Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 8 hours ago
Similar jobs that could be interesting for youBased on the Strategy Analyst V, Risk Adjustment- CDI Support in Hyattsville, MD vacancy
  • $99k - $124k

     ...chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage...  ...seeking a Lead Actuarial Analyst, MA Risk Adjustment to join our high-performing,...  ...data into actionable strategies. Your work will directly influence... 
    Suggested
    Work at office
    Remote work
    Work from home
    Flexible hours

    Strive Health

    Washington DC
    3 days ago
  •  ...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... 
    Suggested
    Full time
    Temporary work
    For contractors
    Work at office
    Remote work
    Flexible hours

    Prosidian Consultng

    Washington DC
    2 days ago
  • $75.4k - $132k

    AWS Enterprise Support Strategy & Operations (ESSO) is looking for a smart, experienced, and self-directed Sales Operations Analyst with a background working with sales and field organizations...  ...need a workplace accommodation or adjustment during the application and hiring... 
    Suggested
    Flexible hours

    AmazonWebServices

    Arlington, VA
    8 hours ago
  •  ...broad spectrum of Enterprise Solutions for Risk Management | Compliance | Business...  ...DescriptionProSidian Seeks a Associate Actuary - Actuarial Support (PAS2) (CONUS - Washington, DC (Remote) |...  ...designing insurance policies or business strategies to reduce their financial risks.The... 
    Suggested
    Full time
    Contract work
    For contractors
    Work at office
    Remote work

    Prosidian Consultng

    Washington DC
    2 days ago
  • $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

    PwC (US)

    Washington DC
    1 day ago
  • 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 work
    For contractors
    Work at office
    Worldwide

    Tetra Tech

    Arlington, VA
    2 days ago
  •  ...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 office
    Remote work

    Flix

    Washington DC
    1 day ago
  •  ...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 placement
    Work at office
    Remote work

    Prosidian Consultng

    Silver Spring, MD
    2 days ago
  •  ...The Senior Actuarial Analyst is a high-impact analytical...  ...role responsible for supporting financial, actuarial,...  ...performance, manage risk, and advance CINQCARE’...  ...utilization, unit cost, risk adjustment, and quality. Develop...  ...leadership, corporate strategy, and investor... 
    Contract work
    Work at office
    Flexible hours

    CINQCARE

    Washington DC
    4 days ago
  •  ...practices. ProSidian provides enterprise services/solutions for Risk Management, Compliance, Business Process, IT Effectiveness, Engineering...  ...Risk / Regulatory: Risk, Compliance & Independent Certification Support [DOE0020020] for Program Support on a Exempt 1099 Contract: No... 
    Full time
    Contract work
    Temporary work
    For contractors
    Work at office
    Remote work
    Flexible hours

    Prosidian Consultng

    Washington DC
    8 hours ago
  •  ...and commercial decision-making. We provide high-stakes Risk Intelligence and data-driven Market Strategy to help global clients navigate complex geopolitical...  ...corporations, and other stakeholders. * Support clients in developing strategies to navigate complex... 
    Remote work

    Niti Global Consulting Pvt. Ltd.

    Washington DC
    12 hours ago
  •  ...services focus on the broad spectrum of Risk Management, Compliance, Business...  ...DescriptionProSidian Seeks a Research Analyst | Evaluation Support [DOEOP063068] - DPLH Est.: 480 Hrs. ST...  ...and participation in high-level DOE strategy discussions. This role is estimated to... 
    Full time
    Contract work
    Temporary work
    Part time
    For contractors
    H1b
    Work at office
    Flexible hours

    Prosidian Consultng

    Washington DC
    2 days ago
  • $98k - $163k

    Job Family:Strategy & Transformation ConsultingTravel Required:Up to 10%Clearance Required:...  ...to provide AI and Data Strategy Program Support for a federal client. This role is ideal...  ...reminders, prioritizing workload, and escalating risks or issues as needed.• Build strong... 
    Full time
    Flexible hours

