Senior UM Consultant

Health care is changing. Kaiser Permanente leads the way. More than eight million people rely on us for their healthcare. Join our outstanding team and make a difference...every day. Our quality of care is unmatched and so are our health care careers. Employment opportunities are available throughout our California Region, made up of 28 acute care hospitals, including two specialty tertiary centers and 120 ambulatory care centers. Our 85,000 employees and more than 7,000 physicians provide the highest quality of care to over 6 million members. Come join our award winning team and enhance your skills in a full time, part time or per diem position.



Qualifications: CA RN License. Bachelor's degree or equivalent in Business Administration, Economics, Health Care Administration, Operations Research, Public Health Administration, or other related field, Master's degree strongly preferred. Typically five (5) or more years of experience in one of the technical areas required. Demonstrated ability to determine the key business issues and develop appropriate action plans from multidisciplinary perspectives. Demonstrated ability to conduct and interpret quantitative/qualitative analysis. Proven leadership skills in project management and consulting. Must exhibit efficiency, collaboration, candor, openness, and results orientation. Demonstrate an understanding of the operations of KP, health policy trends, and any applicable regulations related to the responsible technical area. Must be able to work in a Labor/Management Partnership environment.


Preferred Qualifications: One (1) to three (3) years in clinical operations in management or equivalent experience. One (1) to three (3) years Utilization Management experience. Typically five (5) or more years of healthcare experience. Effective interpersonal and verbal and written communication skills. Knowledge of regulatory requirements: DMHC, DHS, NCQA and CMS. Skilled in managing or overseeing other individuals. Skilled in partnering, collaboration and facilitating groups. Previous project management experience.


Duties: Leads, makes significant contributions, and/or provides technical leadership to high visibility projects to identify and resolve issues of strategic importance to the organization. Interfaces regularly with senior management to produce timely and valuable results. Sets the strategic direction of projects. Determines goals and priorities with management team sponsors. Establishes team membership and negotiates time commitments and resources. Develops proposals for clients outlining proposed project structure, approach and work plan. Provides staff leadership to project teams, as well as manages work of outside consultants when needed. Designs research plans for data gathering and analysis; participates significantly in interpreting analysis and developing action plans accordingly. Produces or oversees development of written materials for senior executives and other key clients. Plans and facilitates meetings. Makes formal presentations to various senior level audiences. Assists, as needed, in planning and coordinating with other ongoing teams and projects to maximize effectiveness. Participates in the development and management of the department, including coaching, recruiting, conducting performance reviews for consultants/analysts, and other departmental activities. Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's 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 applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures.


Notes: Some travel may be required.

We are an EEO/AA/M/F/D/V Employer.