Kaiser Permanente Senior Specialist Installation Consultant in Aurora, Colorado
Oversees fully insured and self funded national group installation processes across multiple regions and multiple functional areas. Monitors installation activities for new and renewing national groups, and will actively manage tasks, processes and time lines always keeping the customer at the forefront. Partners with sales and account management to support the customer through the installation process and to positively impact the customer experience. Resolves issues during the installation process and/or escalate potential issues to department Managers, National Leads or National Directors. May be responsible for creating and distributing installation plans, reports, summaries and hand-off documentation. May be responsible for leading project initiatives, gap analysis, implementing lessons learned, training and mentoring of new staff. May be responsible for looking for opportunities for process improvement and influence change.
Essential Functions: - Case Installation: Manage the overall installation of complex new and approved renewing accounts. Function as a main point of contact for the customer during the account installation. Partner with Sales and Account Management, Regional Case Installation Teams, Regional Functional Areas, CSC, SFAS, TPA to ensure a successful account installation. Coordinate tasks and maintain installation time lines across multiple regions and multiple functional areas, working with department Directors and Managers. Ensure functional departments understand and comply with established processing and customer commitment dates. Create installation checklists, time lines and plans and communicate to the customer. Track all installation activities using a reportable database, and monitor those activities to identify potential risks or known issues. Use database to report on group-specific activities or summary statistics. Resolve issues during the installation and renewal processes, working directly with regional contacts and functional departments to ensure installations comply with standard processes guidelines. Monitor the reconciliation of application, enrollment and fulfillment processes such as ID cards, Member Handbooks, SPDs, EOC and Provider Directories. Resolve or escalate inconsistencies identified. Identify functional or cross-functional processing inefficiencies and make recommendations for improvements. Coordinate Installation meetings with National Sales, Account Management, Brokers and/or Employer Groups. Facilitate seamless hand-off to National Account Management staff, supported by group-specific reporting metrics, issue review and installation processing summary. Support RFP request. Support pre-sale request. Lead major project initiatives, gap analysis. Implement lessons learned. Train and mentor new staff. Provides performance input and recommendations to management for training and development plans. May have some formal supervisory responsibilities. - Relationships: Develop strong cross functional relationships to partner and support Sales and Account Management and to ensure that the National Case Installation process is used. Provide leadership to cross functional regional work teams in establishing approach to support national, multiregional and total replacement accounts.
Qualifications: Basic Qualifications: Experience - Minimum ten (10) years of account services experience and/or case installation/implementation or within the health insurance industry OR ten (10) years of experience in a directly related field. Education - High School Diploma or General Education Development (GED) required. License, Certification, Registration - N/A
Additional Requirements: - Broad experience working with large groups/National accounts. - Working knowledge of Self-Funding and Fully Insured Healthplans. - Understanding of healthcare insurance products and processing. - Expertise in billing and claims administration functional areas (end-to-end). - Ability to educate and influence complex, cross-functional business partners on Self-Funded products and administration. - Ability to define, develop, document and implement formal Policies and Procedures related to Self-Funded products and services. - Advanced knowledge (broad expertise or unique knowledge) of policies, practices and systems. - Develops advanced concepts, techniques, and standards. - Develops new applications based on professional principles and theories. - Viewed as functional expert in field within KP. - Applies advanced principles, theories, and concepts. - Contributes to the development of innovative principles and ideas. - Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications: - Minimum twelve (12) years of experience in case installation/implementation within the health insurance industry, project/program management experience, with successive levels of accountability and results preferred. - Technical experience in one (1) or more of the following areas is strongly desired: Provider Billing, Claims Administration, Provider Relations, Provider Contracting, Revenue Cycle Finance, and Data Analytics. - Bachelor's degree in business administration, health care administration or a related field, OR four (4) years of experience in a directly related field preferred. - Certification preferred.
COMPANY Kaiser PermanenteTITLE Senior Specialist Installation ConsultantLOCATION Aurora, COREQNUMBER 615022
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.