    Guidehouse

    Washington DC
    1 day ago
  • $140k - $180k

     ...Security, Risk and Compliance Consultant Washington, District of Columbia, United...  ..., SEI-ers keenly understand how to adjust their support and problem solving based on the situation...  ..., Compliance or Information Security Strategies/Programs/Controls Design and... 
    Permanent employment

    SEI

    Washington DC
    1 day ago
  •  ...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 time
    Contract work
    Part time
    H1b
    Work at office

    Prosidian Consultng

    Washington DC
    2 days ago
  • $125k - $140k

     ...Communications Job Description * CONTINGENT UPON AWARD * The Strategy Analyst supports the Strategy Lead in developing, analyzing, and delivering...  ...Track progress against strategic initiatives, identifying risks, blockers, and areas requiring leadership decisions.... 
    Full time

    STRATASCORP

    Washington DC
    2 days ago
  •  ...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 work
    Work at office
    Worldwide

    SOSi

    Washington DC
    8 hours ago
  • $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 employment
    Full time
    Work experience placement
    Remote work
    Relocation
    Monday to Friday

    Department of the Treasury

    Washington DC
    4 days ago
  • $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 wage
    Work at office
    Local area
    Remote work
    Flexible hours
    3 days per week
    1 day per week

    NACBA

    Washington DC
    3 days ago
  • 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... 

    ANALYTICA

    Washington DC
    2 days ago
  •  ...DescriptionSoftware Configuration Management Analyst - USC or GC or EAD ONLY _ ONLY...  ...Perform Software Builds to support of development projects...  ...teams to include branch/merge strategies Research and deploy updates to...  ...to garget environments V Test/Development/Production (One... 
    Local area
    Worldwide

    USM Systems

    Arlington, VA
    2 days ago
  • $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 work
    Remote work

    ECS Federal

    Washington DC
    1 day ago
  •  ...routine client engagements, managing overall service delivery and strategy, financial evaluations, plan design, and more Draft and...  ...professional development opportunities, interesting work, and supportive leaders. We foster a vibrant and inclusive culture where you... 
    Work at office
    Local area
    Remote work
    Flexible hours
    3 days per week
    1 day per week

    Oliver Wyman

    Washington DC
    1 day ago
  • $129.3k - $177.8k

     ...Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial...  ...on matters of significance, including segment-specific strategies, financial trends, medical claims drivers, and the organization... 
    Full time
    Temporary work
    For contractors
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Monday to Friday

    CenterWell

    Washington DC
    3 days ago
  • $129.3k - $177.8k

     ...establish metrics, provide data analyses, and work directly to support business intelligence. You will evaluate industry, economic,...  ...data anomalies. You will advise leaders to develop functional strategies (often segment specific) on matters of significance. You will... 
    Full time
    Temporary work
    Apprenticeship
    Work experience placement
    Work at office
    Remote work
    Work from home
    Home office

    Humana

    Washington DC
    2 days ago
  •  ...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... 
    Temporary work
    Work at office
    Local area
    Flexible hours

    FSA

    Washington DC
    12 hours ago
  • $70 - $85 per hour

     ...Consultant Role Summary This role supports the day to day execution of AI governance reviews—from intake and triage through risk assessment and final approval—coordinating...  ...transformation for our customers. Our expertise in strategy, design, execution and operations unlocks... 
    Contract work
    Temporary work
    For contractors
    Work at office
    Washington DC
    14 hours ago
  • 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

    Kaiser Permanente

    Hyattsville, MD
    2 days ago
  • $100k - $129k

     ...position is responsible for supporting the business by providing analysis...  ...and analysis that powers our strategy, operational, financial, and...  ...line Monitor portfolio risk and recommend changes to credit...  ...engineering, etc.) 2+ years of analyst experience in financial... 
    Work at office
    Relocation package
    Flexible hours

    Koalafi

    Arlington, VA
    8 hours ago
  •  ...call home.Job DescriptionAs a Multifamily Risk Analysis Lead Associate, you will lead...  ...operational and compliance risk assessments, support complex lender onboarding activities, and...  ...risk profiles and mitigation strategies.Risk Monitoring, Transaction Management &... 
    Full time
    Work at office
    Remote work

    Fannie Mae

    Washington DC
    2 days ago

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!