Overview:As a Data Reporting and Analytics Consultant V you will lead the development, maintenance, and management of regulatory submissions to quality regulators, auditors and accreditations agencies (NCQA, HEDIS, DHCS, CMS, etc.). You will manage the data mart refresh process sustainability and overall system wellness in support of HEDIS measures output, internal source code review and the NCQA certification. You will manage the KP CA Health Plan Medicare and Medicaid product set wellness, including membership, claims and care delivery/care for reconciliation and attestation. You will respond to internal and external audit inquiries in an articulate, confident, and compelling manner in both one-on-one and group settings. You will oversee complex data and analytic projects/initiatives, exercising a high degree of independence as well as supervisory oversight of the work of other analysts and consultants. The team is responsible for the review, interpretation and application of regulation to Kaiser Permanente data and is a critical link in compliant accreditation and regulatory filings for California. The teams- culture is highly collaborative, and service oriented with team comprised of business analyst, data stewards and programmers.
Job Summary:This individual contributor is primarily responsible for driving strategic data-informed decisions, gathering data and information on targeted variables in an established systematic fashion, preparing data for analytic efforts, and interpreting complex data analyses. This position drives the execution of creative data analytic approaches leading to actionable outcomes across functional areas, business and/or clinical lines, designs, implements, and automates business and reporting solutions, and leads the development of advanced analytical and/or statistical models enabling informed business decisions.
Essential Responsibilities:- Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and develop weaknesses; and adapting to and learning from change, difficulties, and feedback.
- Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; and evaluating recommendations made by others.
- Interprets complex data analyses by applying findings to contextual settings; and developing insights, reports, and presentations telling a compelling story to stakeholders to enable and influence decision making; participating in peer reviews; and providing context related to data interpretations and/or limitations as appropriate.
- Leads the development of advanced analytical and/or statistical models enabling informed business decisions by determining data and analytical requirements; translating models and gaining stakeholder buy-in for implementation; creating complex models leading to actionable insights; and testing, refining, and validating models.
- Designs, implements, and automates business and reporting solutions by partnering with stakeholders to advise in their design, planning, and implementation while ensuring consistency and coherency; evaluating and summarizing data and results; creating summary statistics; designing data reports, visualizations, and/or interactive Business Intelligence (BI) reports; reporting to stakeholders on key findings; identifying needs for the development and implementation of additional reporting solutions; and preparing documentation as appropriate.
- Drives the execution of creative data analytic approaches leading to actionable outcomes across functional areas, business and/or clinical lines by defining and calculating complex metrics to be analyzed; defining, calculating, and validating algorithms; and conducting complex analyses, including descriptive, correlational, inferential, and/or predictive statistics.
- Prepares data for analytic efforts by integrating and consolidating data; ensuring data quality and accuracy; profiling data inaccuracies and recommending process improvements or system changes to enhance overall quality of the data; collaborating with stakeholders and source system owners to resolve data quality issues as appropriate; and cleaning and creating final data set(s) for analysis.
- Gathers data and information on targeted variables in an established systematic fashion by validating data sources; querying, merging, and extracting data across internal and external sources; completing routine data refresh and update; developing and/or delivering complex tools for electronic data collection; and providing user training, support, and documentation.
- Drives strategic data-informed decisions by consulting with clients and leadership to identify and clarify key business needs across functional areas, business and/or clinical lines; developing outcomes and process measures; translating business requirements; determining data/information needs and data collection methods; developing complex analysis plans; evaluating the impact of business decisions on clients, customers, and/or members; partnering with clients and staff to identify opportunities and methods to improve efficiencies with analysis; supporting and training end-users; and documenting processes and deliverables.
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)- Business Planning
- Data Extraction
- Data Mining
- Data Visualization Tools
- Negotiation
- Project Management
- Relational Database Management
- Statistical Programming Language
- Vendor Management
- Written Communication
Minimum Qualifications: - Minimum three (3) years experience in a leadership role with or without direct reports.
- Bachelors degree in Mathematics, Statistics, Engineering, Social/Physical/Life Science, Business, or related field and Minimum eight (8) years experience in data analytics or a directly related field. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.
Preferred Qualifications:- Three (3) years project management experience.
- Three (3) years relational database experience.
- Two (2) years experience in process improvement.
- Three (3) years experience working in a matrixed organization.
- Two (2) years experience delivering presentations to senior management.
- Two (2) years regulatory experience.
- Two (2) years health care experience.
- Two (2) years experience in transition or change management implementation.
- Three (3) years experience working with Excel.
- Master's degree in Mathematics, Statistics, Engineering, Social/Physical/Life Science, Business, or related field.
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
Worker Location: Remote
Employee Status: Regular
Employee Group/Union Affiliation: NUE-PO-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Po/Ho Corp - OE Dashboard - 0308
Pay Range: $161800 - $209330 / year Kaiser Permanente is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills and geographic location along with a review of current employees in similar roles to ensure that pay equity is achieved and maintained across Kaiser Permanente.
Travel: Yes, 10 % of the Time
Remote: Work location is the remote workplace (from home) within KP authorized states. Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.