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
$128k - $252.5k
...business issues, improve decision-making, and support transformation in a rapidly evolving... ...workforce issues and align talent strategies with their strategic visions. Our practice... ...The disclosed range estimate has not been adjusted for the applicable geographic differential...SuggestedWork at officeLocal areaVisa sponsorship$100.4k - $197.9k
...care ecosystem. In this role, you will support strategic and technical consulting engagements... ...workforce issues and align talent strategies with their strategic visions. Our practice... ...disclosed range estimate has not been adjusted for the applicable geographic differential...SuggestedWork at officeLocal areaVisa sponsorship$100k - $130k
...Senior Risk Consultant HUB International's Risk Services Division (RSD) partners with... ...prioritized, client-ready mitigation strategies. Serve as a trusted advisor to senior... ...with HUB producers and account teams to support new business development — participating...SuggestedWork at officeLocal areaShift workNight shift$148.2k - $292.3k
...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...SuggestedLocal areaVisa sponsorship- ...seeking a Senior Actuarial Analyst with experience in the healthcare... ...strategic insights to support the pricing and bidding processes... ...and executing pricing strategies, ensuring compliance with regulations... ...Advantage regulations and risk adjustment methodologies, along with a...SuggestedImmediate startRemote work
$77.2k - $122.1k
...general rate cases, transition adjustment mechanisms, power cost... ...changes to modeling inputs and support changes to department management... ...regarding regulatory policies and strategies. Assist in the review, upkeep... ...for the Sr. Net Power Cost Analyst Defend net power cost...Full timeTemporary workWork experience placementLocal area- ...and accessible to all.The Contracts Analyst is responsible for supporting the full contract lifecycle, including... ..., Legal, Procurement, Finance, Risk Management, and business stakeholders... ...implementation of recommended mitigation strategies; establishes and maintains...Full timeContract workWork at officeRemote workShift workNight shift2 days per week3 days per week1 day per week
$131.75k - $192.5k
...stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused... ...a talented actuary to join the Voluntary Benefits Pricing Strategy team. In this role, you will focus on custom pricing and analysis...Full timeLocal areaRemote work$160.7k - $365.24k
...benefits design, delivery, financing, and strategy. This candidate should be in a... ...hybrid position will be part of a team supporting the delivery of consulting projects as well... ...retirement funding and healthcare financing, risk management and regulatory compliance, data...Full timeTemporary workWork experience placementWork at officeLocal areaWorldwideFlexible hours$74.5k - $108.75k
...investing in new, innovative technologies that support the needs of our customers. Our high-... ...ALM team in the Corporate Actuarial and Risk Management Division. You will be working... ...knowledge for business/investment/financial strategies. Support the development of a risk-based...Local areaRemote work- 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
- ...and technically proficient Principal GRC Analyst to join our Information Security team, with... ..., and reporting mechanismsPrepare risk reports and dashboards for management and... ...othersRelationship Driven: You build rapport and support your team and colleagues across...Full time
$212k - $318k
...presentations summarizing findings and recommending strategies or solutions Provide high-level... ...opportunities, interesting work, and supportive leaders We foster a vibrant and... ...Marsh (NYSE: MRSH), a global leader in risk, reinsurance and capital, people and investments...Minimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- ...Junior Risk Analyst Did you know that Genesis Financial Solutions, the leader and largest... ...sense out of data and developing strategies rooted in analytics? Interested in working... ...team and to stakeholders, and provide supporting evidence for your recommendations Manage...Full timeSummer workFlexible hours
$105.4k - $207.8k
...the cyber and organizational risk profiles of leading companies... ...pipelines and services that support risk reporting, continuous controls... ...ll doAs a Senior Consultant, Strategy, Growth and Transformation on... ...range estimate has not been adjusted for the applicable geographic...Local areaVisa sponsorship- ...Passport to interview SUMMARY This contract Technical Business Analyst assignment will support the Technology Compliance Program Manager and the... ...development and review of program documentation including strategy and maturity plans. Recommend and draft processes and procedures...Contract workWork at officeLocal area
- ...(***) ***-**** 19839 Technical Business Analyst 2 12 months Portland This position closes... ...Business Analyst assignment will support the Technology Compliance Program Manager... ...review of program documentation including strategy and maturity plans. Recommend and draft...Contract workWork at officeLocal area
$92.82k - $109.2k
...smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to bring... ...Day One.Job DescriptionU.S. Bank is seeking an Operational Risk Review (ORR) Analyst responsible for executing review, issue validation, project...Full timeWork experience placementWork at officeLocal areaShift work3 days per week- ...a review. The Compensation Analyst provides professional-level assistance... ..., workforce management, systems support and development, and maintenance... ...bargaining implementation iv. Salary Structure Adjustments (Classified and Non-classified) v. NOA creation...Contract work
- ...Job Description Title: Financial Risk Manager Duration: 6 Months Location: Portland, OR - Hybrid Role Overview... ...as a hands-on implementation lead forour Riskonnect platform, supporting the build-out, configuration, andadoption of an enterprise insurance...Contract work
- ...Financial Risk Manager We are seeking an experienced Insurance Risk Manager (Contract) to serve as a hands-on implementation lead for our Riskonnect platform, supporting the build-out, configuration, and adoption of an enterprise insurance and claims management system...Contract work
$70.6k - $97.13k
...Associate Pricing & Cost of Service Analyst Date: Jul 15, 2026 Location: PORTLAND... ...and regulation. In this role, you’ll support pricing and cost of service analyses by... ...that shape PacifiCorp’s retail pricing strategy. Responsibilities Assist with analyses...Full timeContract workTemporary workLocal area$105.4k - $207.8k
...that strengthen resilience, support compliance, and protect critical... ...clients on data governance strategy, lifecycle management, compliance... ...security posture and reduce risk. A successful candidate would... ...range estimate has not been adjusted for the applicable geographic...Local areaVisa sponsorship- ...development.Job DescriptionThe Corporate Reporting Developer/Analyst is responsible for designing / developing / testing complex reporting to support business initiatives, goal setting, performance management and risk avoidance.Key Accountabilities:• Assess incoming...
- ...This individual contributor is primarily responsible for providing support the California Medicaid line of business through the development... ..., trend monitoring, utilization studies, forecasting, and risk assessment to support strategic initiatives, regulatory compliance...
- ...PeaceHealth is seeking a Remote Sr Actuarial Analyst for Value Based Care, requiring strong SQL and Python skills to design models and forecast revenue across Medicare, Medicaid, and commercial lines. Ideal candidates bring deep VBC data fluency, HCC scoring knowledge,...Remote work
$71k - $89k
...Assistant Actuarial Analyst or Actuary Assistant - Cost of Care Analytics Hybrid within Oregon... ...technical, analytical, reporting and support functions, collaborating with peers and management... ...statistical projections and analysis, risk evaluation, research, and custom...Work at officeImmediate startRemote workWork from homeFlexible hours$105.4k - $124k
...smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to... ...Day One.Job DescriptionU.S. Bank is seeking an Operational Risk Review (ORR) Lead Analyst responsible for leading and executing review, issue...Full timeWork experience placementWork at officeLocal area3 days per week$45.51k - $56.89k
...’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces...Work experience placementInternshipWork at officeRemote workShift workAfternoon shift$125k - $135k
...Change Manager (OCM)/Business Analyst ! Full-time employee -... ...streamline services for consumers, support more robust reporting, such... ..., and data-driven adjustments to business processes that increase... ...process improvement strategies to optimize performance including...Full timeRemote workFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Strategy Analyst V, Risk Adjustment- CDI Support. Be the first to apply!

