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Kaiser Permanente

Integrated healthcare provider and payer platform

Consultant 6 Principal Business & Technology Solutions Architect - Health Plan Operations

Business OperationsConfirmed live in the last 24 hours
Full-timeOakland, CA, USANo salary listedIn-person

About the Job

Requirements

  • At least four years of experience in a leadership role, with or without direct reports.
  • A bachelor's degree from an accredited college or university and at least ten years of experience in consulting, project management, data analytics, operations, or a directly related field; or a master's degree in Business, Public Health, or a directly related field and at least eight years of such experience; or at least thirteen years of such experience.
  • Knowledge of business acumen, change management, negotiation, creativity, applied data analysis, financial acumen, conflict resolution, managing diverse relationships, process validation, project management, risk assessment, service focus, and requirements elicitation and analysis.

Responsibilities

  • Promote learning by communicating information and advising others to drive projects forward; build cross-functional relationships; solicit and act on performance feedback; provide actionable feedback; influence, mentor, and coach team members; practice self-leadership; respond to team strengths and weaknesses; adapt to competing demands; and foster open dialogue.
  • Drive multiple workstreams by identifying member and operational needs, translating business strategy into requirements, developing procedures and policies, gaining cross-functional support, resolving complex issues, setting standards and measuring progress, developing work plans, coordinating and distributing resources, removing obstacles, guiding performance, and influencing project task completion.
  • Consult with stakeholders and business owners to coordinate and implement initiatives across complex workstreams; identify appropriate stakeholders; build partnerships with internal teams, vendors, and senior management; establish goals and priorities; facilitate decisions and change-management processes; resolve stakeholder issues; and present reports to executive audiences.
  • Develop requirements or lead consultants developing requirements for complex business, process, or system solutions across domains; use requirements-gathering methodologies to identify business, functional, and non-functional requirements; and oversee business cases evaluating costs, benefits, and return on investment.
  • Drive complex business initiatives, systems, and processes toward a desired future state by assessing current processes, mapping current and future states, identifying upstream and downstream impacts, recommending integration options, and validating value gaps and process-improvement opportunities.
  • Develop business strategy and align organizational objectives and initiatives by defining performance metrics and standards, partnering with executive stakeholders on cohesive metrics, refining strategic plans, and managing a portfolio of initiatives for measurable results.
  • Advance continuous learning and consulting practices by tracking industry practices and benchmarks, presenting at roadshows and conferences, improving consulting standards and methods, providing stakeholder training and guidance, and coaching others in continuous improvement.
  • Manage complex projects or project components by coordinating stakeholders, assembling teams, managing project plans, schedules, resource forecasts, financials and deliverables, monitoring risks and issues, developing mitigation strategies, and resolving or escalating issues.
  • Lead complex change-management initiatives by obtaining stakeholder support, aligning improvements with business objectives, selecting change-management approaches, and helping stakeholders understand and adopt changes.
  • Lead and advise team members conducting complex data analyses by recommending tools and methods, defining data requirements, obtaining customer agreements, conducting advanced analyses and experiments, evaluating business solutions, and identifying and mitigating risks through data analysis.
  • Manage vendor activities as required by reviewing performance, ensuring service-level agreements are met, managing invoices, and partnering with Procurement or Legal on service-level or scope-of-work agreements.
  • Monitor compliance by ensuring business plans and team members follow applicable organizational, departmental, and business-line policies and procedures.

Desired Qualifications

  • Five years of experience consulting in a large multi-hospital system.
  • Five years of experience working with outpatient or ambulatory service-line optimization.

About the Company

Kaiser Permanente

Integrated healthcare provider and payer platform

Kaiser Permanente runs an integrated healthcare platform that lets members manage and pay medical, premium, and pharmacy bills online. It serves Medicare Advantage, Individual and Family, and non-employer plans, offering options to pay as a guest or set up payment plans. The platform works by presenting a centralized online portal where users can view bills, choose how to pay, and handle multiple types of charges in one place. Revenue comes from premiums and medical services fees, while the service aims to reduce administrative work for both providers and patients and encourage on-time payments. What sets Kaiser Permanente apart is its combination of healthcare services with a single billing experience across multiple plan types, focusing on a user-friendly, centralized payment process rather than handling billing through separate systems. Its goal is to provide a straightforward, reliable way for members to manage and pay their bills, improving convenience and payment timeliness.

Company size
10,001+
Company stage
Grant
Total funding
$7.5M
Headquarters
Oakland, CA
Founded
1945

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