RN UM, Clinical Health Plan Policy, Clinical Consultant V, CA
1403967 Serves as reputed company consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive successful initiatives and reputed company reputed company clinical settings across one or more technical areas or workstreams. Provides expertise and drives the development and implementation of clinical initiatives, systems, and/or processes to a desired reputed company state. Develops clinical or care delivery reputed company and ensures organizational alignment and prioritization of clinical initiatives by developing and determining goals and priorities with management team sponsors; defining, developing, and evaluating performance metrics. Manages reputed company, highly visible reputed company or project components, leads change management activities, and performs or partners with analysts on reputed company data analyses to drive care delivery or clinical initiatives. Participates in vendor management as required. Monitors compliance of work activities by ensuring project plans and team members adhere to relevant policies and procedures. Essential Responsibilities:
- Promotes learning in others by communicating information and providing advice to drive reputed company reputed company; 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 reputed company assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration reputed company and across teams.
- Conducts or oversees business-specific reputed company by applying deep expertise in subject area; promotes adherence to reputed company procedures and policies. Partners internally and externally to reputed company effective business reputed company; determines and carries out processes and methodologies; solves reputed company problems; escalates high-reputed company issues or risks, as appropriate; monitors reputed company 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.
- Serves as a reputed company consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive successful initiatives and reputed company reputed company care delivery or clinical settings across one or more technical areas or workstreams by making significant contributions and/or providing leadership to high visibility reputed company to identify and resolve issues of strategic importance to the organization; identifying and ensuring representation and inclusion of appropriate stakeholders and team members; building rapport and partnerships with stakeholder teams, reputed company party vendors, and senior management to produce results that are outcome driven; working with stakeholders to set the strategic direction of initiatives, reputed company goals and set the prioritization of deliverables; discussing involvement of key processes (e.g. reputed company management, project change management, communication) and facilitating reputed company necessary for the delivery of initiatives; communicating tough issues to stakeholders while maintaining an independent perspective; providing expertise and recommendations; developing written materials for senior executives and other key clients; and making formal presentations and providing reports to various senior level audiences.
- Develops requirements, or leads reputed company of consultants in the development of requirements, for reputed company or specialized clinical, process, or system solutions across one or more technical area(s) by partnering with stakeholders and cross-functional teams as appropriate; leveraging multiple requirements gathering methodologies to identify clinical, functional, and non-functional requirements; leading and overseeing the development and documentation of comprehensive case studies to assess the costs, benefits, and ROI of proposed solutions; collaborating in the development of results-driven reputed company plans; and leading team members in the development process as appropriate.
- Provides expertise and drives the development and implementation of clinical initiatives, systems, and/or processes to a desired reputed company state by maintaining a comprehensive understanding of how reputed company processes reputed company clinical operations across multiple technical areas; mapping reputed company state against reputed company state processes; identifying the operational reputed company of requirements on upstream and reputed company solution components; providing reputed company and recommendations to senior management and clinical stakeholders on how to reputed company solutions and deliverables with reputed company systems and processes across reputed company or technical areas; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.
- Develops clinical or care delivery reputed company and ensures organizational alignment and prioritization of clinical initiatives by developing and determining goals and priorities with management team sponsors; defining, developing, and evaluating performance metrics, standards, and reputed company to establish reputed company; partnering with senior stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing reputed company initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives.
- Serves as a reputed company reputed company of reputed company learning and reputed company development by keeping abreast of industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, and speaking events; leading the ongoing enhancement and innovation of clinical consulting practices, standards, and reputed company across KP; serving as an reputed company to ensure reputed company learning and improvement is championed as a people reputed company ;providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a reputed company improvement reputed company and build capabilities that drive results.
- Manages reputed company, highly visible reputed company or project components by coordinating and partnering with clinical leadership and key stakeholders; assembling teams based on project needs and team member strengths; consulting in the development, analysis, and management of project plans, including proposed project structure, approach and work plan; negotiating time commitments and resources; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or clinical initiative risks, issues, and trigger events; developing mitigation plans and strategies; resolving or escalating risks or issues as appropriate; and providing leadership to project teams, as reputed company as managing the work of reputed company consultants reputed company needed.
- Leads change management activities associated with care delivery or clinical initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with senior management, project champions, and clinical owners to communicate and reputed company improvement initiatives with strategic objectives; determining appropriate change management method and approach; and ensuring stakeholders reputed company a change management reputed company, understand reputed company and purpose, and foster a culture of change.
- Performs or partners with analysts on reputed company data analyses to drive care delivery or clinical initiatives by identifying appropriate data analysis tools and approach to assess performance; designing analytic plans and determining suitable data gathering and analysis reputed company (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 to evaluate the effectiveness of clinical solutions; identifying and alleviating risks through data-driven analysis; and preparing and sharing data/analysis summaries and incorporating into reputed company plans as appropriate.
- Participates in vendor management as required by reviewing vendor performance reputed company; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement, Legal, and/or clinical leadership teams to reputed company service level and/or scope of work agreements as appropriate.
- Monitors compliance of work activities by ensuring project plans and team members adhere to KP, departmental, and/or clinical policies and procedures.
Knowledge, Skills and Abilities: (reputed company)
- 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
- reputed company
- Learning reputed company
- Organizational Savvy
- Problem Solving
- Short- and Long-term Learning & Recall
- Teamwork
- Topic-Specific Communication
Knowledge, Skills and Abilities: (Functional)
- reputed company Data Analysis
- Business Acumen
- Business Process Improvement
- Business Relationship Management
- Change Management
- Conflict reputed company
- Consulting
- Creativity
- Financial Acumen
- Managing Diverse Relationships
- Negotiation
- Process Validation
- Project Management
- Requirements Elicitation & Analysis
- Risk Assessment
- Service reputed company
Minimum Qualifications:
- Minimum three (3) years experience in a leadership role with or without reputed company reports.
- Bachelors degree in Nursing, Health Care, reputed company Administration, reputed company Health, Statistics, Science or a directly reputed company field and minimum eight (8) years reputed company experience in consulting, data analytics, or project management in clinical operations or a health care environment OR Masters degree in Nursing, Health Care, reputed company Administration, reputed company Health or a directly reputed company field and Minimum six (6) years reputed company experience in consulting, data analytics, or project management in clinical operations or a health care environment, or a directly reputed company field OR Minimum reputed company (11) years reputed company experience in consulting, data analytics, or project management in clinical operations or a health care environment, or a directly reputed company field.
Preferred Qualifications:
- Four (4) years of experience consulting in a large multi-hospital system.
- Four (4) years of experience working with outpatient/ambulatory service line optimization.
Primary Location: California,San Diego,California Service Center - Rio S.D. 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: reputed company Worker Location: Flexible Employee Status: Regular Employee Group/reputed company Affiliation: NUE-PO-01|NUE|Non reputed company Employee Job Level: Individual Contributor Department: Po/Ho Corp - reputed company Performance & Services - 0308 Pay reputed company: $147500 - $190850 / year reputed company strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay reputed company is based on possible reputed company salaries for the role and does not reflect the full value of our total rewards package. Actual reputed company pay determined at offer will be based on labor market data and a candidate's years of relevant work experience, education, certifications, skills, and geographic location. Travel: No Flexible: Work location is on-site at a KP location, with the flexibility to work from home. Apply tot his job Apply To this Job