http://kpcareers.org/careers/accounting,-finance,-and-actuarial-services-jobs en Senior Financial Consultant
Oakland, CA


Kaiser Permanente is looking for a Senior Financial Consultant in Oakland. This is a 32-hour per week, part-time position. The individual will be a key player in the work of the HR Finance Department and will report to the Director of Finance for HR Operations, Technology and Benefits Analysis.


Essential Functions:
- Supporting the development and implementation of employee benefit modeling tools and analysis using MS Office, Cognos, and SAS.
- Developing data and analytical framework in support of national and local bargaining, and developing analytical views of total benefits and health and welfare plans.
- Managing the HR Financial Reporting Database in Access. Responsibilities include developing reports, database structure and analytical capabilities .
- Up to 5% travel.


Qualifications:

Basic Qualifications:
- 12+ years of financial analysis experience to include budgeting, forecasting, and variance analysis work
- Advanced knowledge (broad expertise or unique knowledge) of policies, practices and systems
- Bachelor's degree in finance/related field or 4 additional years of equivalent experience
- Advance knowledge of Excel and Access
- Prior experience with collective bargaining modeling, health care industry and working with HR related data
- Individual must be a self starter, work independently, detail oriented, meet deadlines, communicate effectively, able to work under adverse conditions and produce accurate information


Preferred Qualifications:
- Experience in a large organization
- Working knowledge of Cognos and SAS
]]> Sun, 20 May 2012 16:00:00 GMT 2444033-Oakland-Accounting,-Finance,-and-Actuarial-Services Health Plan Reform PMO Internship (Graduate)
Oakland, CA


Kaiser Permanente is a premier Health Maintenance Organization with offices in a number of locations across the United States. We are currently looking for aGraduate summer intern to work within our at our Headquarters in Oakland, CA or Regional offices.

Major responsibilities include:
- External scan on existing/emerging care models and technology innovation that might be candidates for pilot/implementation at KP.

As a temporary assignment, this position does not include benefits.

Qualifications:

Basic Qualifications:
- Graduate Student.
- Proficient in MS Office, especially Word and Excel.
- Reliable, organized, autonomous, experience with doing research.
- Also experience in working with survey and database requirements would be ideal.
- Someone who writes well, communicates well, and can lead work related to creating executive summaries, status presentations, and high level workgroup meetings.
Preferred Qualifications:
- Previous work experience either as a full time employee or summer intern.
- Someone with experience in health care, research, and project evaluation would be optimal..
]]> Sun, 20 May 2012 16:00:00 GMT 2444020-Oakland-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Coordinates performance monitoring process with junior staff and participates in the development of forecasts.
- Conducts financial analyses independently or leads a team, participating in the most complex projects.
- Designs and builds financial models based on diverse financial sources, in order to inform strategic decisions.
- May direct the production of ad hoc and periodic reports for department, facility, and/or regional management.
- Works to improve data quality processes and report design to meet diverse and changing needs for management reporting.
- Participates in the planning and development of department and non-department budgets, budget system completion, high level reviews and conducts area wide analyses for target development.
- Prepares understandable and defensible financial analyses of decision alternatives by utilizing spreadsheets and accessing various databases.
- Oversees preparation of analyses for project teams, regional, departmental, and/or functional management and staff analysts.
- Writes reports of recommendations and delivers formal presentations of analytic findings and suggested action steps to management and senior leaders.
- Facilitates and participates in meetings and presentations.
- Provides education and management consulting on the use and interpretation of analyses, reports, methodologies and source data to managers/leaders.
- Develops feasibility studies and business plans to support new lines of products and services.
- Supports executive staff and committees in the development, analysis a communication of cost saving strategies and budgets and in the research of financial, operation and variance issues.

Qualifications:

Basic Qualifications:
- Six (6) plus years of related experience in financial analysis and budgeting.
- Bachelor's degree or equivalent.
- CPA or master's degree preferred.
- Extensive knowledge of several or all of the following.
- General finance theories and methodologies, discounted cash flow analysis, cost/benefit analysis, feasibility studies, large scale business planning, financial modeling and project management.
- Expert proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Strong oral and written communication, presentation and facilitation skills.
- Strong consulting skills.
- Works independently, accountable to complete work assignments.
- May provide project supervision to junior staff.]]> Sun, 20 May 2012 16:00:00 GMT 2433452-Roseville-Accounting,-Finance,-and-Actuarial-Services

