Business Consulting Specialist, National Revenue Cycle Policies & Integration , Middle
Kaiser Permanente offers health care services through a network of nearly 14,000 physicians belonging to Permanente Medical Groups; 32 medical centers and more than 415 medical offices that form the Kaiser Foundation Hospitals. In addition to providing health care plans and services, Kaiser Permanente conducts medical research and offers health education to the communities it serves.JOB DESCRIPTION:The Business Consulting Specialist, National Revenue Cycle, Policies and Integration, Middle position based in Oakland, CA is responsible for the analysis/evaluation of business and/or system process and functional requirements, development of business cases, business requirements and process flows, and various additional business client support activities during system development and implementation. Develops relationships with upstream and downstream business partners. Develops/maintains and recommends changes to business processes, and understands the business processes of associated partners and how they relate to our functional areas. This role will provide subject matter expertise, analysis and deliverables development to support National Revenue Cycle policy development and support additional strategic projects as determined by supervisor. Specific focus for this role is on topics related to the middle functions of the revenue cycle, such as Charge Description Master (CDM), Documentation, Coding and Charge Capture to support billing of all professional and technical services provided at Kaiser Permanente.PRIMARY RESPONSIBILITIES:o Directs the analysis of enterprise-wide or very complex client needs in project areas such as new/existing business operating models, innovative approaches to solutions support, market research of emerging or available industry standards or capabilities, and operational readiness assessment. Conduct the analysis of current business processes and systems functionality. Prepares appropriate documentation to communicate and validate the information. o Directs the development of comprehensive and strategic business cases with cost/benefit dimensions of proposed projects that are used at management and executive levels for funding and scope decisions. o Direct accountability for development of deliverables, such as policy provision content, training and communications materials, business requirements, and user-acceptance testing while collaborating with multiple stakeholders and other subject matter experts across the organization.o Accountable for tracking, monitoring and reporting results of actualization of benefits to senior management. o Provides advice and input into the project plan and identifies and coordinates with program/project managers and implements schedule deadlines as appropriate. o Influences the development of the functional and company objectives. o Chooses, recommends, creates and/or adopts techniques, standards and methodologies to KP standards/methodologies and in alignment with industry-standard and compliance guidelines. o Establishes relationships with supervisors, peers and project members to obtain necessary resources and gain support in project delivery. o Builds relationships across the organization to gain buy-in and move initiatives forward. o Able to position an initiative or change effort in order to enhance its likelihood for success and calls upon others to use their relationships to drive them forward.MINIMUM REQUIREMENTS:o At least 10 years professional experience, to include three or more years in a Consulting role. o 5 Years experience in Healthcare environment with specific focus on Middle Revenue Cycle expertise in areas of Charge Description Master (CDM), Documentation, Coding, and Charge Capture o Experienced in influencing multiple cross-functional and/or multiple cross divisional task forces to identify and document functional requirements, workflow, information sources and system/process specifications. o Thorough knowledge of platforms of the assigned functional areas and multiple cross functionally based on assignment. o Bachelors Degree in Health Care Administration or related discipline or equivalent experienceo The position is based in Oakland, CA. Must be able to work in Oakland, CA officeso Qualified candidates must have the following skills: o Excellent oral and written communication skillso Ability to work with a cross function of people and influence multiple stake holders internally and externallyo Project planning & organization skillso Problem solving skillso Ability to work independently with minimal supervisionPREFERRED SKILLS:o 5+ years working in a role of influence/persuasion and collaboration at a regional or national level within a health care provider-side system.o Preferred certification or advanced qualification by third party association that matches the function or field applicable to the business discipline (such as HFMA, Medical/Hospital Coding, Masters of Healthcare Administration)ADDITIONAL INFORMATION:Kaiser Permanente offers exceptional benefits. A competitive compensation package will be offered to applicants, commensurate with experience.For immediate consideration, please submit your resume online at www.kaiserpermanentejobs.org and create a personal profile. Please use the Copy and Paste option to attach an unformatted (text only) resume. Refer to job number 72102.This position consistently supports compliance and the Principles of Responsibility (Kaiser Permanentes Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to the applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanentes policies and procedures.The above statements are intended to describe the general nature and level of work being performed by incumbents assigned to the job. This is not intended to be an exhaustive list of all the responsibilities, duties and skills required. The time devoted to the activities may be changed and other duties may be assigned.Kaiser Permanente is proud to be an equal opportunity/affirmative action employer Additional Information Reference Code: 1035477 Position Type: Full Time
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