**Candidate can sit in any KP footprint including: WA, OR, CA, NV, CO, GA, NC, MD, DC, VA. Please note salary listed is for NCAL only, all other locations salary vary.The Process Improvement Consultant III provides technical and operational expertise for the design, implementation, and optimization of Medicaid processes and technology-enabled solutions. The role partners across business, clinical, compliance, informatics, and IT teams to translate regulatory and operational requirements into business requirements, future-state workflows, system configurations, testing strategies, and implementation plans. The consultant supports initiatives through discovery, solution design, intake, user acceptance testing, deployment, post-production stabilization, and continuous improvement to ensure solutions are scalable, compliant, and operationally effective across Medicaid markets. The consultant also supports the evaluation and adoption of emerging technologies, including artificial intelligence and automation capabilities, identifying opportunities to enhance decision-making, streamline workflows, improve member and provider experiences, and support innovation across Medicaid operations.
Job Summary:Delivers, executes, and sustains process improvement (PI) engagements including kaizen. Serves as a consultant to stakeholders and process owners to drive process improvements. Supports strategic planning and prioritization of process improvement initiatives. Serves as an advocate for continuous improvement by keeping abreast of industry practices, standards, and benchmarks. Participates in change management activities associated with process improvement and performs data analyses to support process improvement initiatives.
Essential Responsibilities:- Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.
- Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.
- Delivers, executes, and sustains process improvement (PI) engagements including kaizen by leveraging the appropriate methods and tools to ensure the development of stakeholder capabilities for process change and improvement; applying data-driven PI principles, tools, and problem-solving methods including Lean/Six Sigma concepts and techniques; building high performance team capabilities to achieve real time business results; developing process architecture and recommendation documents, including presentations, process maps, supporting metrics, business requirements and related impact analyses; and presenting results and recommendations as appropriate.
- Serves as a consultant to stakeholders and process owners by providing consultation to stakeholders and teams to drive process improvements; contributing to the development of management systems to sustain process changes; supporting the development of stakeholder process improvement leadership competencies; providing training and guidance to stakeholders; and providing ongoing coaching to build a continuous improvement mindset, and build capabilities that drive results.
- Supports strategic planning and prioritization of process improvement initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish process success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; and managing assigned initiatives to ensure delivery of measurable results and alignment with strategic objectives.
- Serves as an advocate for continuous improvement by keeping abreast of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; contributing to the ongoing enhancement of process improvement practices, standards, and methods across KP; and serving as an advocate to ensure continuous learning and improvement is championed as a people strategy.
- Participates in change management activities associated with process improvement by engaging stakeholders to obtain support and buy in for changes; collaborating with management, project champions, and process owners to align process improvement initiatives with business objectives; using appropriate change management methods and approaches; and ensuring stakeholders embrace a change management mindset, and understand initiative intent and purpose.
- Performs data analyses to support process improvement initiatives by using appropriate data analysis tools and approach to assess system or process performance; deploying suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting analyses and performing experimental tests; and identifying risks through data-driven analysis.
Knowledge, Skills and Abilities: (Core)- Ambiguity/Uncertainty Management
- Attention to Detail
- Business Knowledge
- Communication
- Critical Thinking
- Cross-Group Collaboration
- Decision Making
- Dependability
- Diversity, Equity, and Inclusion Support
- Drives Results
- Facilitation Skills
- Health Care Industry
- Influencing Others
- Integrity
- Learning Agility
- Organizational Savvy
- Problem Solving
- Short- and Long-term Learning & Recall
- Teamwork
- Topic-Specific Communication
Knowledge, Skills and Abilities: (Functional)- Applied Data Analysis
- Business Acumen
- Business Process Improvement
- Emotional Intelligence
- Managing Diverse Relationships
- Service Focus
- Written Communication
Minimum Qualifications: - Bachelors degree in Business Administration, Finance, Engineering, Health Care/Public Health Administration, Behavioral/Social/Computer Science, Liberal Arts, Mathematics, or related field and Minimum three (3) years experience in process improvement, consulting, project management, or a directly related field OR Minimum six (6) years experience in process improvement, consulting, project management, or a directly related field.
Preferred Qualifications:- Two (2) years of experience working with Medicaid.
- Two (2) years of experience working with Epic.
- Two (2) years experience in health care delivery process improvement.
Primary Location: California,Pleasanton,Pleasanton Tech Cntr Building A
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Full-time
Job Type: Standard
Employee Status: Regular
Worker Location: Flexible
Employee Group/Union Affiliation: NUE-PO-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Po/Ho Corp - Medicaid Shared Services - 0308
Pay Range: $98300 - $127160 / year Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: Yes, 10 % of the Time