Essential Functions:
- Control Preparation Design Consulting - leading meetings and status as deliverables.
- Control Walkthroughs - walkthrough workpapers as deliverables
- Deficiency Remediation Consulting/Validation - sign-off on clients' action plan template (APT) as deliverables
- Control Testing - test script workpapers as deliverables
- Annual Certification status and presentations - presentations, reports and leading meetings as deliverables
- Weekly dashboard and team meetings - status and comment on dashboard and participation in meeting as deliverables
- Conduct monitoring/testing of SOX controls (for reliance by internal/external auditors) to ensure that key controls as designed are operating effectively in order to prevent financial errors or misstatement.
- Conduct internal control reviews at the request of management to ensure that operational processes are working effectively, efficiently and in compliance with applicable policy or regulations.
- Coordinate reviews and sign-offs of Segregations of Duties matrices for all in scope mega processes to prevent or mitigate conflicting roles and transactions within and across mega processes.
- Coordinate year-end SOX certifications to ensure that all accountable process owners, functional executives and senior leadership have attested to the effectiveness of internal controls over the processes in their respective areas that provides reasonable assurance regarding the reliability of financial statements as of a given year-end.
- Facilitate the development and maintenance of Regional finance policies and procedures, including relevant communication and training. Policies and procedures provide guidance to business owners on what and how to conduct financial processes.
- Publish weekly/monthly management reports and quarterly Newsletters to inform and update management and business owners on matters related to SOX, policies and procedures and internal controls.

Qualifications:

Basic Qualifications:
- 1 full year cycle SOX experience (e.g. must already have had SOX testing, SOX Control Matrix design, Control Walkthrough, SOX deficiency validation/ deficiency ranking justification, and annual certification experience).
- Prior audit management experience (e.g. skill level of an 'Audit Manager' if candidate is coming from public accounting or equivalent title if coming from industry).
- 6+ years of hands-on independent problem-solving, project management, and analysis experience in the finance, accounting, or auditing areas.
- Bachelor of Arts or Science (B.A. or B.S) in Business, Finance, Accounting, or Health Care related degree.
- Masters degree in Business Administration (MBA), Public Health, Health Administration, or other related field preferred.
- Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) preferred.
Certified Inforamton System Auditor (CISA), Project Management Professional (PMP), Certified Management Accountant (CMA), or Certification in Control Assessment (CCSA) preferred
- Strong proficiency and solid hands-on project management experience in the finance, accounting, or auditing areas.
- Expert skills covering communication/influencing skills, internal control documentation, process narratives, process flows, risk assessments, and related areas.
- Detailed understanding of and experience in Sarbanes-Oxley compliance, including internal control scoping, documentation, testing and remediating control deficiencies.
- Superb desktop application capabilities (e.g. Microsoft Office Suite, SOX compliance software, and related applications).
- Demonstrated strategic thinking skills to prioritize work in alignment with project objectives or goals, recognizes linkages and understands impact of individual actions on other parts of the organization and the member/customer.
- Demonstrated team focus skills by publicly crediting individuals who have performed well in order to encourage and empower them, as well as to set an example for others, letting people affected by a decision know what is happening, even if they are not required to do so, understanding sources of conflict within a team and takes steps toward effective conflict resolution, managing team meetings well by stating agendas and objectives, controlling time and making roles and accountabilities clear.
- Proven techniques to analyze processes for effectiveness, efficiency in operations ,as well as SOX compliance, towards the identification of deficiencies, the writing of special projects/ review report, monitoring the progress of remediation and other diagnostics.
- Proven emotional intelligence and cultural competency as shown through translating diversity initiatives into specific action plans to be implemented within one's area of accountability, creating a 'safe' and constructive environment where individuals feel comfortable communicating diverse ideas and initiating dialogue around differences, displaying awareness of the limitations and advantages of one's own and others' culture.]]> Fri, 18 May 2012 16:00:00 GMT 2440958-Oakland-Accounting-Finance-and-Actuarial-Services
Essential Functions:
- Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
- Coordinates performance monitoring process with junior staff and participates in the development of forecasts.
- Conducts financial analyses independently or leads a team, participating in the most complex projects.
- Designs and builds financial models based on diverse financial sources, in order to make informed strategic decisions.
- May direct the production of ad hoc and periodic reports for department, facility, and/or regional management.
- Works to improve data quality processes and report design to meet diverse and changing needs for management reporting.
- Participates in the planning and development of department and non-department budgets, budget system completion, high level reviews and conducts area wide analyses for target development.
- Prepares understandable and defensible financial analyses of decision alternatives by utilizing spreadsheets and accessing various databases.
- Oversees preparation of analyses for project teams, regional, departmental, and/or functional management and staff analysts.
- Writes reports of recommendations and delivers formal presentations of analytic findings and suggested action steps to management and senior leaders.
- Facilitates and participates in meetings and presentations.
- Provides education and management consulting on the use and interpretation of analyses, reports, methodologies, and source data to managers/leaders.
- Develops feasibility studies and business plans to support new lines of products and services.
- Supports executive staff and committees in the development, analysis and communication of cost saving strategies and budgets and in the research of financial, operation and variance issues.
- Assumes other activities and responsibilities from time to time as directed.
- Complexity: Works independently; accountable to complete work assignments.
- Span of Control: May provide project supervision to junior staff.

