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
$99k - $124k
...Lead Actuarial Analyst, MA Risk Adjustment Washington, D.C. How You'll Make An Impact At Strive... ..., coordinating thoughtful care, and supporting people through every stage of their... ...complex data into actionable strategies. Your work will directly influence how...SuggestedWork at officeRemote workWork from homeFlexible hours- ...services focus on the broad spectrum of Risk Management, Compliance, Business Process,... ...Consulting at .Job DescriptionProSidian Seeks a Analyst V - Technical Analysis (NTA025)... ...near CONUS - Washington, DC (Remote) to support requirements for Energy & Environmental Management...SuggestedFull timeTemporary workFor contractorsWork at officeRemote workFlexible hours
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$77k - $202k
...provide strategic, analytic, and technical support to our payer and provider clients in the... ...rely on us to help redefine their strategies, maintain market share, and achieve cost... ...Statistics, Organizational Management/Behavior, Risk Management/Insurance, Science, Taxation,...Suggested- The Opportunity:Tetra Tech is adding an Analyst (Level I,II,III,IV,V) to our Tetra Tech team based in Courthouse, Virginia. Why Tetra Tech:At Tetra... ..., Technical, and Enterprise (PATAE) contract seeks to support program management, monitoring & evaluation, policy and international...Contract workFor contractorsWork at officeWorldwide
$77k - $202k
...provide strategic, analytic, and technical support to our payer and provider clients in the... ...rely on us to help redefine their strategies, maintain market share, and achieve cost... ...Statistics, Organizational Management/Behavior, Risk Management/Insurance, Science, Taxation,...- ...practice spanning six solution areas including Risk Management, Energy & Sustainability,... ...improve their operations. Linking strategy to execution, ProSidian assists client leaders... ...Silver Spring, MD (Plus Work Remotely) to support engagement for an agency of the US Federal...Work experience placementWork at officeRemote work
$150k - $225.5k
...aligning employees with workforce strategy. Capitalizing on analysis and... ...idea and solution we offer supports that vision. Sr. Principal... ...and provide direction to analysts and associates, while serving... ...NYSE: MRSH), a global leader in risk, reinsurance and capital, people...Minimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- ...we are scaling our Credit Risk function from the ground up to support our new Consumer Lending... ...for a Senior Credit Risk Analyst who lives and breathes data... ...and deploy agile credit strategies in a hyper-growth tech... ...experimentation, moving fast to adjust credit strategies based...Work at officeRemote work
- ...and caregivers with the support they need, we strive... ...The Senior Actuarial Analyst is a high-impact analytical... ...performance, manage risk, and advance CINQCARE'... ..., unit cost, risk adjustment, and quality. * Develop... ...leadership, corporate strategy, and investor...Contract workLive inWork at officeLocal areaFlexible hours
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$106.6k - $130.1k
...belonging at BECU and deepen how we connect with and support our employees, our members, and our communities.... ...matchIMPACT YOU’LL MAKE:As a Sr. Credit Risk Analyst, you'll play a critical role in shaping credit strategy and governance for BECU's Small and Medium Business...Full timeWork at officeRemote work$32 per hour
...Intelligence Community has a vacancy for a Records Examiner/Analyst. In this role, you will be supporting the overall mission of the Federal Bureau of... ...integrating the use of asset forfeiture into its overall strategy to eliminate targeted criminal enterprises. The FBI...Hourly payFull timeTemporary workWork at officeLocal areaRemote workFlexible hours- About The Role As our Principal Analyst for Loss Mitigation & Forecasting , you will occupy... ...you will design the data models, contact strategies, and predictive collections... ...software solutions. Requirements Elite Credit Risk Background: 5+years of proven quantitative...Remote work
- Oliver Wyman is seeking Actuarial Consultants to analyze complex problems, develop client-ready materials, and support project delivery. Candidates will work on relevant deliverables while collaborating with teams in a fast-paced environment. Roles include opportunities...
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- ...spanning six solution areas including Risk Management, Energy & Sustainability,... ...clients improve their operations. Linking strategy to execution, ProSidian assists... ...DescriptionProSidian Seeks a Statistical Analyst | Data Analysis Support [DOEOP028033] - DPLH Est.: 480 Hrs....Full timeContract workPart timeH1bWork at office
$96.5k - $164k
...community. You’ll enjoy resources to support your career path, as well as... ...the opportunity to influence strategy, architecture, operating... ...an experienced Senior Business Analyst to help shape the future of investment... ..., Traders, Research Analysts, Risk teams, or Quantitative teams....Full timeLocal areaRemote work3 days per week- ...focus on the broad spectrum of Risk Management, Compliance,... ...DescriptionProSidian Seeks a OHS Senior Project Analyst - Senior Family Services... ...near Washington, DC to support an engagement for an office within... ...OHS.Provide management and strategy consulting.Assist with policy...Full timeTemporary workFor contractorsFlexible hours
- ...valued colleague on our Multifamily Lender Risk Management team, you will contribute with... ...external key stakeholders. You will also support the orchestration, governance review, and... ...and business groups on risk mitigation strategies.Implement plans or decisions to avoid risks...Full timeWork at officeRemote work
$140k - $180k
...Security, Risk and Compliance ConsultantWashington, District of Columbia, United... ...fault, SEI-ers keenly understand how to adjust their support and problem solving based on the... ...Risk, Compliance or Information Security Strategies/Programs/ControlsDesign and enablement...Permanent employment- UltraViolet Cyber in Arlington, VA seeks a Junior Business Analyst - Privacy Compliance Support to assist in developing, reviewing, and analyzing privacy artifacts, policies, and reports, and to support onboarding and training activities. The role requires a self-starter...
- ...award of contract**SOSi is seeking a highly qualified Risk Mitigation Specialist to support an Intelligence government customer. The Risk Mitigation... ...integrated development and execution of FOCI management strategies.Conduct internal control testing and document results...Contract workWork at officeWorldwide
$92.14k - $134.8k
...effectiveness and efficiency of agency strategies and nation-wide operations.Assesses existing... ...business, technological, and financial risks within ongoing programs and... ...responses to the online questions, and required supporting documents. Please be sure that your resume...Permanent employmentFull timeWork experience placementRemote workRelocationMonday to Friday$110k - $160k
...experienced Software Business Analyst to work remotely providing software application support for the work performed under this... ...to define the direction and strategy for an engagement while ensuring... ...timeline, project stakeholders, and risks.Job RequirementsMinimum 6 years...Contract workRemote work- Analytica is seeking a Technical Business Analyst that will serve as the crucial link... ...requirements from various stakeholders to support data integration and reporting initiatives... ...defining primary keys, indexing strategies, and normalization, to ensure efficient...
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$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- ...Data Analyst Be a part of the nationwide law enforcement initiative that removes the... ...Data Analyst. In this role, you will be supporting the overall mission of the Federal Bureau... ...use of asset forfeiture into its overall strategy to eliminate targeted criminal...Temporary workWork at officeFlexible hours
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