Strategy Analyst V, Risk Adjustment- CDI Support
Kaiser Permanente
DescriptionOpen to candidates residing in any KP authorized state to include CA, OR, WA, CO, GA, VA, HI, MD & D.C.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.Support Health Plan Risk Adjustment strategy through data analysis, performance monitoring, and business insights that drive operational excellence, compliance readiness, and program effectiveness. Analyze trends, identify risks and opportunities, evaluate process performance, and develop recommendations to improve risk capture accuracy, coding integrity, and regulatory compliance. Partner with operational, clinical, compliance, and leadership teams to support audit readiness, inform strategic decision-making, optimize program outcomes, and drive continuous improvement across Risk Adjustment initiatives.Job Summary:Drives strategy development by defining complex business problems and opportunities and identifying, weighing, and selecting alternative approaches. Performs moderately to highly complex analysis and drives interpretation of market data and tests hypotheses using advanced knowledge of qualitative and quantitative analytical tools to drive towards insightful and actionable insights for the business. Drives the development and execution of complex projects and programs to drive deliverables and effective execution to ensure high-quality business outcomes. Identifies opportunities to adapt processes to improve Return on Investment (ROI), service quality, and operations for cross-functional initiatives. Fosters strategic partnerships across organizational lines and establishes trusting relationships to better navigate the diverse and complex needs of key stakeholders.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.Analyzes and interprets market data by: developing and implementing a plan to address complex research questions and test hypotheses with advanced knowledge in one or more specialty areas of data collection and analysis; driving moderately or to highly complex quantitative and qualitative analyses and investigating alternative hypotheses; and driving interpretation of key findings, conclusions, and recommendations for the future for senior leadership.Facilitates process improvement efforts by: identifying opportunities to adapt processes to improve return on investment (ROI), operations, service quality, and results for cross-functional initiatives; utilizing advanced knowledge of business operations to drive the implementation of best practices across functions; and facilitating adoption of best practices and future innovations.Effectively manages projects and programs by: driving the development of complex project proposals, including establishing objectives, key stakeholders, milestones, and providing deep technical leadership across programs; driving progress on program deliverables in alignment with greater business strategy and key business outcomes across functions; refining existing methodologies, and identifying and implementing new methodologies to complete initiatives with little support; and driving the execution of project plan, and supporting high-quality outcomes.Proactively maintains open streams of communication by: fostering trusting relationships to better navigate the diverse and complex needs of stakeholders across the organizational landscape; identifying complex issues or risks to strategic program implementation and developing solutions to resolve them; fostering strategic partnerships across organizational lines to consult and influence the development and refinement of key priorities and strategy; and proactively and persuasively communicating strategic issues and recommendations to senior leadership, and across the organization.Contributes to the development and execution of business strategy by: developing complex strategic plans based on business case and advanced knowledge in one or more specialty areas of health care marketplace; driving complex problem scoping and the processes and resources needed; developing alternative strategic options, and recommending the best option(s) based on complex problem scoping, external marketplace research, and analysis of organizational and external strategic approaches; selecting challenging business goals and the processes and resources needed to accomplish them; driving alignment around the strategic plan and intended outcomes, and finding opportunities for collaboration and synergy across functions; developing and implementing advanced strategies to mitigate complex barriers, constraints, and risks to execution; and driving strategic direction in response to a changing environment.QualificationsMinimum Qualifications:Minimum four (4) years of experience in project management, forecasting, planning, consulting, strategy development and/or execution, or a directly related field.Minimum two (2) years of experience in a leadership role with or without direct reports.Bachelors degree in Business, Health Care Administration, Public Health, Economics, Finance, or related field AND minimum seven (7) years of experience in strategic planning, strategy facilitation, execution of large-scope strategic projects or directly related field OR minimum ten (10) years of experience in strategic planning, strategy facilitation, execution of large-scope strategic projects or directly related field.Job Field: Strategy ConsultingJob Type: StandardSchedule: Full-timeJob Level: Individual ContributorTravel: NoEmployee Status: Regular
$100.4k - $197.9k
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...improve decision-making, and support transformation in a rapidly evolving... ...issues and align talent strategies with their strategic visions.... ...modeling, underwriting, and risk analysis methodologies to... ...years of experience with risk adjustment mechanisms, group insurance products...Local areaVisa sponsorship- ...integrity.Role Overview:As an Regional Risk Analyst, you will serve as the regional risk owner... ...efficiency.Responsibilities:- Regional Strategy Ownership: Deeply understand business... ...) and translate them into operational adjustments.- Ability to understand opposing points...