Qualifications:

Basic Qualifications:
- Bachelor's degree in finance related field and minimum six (6) years of related experience OR master's degree in related field and minimum four (4) years of related experience.
- Extensive knowledge of several or all of the following: general finance theories and methodologies, discounted cash flow analysis, cost/benefit analysis, feasibility studies, large scale business planning, financial modeling and project management.
- Expert proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Strong oral and written communication, presentation and facilitation skills and consulting skills.


Preferred Qualifications:
- Basic computer skills to include Word, Excel, Powerpoint & Access.
]]> Thu, 17 May 2012 16:00:00 GMT 2439741-Los-Angeles-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Prepares & interprets monthly internal financial statements (consolidated & nonconsolidated), monthly & year-end external Generally Accepted Accounting Principles (GAAP) & quarterly year-end Statutory Financial Reports.
- Performs analytic review & prepares variance analyses. Interprets results for supervisors & managers. Prepares trend analyses using computer models & graphs. Prepares ongoing & special management reports from financial data.
- Reviews automated books of original entry for all entities & ensures that entries posted are made in accordance w/ GAAP.Assists management in reading/interpreting financial reports. Assists in maintaining the automated general ledger system reports.
- Prepares computer generated schedules & work papers for external/internal auditors, as well as, for federal/state regulators & facilitates the audits.Prepares & reviews journal entries for major accounts in order to generate accurate financial statements.Prepares, reviews & analyzes computer generated account reconciliations. Maintains the Division's chart of accounts in accordance w/ corporate guidelines.
- Prepares tax filings for various jurisdictions.
- Provides training, coaching & work assignments to Accounting Technicians, Accountant I (s), & Accountant II (s).


Qualifications:

Basic Qualifications:
-3 years of experience as an Accountant II in a large corporate accounting department or 5 years w/ a large public accounting firm required.
-Bachelor's degree in Accounting, Finance, or Business Administration or equivalent years of experience in related field required.
-Knowledge of Generally Accepted Accounting Principles (GAAP), Generally Accepted Auditing Standards (GAAS), & Statutory Accounting Principles required.

Preferred Qualifications:
- CPA or MBA strongly preferred.
- Proven general ledger accounting experience (preparing journal entries, ledger account reconciliation, variance analysis, month-end close process) in the accounting department of a large organization with progressively increasing levels of responsibility. Experience with accounting for investments, cash and bank account reconciliation, and familiarity with statutory accounting. Detail and results oriented, ability to meet deadlines consistently, advanced Excel and Access skills.
]]> Thu, 17 May 2012 16:00:00 GMT 2439735-Rockville-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
-Direct the preparation, analysis and review of monthly Medicare revenue accruals and reserves for program-wide revenues of $12 billion for over 1 million Kaiser Medicare members
- Manage the month-end close process to ensure NMF Medicare financial reporting is completed timely and accurately
- Communicate financial results to NMF, Regional and Program Office financial leaders
- Oversee the Medicare payment analysis and resolution processes
- Identify and communicate risks and opportunities to NMF, Regional and Program Office financial leaders
- Implement and oversee SOX and MAR compliant work processes and internal controls
- Oversee the development, implementation and update of NMF Accounting and PARR policies and procedures
- Manage internal and external financial audits including preparation and review of documentation and timely response to audit requests
- Participate actively as a part of the NMF Management team in pursuing initiatives as they pertain to people, leaders, partners and financial performance that provide value to KP members and the communities we serve
- Participate in NMF, regional, Program and Medicare business line initiatives including system implementations
- Manage team of 2 managers and 11 staff in multiple locations
- Hire, train, coach and manage staff and evaluate performance

Qualifications:

