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
...chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of... ...'ll DoWe are seeking a Lead Analyst, Risk Adjustment Analytics to join our high-... ...complex data into actionable strategies. Your work will directly...SuggestedWork at officeRemote workWork from homeFlexible hours2 days per week$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
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...tackle their most challenging workforce issues and align talent strategies with their strategic visions. Our practice is renowned for... ...environmentCollaborate with cross-functional teams and senior leaders to support solution development, sales efforts, actuarial assurance...Local areaVisa sponsorship$134.5k - $265.1k
...Services Manager - Financial Risk Our Deloitte Regulatory, Risk... ...risks as well as risk mitigation strategies for our clientsUnderstand the... ...& Financial Risk offering supports clients' regulatory and... ...range estimate has not been adjusted for the applicable geographic...Work at officeVisa sponsorship$180.2k - $355.1k
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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- ...Reporting and Analytics Consultant V is a senior individual contributor who will support Kaiser Permanente’s Colorado and... ...and shaping the market’s growth strategy.Job Summary:This individual contributor... ...problems; escalating issues or risks as appropriate; monitoring...Work experience placement
$110k - $135.3k
...contributes to and advances one or more Enterprise Risk Management (ERM) programs to assist... ...performed will play a key role in supporting bank-wide initiatives through risk identification... ...is filled. CoBank reserves the right to adjust compensation for all positions and to...Full timeWork at officeWork visaFlexible hours$100k - $123k
...analysis that contributes to and advances Risk Management programs and processes... ...analysis performed will play a key role in supporting bank-wide initiatives through risk identification... ...is filled. CoBank reserves the right to adjust compensation for all positions and to...Full timeWork at officeWork visaFlexible hours$96k - $181k
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...Position Title: Actuarial Analyst II Job Description: Actuarial... ...providing flexibility to support productivity and work-life... ...not limited to: * Pricing Strategies: Assist in the development and... ...analyzes and models data including risk reporting and forecasting....Full timeWork experience placementWork at officeLocal area2 days per week1 day per week$126.72k - $207.36k
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...Conduct analysis, pricing and risk assessment to estimate... ...aid in developing corporate strategy. Why This Role Is Appealing... ...Responsibilities Will Include Supporting the development and maintenance... ...schedules. Actual pay will be adjusted based on an individual's skills...Full timeContract workPart timeH1bWork at officeRemote workWork from homeFlexible hours$110.7k - $218.3k
...Senior Consultant - Financial Risk Our Deloitte Regulatory, Risk... ...analysis to risk mitigation strategies for client projectsStay current... ..., sales materials, or supporting proposal developmentCreate and... ...range estimate has not been adjusted for the applicable geographic...Work at officeVisa sponsorship- ...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
$165k - $200k
...term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand...Full timeContract workWork at officeRemote workWorldwideVisa sponsorshipRelocation package3 days per week$128k - $145k
...term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand...Full timeContract workWork at officeRemote workWorldwideRelocation package$128k - $165k
...term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand...Full timeContract workWork at officeRemote workWorldwideVisa sponsorshipRelocation package3 days per week$109.6k - $191.7k
Senior Risk ConsultantRemote - USAProvides loss control support for Property & Casualty underwriters and insurance customers in AXA XL’s Americas - Environmental... ...AXA XL, Sustainability is integral to our business strategy. In an ever-changing world, AXA XL protects what...For contractorsWork at officeFlexible hours$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 timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome office$31.15 per hour
...Records Examiner / Analyst Supporting the FBI #26-430 Apply Requisition: 26-430 FBI $31.15 per hour Description: Eligible for 20% pay differential... ..., integrating the use of asset forfeiture into its overall strategy to eliminate targeted criminal enterprises. The FBI has...Hourly payTemporary workWork at officeLocal areaRemote workFlexible hours- ...Role Description The Actuarial Analyst II is responsible for conducting complex actuarial studies, supporting pricing strategies, and maintaining rating models to ensure competitive... ..., verifying, and modeling data for risk reporting and forecasting. Qualifications...
$84.74k - $132.89k
...11 Position Title: Actuarial Analyst II Job Description: Actuarial... ...while providing flexibility to support productivity and work-life... ...Will Make an Impact Pricing Strategies: Assist in the development and... ...analyzes and models data including risk reporting and forecasting....Temporary workWork experience placementWork at officeLocal area2 days per week1 day per week$73.5k - $147k
...retirement or aligning employees with workforce strategy. Capitalizing on analysis and insights as... .... We are seeking a Health Actuary - Analyst III which can be located at one the the... ...Marsh (NYSE: MRSH), a global leader in risk, reinsurance and capital, people and...Minimum wageWork experience placementWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$100.32k - $164.16k
...-17 Position Title: Actuarial Analyst III Job Description: Actuarial... ...while providing flexibility to support productivity and work-life... ...limited to: Analyzes and implements risk contracts including conducting... ...is designed to advance our strategy but will also lead to personal...Temporary workTraineeshipWork experience placementWork at officeLocal areaDay shift2 days per week1 day per week$110k - $150k
...Actuarial Analyst The Actuarial Analyst supports the underwriting function by analyzing data, developing and enhancing rating methodologies, and producing... .... Participate in planning ultimate loss and loss adjustment ratios based on underwriting leadership plans and...Full timeImmediate start$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 timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday
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