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
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$77k - $202k
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$91k - $321.5k
...At PwC, our people in risk and compliance focus on maintaining regulatory compliance and... ...be responsible for developing business strategies to effectively manage and navigate risks... ...Responsibilities Manage contract reviews and support engagement planning by applying risk...Contract workH1b$136.11k - $187.16k
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$96.5k - $164k
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- ...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
$84k - $105k
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$140k - $190k
Security, Risk and Compliance Consultant Washington, 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/Controls Design and enablement...Permanent employment- ...Delaware Nation Industries) seeks a Technical Policy and Risk Analyst II to coordinate security risk decisions and interpret countermeasures... ...impacts on security practices, developing mitigation strategies, and supporting data lifecycle management, reporting, and secure...
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$245k - $280k
...s education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant's geographic location. This position is eligible to participate in one of Aon's annual incentive plans to receive...Full timeTemporary workPart timeWork at officeLocal area- ...Mercer is seeking a Sr Health Actuarial Consultant to lead client engagements focused on employers' health benefits strategies, including financial projections, plan design optimization, and renewal negotiations. This hybrid role requires in‑office work at least three...Work at office3 days per week
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$134k - $144k
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