Basic Qualifications:
- Five (5) to eight (8) years of management experience and ten (10) to fifteen (15) years of related experience.
- Four (4) year degree in related field.
-Requires expert knowledge of own area of functional responsibility and advanced knowledge of multiple related functions.
-Demonstrated business acumen, problem solving and decision making skills
-Strong analytic skills
-Excellent written and oral communication skills

PreferredExperience:
-Bachelor's degree in Accounting, Business, or Finance
-CPA or CMA
-Thorough knowledge of Generally Accepted Accounting Principles (GAAP) reporting requirements
-Familiar with the requirements of SOX and Model Audit Rule guidelines and programs
-Demonstrated ability to lead financial reporting and financial variance analysis
-Leadership skills and experience in managing goals through collaboration and teamwork
-Experience with staff coaching and development
-MBA
-Experience in a health plan, healthcare system, multi-service provider setting, or public accounting firm
-Thorough knowledge of Centers for Medicare and Medicaid Services (CMS) reimbursement for Medicare Advantage, Part D, HMO and Hospital Cost Report, and Meaningful Use of ElectronicHealth Records programs
]]> Thu, 17 May 2012 16:00:00 GMT 2439696-Oakland-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Supervises & coordinates the activities of personnel in the Claims & Referral Department
- Represents the organization's claims & referral process to include contract interpretation, implementation & compliance w/ Regulatory
Agencies eg, DOI, IRS, HCFA, NCQA
- Administers personnel policies & procedures w/ respect to counseling, disciplinary action & grievances
- Interviews, hires & evaluates department personnel
- Schedules & assigns work
- Approves time cards, vacations & other time off requests
- Evaluates & develops new & existing procedures, recommends & implements new procedures to improve operating efficiency & customer service
- Maintain current information & knowledge of all applicable Kaiser policies, local, state & federal laws & regulations, & accreditation standards
- Ensures that the training activities incorporate all applicable KP policies, local, state & federal laws & regulations, & accreditation standards
- Supervises assigned staff
- This includes interviewing, selecting, training, motivating, evaluating, counseling, disciplining & terminating in compliance w/ EEO/AA goals & personnel policies of the organization
- In addition to defined technical requirements, accountable for consistently demonstrating service behaviors & principles defined by the KP Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives
- Also accountable for consistently demonstrating the knowledge, skills, abilities, & behaviors necessary to provide superior & culturally sensitive service to each other, to our members, & to purchasers, contracted providers & vendors


Qualifications:

Basic Qualifications:
- A minimum of 4 years of progressively responsible experience in a medical claims processing environment, including 2 years of supervisory experience
- Previous experience in an automated medical claims processing environment required
- bachelor's degree in business or health care or related field
- Equivalent experience will be considered
- Extensive knowledge of medical terminology, CPT-4 & ICD-9 coding
- Thorough knowledge of state, federal & Medicare regulations pertaining to claims processing
- Working knowledge of various health insurance products such as PPO, HMO, POS & indemnity
- Effective verbal, written & interpersonal skills are required
]]> Wed, 16 May 2012 16:00:00 GMT 2437011-Denver-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Establish effective business relationships with Sales and Account Management to execute a business plan that optimizes our opportunities across a book of business
- Produce accurate quotes in compliance with Underwriting & authority guidelines and state & federal laws for existing and prospective business
- Participate in the execution of account and/or book of business plans to ensure attainment of goals
- Lead limited peer review to ensure accuracy & appropriateness of quote
- Adhere to business processes and policies that support for all job levels particularly in areas of rate actions, benefit structure, customer engagements, etc.
- Meets established department turn around goals by balancing deadlines
- Comply with new and existing policies, procedures, and methodologies
- Comply with continuous quality improvement programs
- Strategize with internal customers on implications of decisions on business outcomes
- Assist in positioning Underwriting as an integral partner in the creation of effective business solutions
- Establish relationships with Sales/Account Management to understand business potential with purchasers, brokers & consultants
- Develop solutions that establish credibility with Sales/Account Management and external customers
- Acquire and exhibit knowledge of the external business environment to add value

Qualifications:

Basic Qualifications:
- One year of work experience performing analysis is required.
- Demonstrated computer literacy including Excel and Word.
- Sound written and verbal communication.
- Ability to accurately calculate algebraic rating formulae.
- Ability to work with incomplete or imperfect information and develop reasonable assumptions.
- Ability to balance conflicting deadlines and meet established departmental turnaround goals.
- Good organizational skills and the ability to work under pressure.
- Ability to work cooperatively with others.
- Ability to adapt to changing policies and procedures.

