methods and approachs; and ensuring stakeholders understand initiative intent and purpose.

  • Performs data analyses to support business initiatives by using appropriate data analysis tools and approaches to assess business performance; leveraging suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); and conducting analyses and performing experimental tests to evaluate the effectiveness of business solutions.

  • Supports compliance of work activities by adhering to KP, departmental, and/or business line policies and procedures.

    Minimum Qualifications:

  • Bachelors degree from an accredited college or university OR Minimum three (3) years experience in consulting, project management, data analytics, operations or a directly related field.

    Additional Requirements:

  • Knowledge, Skills, and Abilities (KSAs): Creativity; Applied Data Analysis; Conflict Resolution; Service Focus

COMPANY: KAISER

TITLE: Consultant II (15 month Durational Role)

LOCATION: Rockville, Maryland

REQNUMBER: 1291798

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.