$142.8k - $193.2k
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...offer reliable connectivity for all. Sr Analysts, Credit Risk Management is located in Bellevue, WA... ...behavior to inform and refine credit strategies.• Telecommuting is permitted, but applicant... ...to:Forecast financial trends to support strategic decision-making. Evaluate and...Full timeTemporary workPart timeWork experience placementWork at officeLocal areaRemote workFlexible hours3 days per week- ...Strive Health seeks a Lead Actuarial Analyst, MA Risk Adjustment, to evaluate financial performance, identify... ...opportunities, and translate data into actionable strategies. You will contribute to patient care improvements while supporting clinicians, markets, and enterprise goals...
- DescriptionJob Summary:Kaiser Permanente is expanding our Cyber Risk Defense program and seeking a highly skilled individual which... ...Enterprise engineering and administration. This unique role focuses on supporting the mission of Cyber Security and is a technical expert in...Work experience placement
$119.3k - $208.9k
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...mitigates, and adapts to climate risks. Our leadership team has... ...outputs into rating methodologies Support regulatory filings, rate... ...actuarial input into product strategy, reinsurance structures, and capital... ...market trends to proactively adjust assumptions and models Present...Full timeWork at officeRelocationFlexible hours$36.15 - $60.25 per hour
...Enterprise Risk Management Analyst Renton Oakesdale Ave SW - Renton, WA 98057 Overview Salary... ...Risk Management (ERM) Analyst supports the execution of the Credit Union's Enterprise... ...to implement risk management strategies # Assist with Operational Risk Management...Hourly payFull timeContract work$10 per hour
...around the world. We are proud to have the support of the best investors in the game who... ...join us.The OpportunityWe're looking for an Analyst who thrives at the intersection of transportation economics, supply chain strategy, and quantitative modeling. This is a high...Contract workShift work$105k - $110k
...you feel right at home.Reports to: VP of Strategy & AI TransformationLocation: Seattle, WA... ...behind that trajectory. As Sr. Analyst of Strategy, you will partner with the Head... ..., and create key decision dashboards to support critical business decisionsIdentify key...Full timeWork at office2 days per week1 day per week- About the teamThe E-commerce Strategy team for TikTok Shop plays a critical role in setting direction and accelerating growth of the US... ...social commerce trends to refine platform positioning.- Executive Support & Decision Science: Author high-impact strategy white papers...
$146.18k - $153.8k
...Responsibilities Forecast financial trends to support strategic decision‑making. Evaluate and... ...policies and outcomes. Develop customer risk segments to improve credit management and... ...customer segmentation and credit risk strategies. Develop executive‑level visualizations and...Work experience placementWork at officeLocal areaRemote work3 days per week$82.7k - $130.1k
...actors from the platform, while supporting a best-in-class customer... ...that revolutionize financial risk mitigation models? Do you have... ...notch and experienced Business Analyst to join our team. This role... ...a workplace accommodation or adjustment during the application and hiring...Work from homeFlexible hours- ...services experience, in healthcare, legal, professional services, risk, and/or communicationsDemonstrated intellectual curiosity and... ...questions, offering actionable advice to CSP colleagues and supporting risk managers in reviewing complex or higher-risk cases with the...ApprenticeshipWork experience placement
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$160.7k - $365.24k
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About the Role:Enterprise Risk Management (ERM) aims to provide a comprehensive, cross-... ...implement comprehensive risk mitigation strategies. The Sr. Enterprise Risk Officer will foster... ...of risk management practices.Lead and support initiatives aimed at enhancing risk management...Full time$105.8k - $163.45k
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