Preferred Qualifications:
- Two years related experience performing analysis work.
- Experience in functions relating to health insurance or providers, such as marketing, membership services or accounting, reporting or rating, large group health underwriting, actuarial or benefit contract functions.
- Strong understanding of benefits, Kaiser Permanente rating principles and methodologies, group enrollment guidelines, legal restrictions on reporting and rating and an understanding of how health care products are marketed and delivered to groups.
- Awareness of the market environment for health care accross all regions.
- Bachelor's degree preferred or a minimum of one year of equivalent experience in business administration, health care administration, mathematics, statistics, financial analysis or a related field.]]> Wed, 16 May 2012 16:00:00 GMT 2433443-San-Diego-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Must ensure that the general ledger & patient data files are loaded properly each month through monthly validation & reconciliation
- Audits the calculation & application of unit costs
- Provides quality control by reviewing a complex M204, mainframe, & TSI database to check for unacceptable variances & errors
- Coordinates the correction of any & all identified errors
- Provides a complete & reconciled database to users on a timely basis each month
- Conducts the monthly processing to populate the CMIS regional database w/ financial, clinical, demographic, utilization, & cost data
- Conducts database batch processing & coordination
- Coordinates the team's correction of any data rejects
- Audits & reconciles expenses & utilization as they travel through the Eclipsys/TSI modules
- Maintains the Indirect Cost Allocation structure for the entire region
- Understands the complexities of the ICA structure
- Audits the success of the demographic & clinical data loads
- Audits final costing & identifies any data quality issues
- Corrects the problem or brings the issue to the appropriate level for correction
- Resolves intricate data issues
- Serves as a CMIS liaison to & maintains regular contact w/ Partners providing source system data
- Meets w/ source system owners to resolve any data feed issues & discuss data feed improvements
- Meets w/ IT representatives to resolve any technological issues & discuss technological improvements
- Takes direction from Consultants for database improvement
- Communicates database status to Service Area consultants
- Works w/ CMIS team members to improve CMIS database continually


Qualifications:

Basic Qualifications:
- Previous (usually two (2) to three (3) years) relevant work experience
- Experience w/ relational databases
- Experience in working in a multi-disciplinary team
- Project coordination experience preferred
- Mainframe experience preferred
- Bachelor's degree, or equivalent experience in information management, finance, accounting or related field
- Written & oral communication skills
- Good project management & consulting skills
- Excellent verbal & written communication skills
- Proficient in PC databases, decision support tools, spreadsheets, & word processing
- Strong analytic skills
- Ability to work independently
- Ability to meet deadlines
- Attention to detail required
- Strong problem solving ability
- Ability to multi-task
- Ability to determine key business issues & develop effective action plans from multi-disciplinary perspectives
- Ability to conduct & interpret quantitative & qualitative analyses

Preferred Qualifications:
- Master's degree]]> Mon, 14 May 2012 16:00:00 GMT 2429244-Oakland-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
-Leading and/or participating in various risk adjustment workgroups andproviding project management, consulting, and analytical support services.
-Communicate findings/results of risk adjustment projects to Regional leadership and National Medicare Finance leaders.
-Develop, interpret and implement financial concepts for risk adjustment forecasting, regulatory filings, financial analyses, and various types of financial reporting. - Duties also includeanalysis, preparing and summarizing recommendations for financial plans, trended future requirements, and working with regional partners to develop operating forecasts for risk adjusted revenues.
Provides project, service line or product line management, management consulting, and analytical decision support services or technical expertise for a broad array of financial and operational issues.
- Responsible for more complex multi-faceted projects and analyses across disciplines and functional areas.
- Assists in developing performance monitoring process and coordinating compilation, interpretation and presentation of monitoring information.
- Works with regional partners to ensure successful completion of annual Risk Adjustment initiatives.
- May be responsible for budget system completion, high level reviews and conducting area wide analyses for target development.
- Conducts or participates in complex projects where analysis requires an in-depth evaluation of factors.

Qualifications:

Basic Qualifications:
-Eight or moreyears of financial analysis or related experience.
- Bachelor's degree in finance related field or equivalent experience.
- Regularly contributes to the development of new financial analysis concepts, techniques, and standards.
- Frequently contributes to the development of new financial analysis theories and methods.
- Expert proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Thorough knowledge of financial analysis policies, practices and systems.
- Extensive knowledge of several or all of the following: general finance theories and methodologies, discounted cash flow analysis, cost/benefit analysis, feasibility studies, large scale business planning, financial modeling and project management.

Preferred Qualifications:
- MBA Preferred.
- Proficiency preparing Powerpoint presentations and presenting to leadership
]]> Sun, 13 May 2012 16:00:00 GMT 2424169-Ohio-Accounting,-Finance,-and-Actuarial-Services Senior Auditor
Oakland,CA

Internal Audit Services (IAS) is looking for a Senior Auditor.
Essential Functions:
-Effectively prepare a well-developed audit approach and document high quality work papers for complex financial and operational audits.
-Understand and document business systems / processes using narrative and/or flowcharting techniques.
-Prepare and utilize risk assessment tools, audit-related exhibits, materials, communications, etc. as required.
-Analyze findings, determine 'root causes', formulate opinions, and develop recommendations.
-Prepare work papers documenting and supporting audit procedures and techniques conducted.
- Under guidance of Auditor-in-Charge, may prepare audit presentations to management.
-Other duties as assigned.
-25-35% travel.

Qualifications:

Basic Qualifications:
-Typically less than 5 years of professional auditing or comparable experience
-Bachelor's degree in business, accounting, finance, information systems or related field or equivalent experience required.
- Demonstrated knowledge, skills, and experience in applying the principles and practices of internal auditing in accounting, financial, and operational environments, including auditing business functions and information technology systems.
- Demonstrated general accounting, financial and business skills, knowledge, and experience.
- Demonstrated skills in the identification and resolution of business problems within a team setting. Ability to research and identify best practices.
- Demonstrated ability to understand and document business processes and related internal controls in narrative and/or flowchart formats.
- Demonstrated ability to effectively utilize general audit software such as ACL, AutoAudit, etc.
- Basic project management skills.
- Demonstrated ability to adapt quickly to changing demands and environment and rapidly develop in-depth knowledge of new audit areas.
- Excellent verbal, written communication, and presentation skills. Ability to persuade, articulate & defend positions.
- Microsoft Office (Word, Excel, PowerPoint & Access)
- Ability to travel 25-35% of the time

One of the following certifications is strongly preferred:
- Certified Internal Auditor (CIA)
- Certified Public Accountant (CPA)
- Certified Information System Auditor (CISA)
If currently not certified, employee is expected to actively demonstrate progress toward completion of certification within a reasonable time as approved by the VP, Internal Audit Services.

]]> Thu, 10 May 2012 16:00:00 GMT 2424252-Oakland-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Provides leadership and direction for the staff in accordance with the overall strategic direction of the department.
- Facilitates the ongoing learning, well-being, professional satisfaction and development of staff through training, work assignments, increased responsibility/autonomy and mentoring.
- Serves as the content expert of the responsible area, providing assistance and advice.
- Recommends financial process improvement to finance leadership
- Communicates information effectively, translating financial data into meaningful information that support business decision-making.
- Applies understanding of operational and financial performance to anticipate and meet the needs of clients.
- Holds unit to high standards of performance.
- Assures integrity of data and analysis.
- Partners with stakeholder groups in resolving operational / planning issues, and gaining acceptance and approvals.
- Coordinates Financial Planning activities with stakeholder groups.
- Prepares analysis and presentation for senior leadership.


Qualifications:

Basic Qualifications:
-Three or moreyears of management experience.
-Five or more years ofyears of related experience.
- Four (4) year degree in related field or equivalent experience.
- Requires full knowledge of own area of functional responsibility and working knowledge of another function.
- Proficiency with Microsoft office (i.e. Excel, Access, Word, PowerPoint).
Preferred Experience:
- Master's in Business Administration.
- Strongdirectly related financial planning and analysis experience.
- Experience with TM1, Cognos, or relational databases.
- Knowledge in one of the following: accounting, finance, quantitative analysis, financial analysis, information systems, or organizational development.
- Excellent skills in analytic problem solving and group processes.]]> Thu, 10 May 2012 16:00:00 GMT 2424181-Oakland-Accounting,-Finance,-and-Actuarial-Services This position provides actuarial leadership, management and analytical support for the following lines of business:
- Large group rating methodology program-wide with corresponding actuarial rate modeling support
- Federal Employees Health Benefits Program (FEHBP)
- National Accounts
- KP employee health benefits plan.
- KP Individual Plan (KPIF)
- Small Group
Essential Functions:
- Providing leadership on the actuarial aspects of the National Pricing System (NPS) and related applications, the rate modeling process and rating factor development for the regions outside of California.
- Providing program-wide financial and strategic leadership for the Federal Employee Health Benefit Plan (FEHBP) line of business and implementing appropriate risk management protocols to minimize audit findings or Medical Loss Ratio (MLR) rebate exposure.
- Providing program-wide actuarial leadership for the National Accounts line of business, including strategy development and renewal negotiations for our largest accounts and process improvements to help manage this portfolio of business.
- Supporting and partnering with regional staff to analyze individual and small group product line financials to determine premium rates, profit forecasts, reserve adequacy, and other product line evaluations.
- Modeling and analysis (including durational analysis) - e.g., to forecast the impact of changes in underwriting practices on acceptance rates, membership and financial results.
- Offering instruction for and collaboration with regions actuarial staff.
- Forecasting - membership, revenue and costs under various scenarios.
- Explaining rating factors and rating methodology to senior-level internal (e.g., OLG) and external stakeholders (e.g., large customers, consulting houses).
- Increasing the skill level and competency of market-facing staff regarding the KP large group rating methodology.
- Evaluating the impact of ACA on revenue and rate impact on individual and small group business lines.
- Drive standardization of tools and processes used by regional actuaries in supporting individual and small group business lines, including regulatory rate filings; promote best practices.
- This position is expected to report to the Chief Actuary. This position interacts with many other internal leaders (listed below in key relationships) and many senior leaders at OPM, technology vendor leaders, and at our largest national accounts.
- Models and reinforces ethical behavior in self and others in accordance to the Principles of Responsibility; adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty; shows consistency in words and actions; follows through on commitments.
- Regional Leaders are accountable for communication, implementation, enforcement, monitoring and oversight of compliance policies and practices in their departments.


Qualifications:

Basic Qualifications:
- An Associate Society of Actuaries (ASA) is required along with being a Member of the American Academy of Actuaries (MAAA).
- Bachelor's degree in Finance, Business Administration or related field required.
- Must have a minimum of 8 years of experience in insurance brokerage, benefits consulting or health plan actuarial services.
- Must have a minimum of 5 years of experience managing professional staff.
Preferred Qualifications:
- Fellowship in the Society of Actuaries (FSA) is preferred but not required
]]> Thu, 10 May 2012 16:00:00 GMT 2424178-Oakland-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Responsible for conducting and documenting complex financial and operational audits.
- Understand and document business systems/processes using narrative and/or flowcharting techniques.
- Analyze findings, determine 'root causes', formulate opinions, and develop recommendations.
- Prepare working papers documenting and supporting audit procedures and techniques conducted.
- Under guidance of Auditor-in-Charge, may prepare audit presentations to management.
- Interprets and analyzes situations and information based on established concepts and general guidelines.
- Make decisions in conjunction with AIC on less defined issues and selects methods and techniques for obtaining solutions.
- Develops solutions to complex problems.
- May refer to established precedents and policies when making decisions.
- Assesses information to identify the best solution from existing alternatives.
- Requires in-depth analysis to develop solutions for complex problems.
- Interact regularly with various Regional management, Internal Audit management and staff, and external auditors and consultants.
- Conduct assigned audit projects independently and/or with team members.
- In conjunction with AIC determines and identifies potential risks and opportunities to the organization, and develops appropriate corrective action plans.
- Has no formal supervisory responsibilities.

Qualifications:

Basic Qualifications:
- Typically at least five (5) years of professional auditing or comparable experience required.
- Demonstrated knowledge, skills and experience in applying the principles and practices of internal auditing in accounting, financial and operational environments, including auditing business functions and information technology systems.
- Demonstrated general accounting, financial and business skills, knowledge, and experience.
- Bachelor's degree in business, accounting, finance, information systems or related field or equivalent experience required.
- One (1) of the following certifications (or actively pursuing one (1) of these): Certified Internal Auditor (CIA), Certified Public Accountant (CPA), Certified Information System Auditor (CISA).
- In addition to knowledge and skills of an Auditor II.
- Demonstrated skills in the identification and resolution of business problems within a team setting.
- Ability to research and identify best practices.
- Demonstrated ability to understand and document business processes and related internal controls in narrative and/or flowchart formats.
- Demonstrated ability to effectively utilize general audit software such as ACL, Auto Audit, etc.
- Basic project management skills.
- Demonstrated ability to adapt quickly to changing demands and environment, and rapidly develop in-depth knowledge of new audit areas.
- Excellent verbal and written communication and presentation skills.
- Ability to persuade, articulate and defend positions.
- Microsoft Office (Word, Excel, PowerPoint and Access).
- Lotus Notes.]]> Tue, 08 May 2012 16:00:00 GMT 2414966-Oakland-Accounting,-Finance,-and-Actuarial-Services
This position exists to improve Program performance by:
- Providing recommendations to senior leadership based on insightful analyses of operations and financial results for the Program and regions;
- Developing program-wide, strategically focused financial analyses and plans
- Consulting with and assisting functional operations, regional market operations and financial managers in improving performance;
- Consulting on major strategic and performance enhancement initiatives and special projects;
- Playing an integration role among various functions including quality, actuarial and decision reporting on analytical work related to key strategic initiatives;
- Integrating strategic financial analyses in program and regional planning processes.

Essential Functions:
- Lead financial valuation and value realization projects
a. Develop financial models to support strategic financial valuation efforts, including:
i. Initiation and development of planning and analytical models to support KP's value realization of quality and service initiatives
1. 'Top down' assessment of key opportunity areas
2. 'Bottoms up' assessment of specific initiatives
ii. Development of opportunity assessment considering benchmark performance and target costing ;
- In collaboration with key stakeholders, develop key metrics reports and tracking mechanisms; link to KP Corporate performance reports;
- In collaboration with key stakeholders, develop reporting tools in support of strategic financial assessments;
- Cascade valuation analyses and processes to regions in alignment with financial and strategic planning processes;
- Review and consult on business case development for national initiatives;
- Provides insightful financial analyses and presentations (standard and ad-hoc) to senior leadership and the Boards of Directors, which contribute to their effectiveness and the oversight of the Program and regions' financial health;
- Develops and manage various financial analyses including profitability (ROI), trend and competitive benchmarking;
- Consults on major strategic and performance enhancement initiatives and special projects;
- Additional responsibilities as assigned.

Qualifications:

Basic Qualifications:
- Master's degree in Business Administration with financial focus, Health Care Administration, Public Health or other related field required.Demonstrated equivalent experience with Bachelor's degree will be considered.
- A minimum of8 years ofexperience in financial planning, analysis, strategic planning or equivalent required.
- Management and supervisory experience required.
- Excellent verbal and written communication skills and expertise in the following: persuasion, negotiation, facilitation and meeting management, and oral presentations.
- Project management experience required.
- Health care industry experience (hospital, health insurance, pharmaceutical) or Kaiser Permanente experience required.
- Significant experience working with and presenting to C-level executives or Board of Directors.
- Financial modeling experience required.

Preferred Qualifications:
- Consulting experience strongly preferred.]]> Tue, 08 May 2012 16:00:00 GMT 1759820-Oakland-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Consistently ensures the timely and accuracy of payroll processing thru effective management of payroll supervisors leads and staff.
- Ensure Peoplesoft/ADP are properly functioning and in compliance with garnishment regulations. Oversee payroll and payroll related system testing and garnishment rules maintenance. Consult as needed with Benefits, HRSC's and regional HR/Finance contacts regarding benefit and process changes to ensure compliance and standardization occurs as much as possible.
- Lead Portland operations and garnishment team, including setting objectives, managing individual and team performance, mentoring staff members and ensuring adequate communication and a high level of team moral is achieved.
- Recommend processes and standards which adhere to local, state and federal rules and regulations.
- Develop and implement continued process improvements to the payroll operations and garnishment team processes.
- Research garnishment issues. Owner of city, state and federal agencies correspondence and resolution of related garnishment issues.
- Ensure the implementation and training of the FSO Service Vision, Standards and Norms is complete and effective in the Payroll Operations Team
- Model and reinforce ethical behavior in self and others in accordance to the Principles of Responsibility; adhere to organizational policies and guidelines; support compliance initiatives; maintain confidences; admit mistakes; conduct business with honesty; show consistency in words and actions; follow through on commitments.



Qualifications:

Basic Qualifications:
- Two (2) years of management experience and five (5) years of related experience.
- Four (4) year degree in related field or equivalent experience.
- Requires full knowledge of own area of functional responsibility and working knowledge of another function.

Preferred Experience:
- Three to five years multi-state garnishment processing experience in a large, complex organization.
-CPP or related certification.
]]> Mon, 07 May 2012 16:00:00 GMT 2414940-Portland-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Develops & implements a multidisciplinary project plan to comply w/ SOX requirements in the Region & across the program
- Provides general leadership & technical direction
- Provides regional & program-wide SOX leadership through the sharing of new tools, techniques & problem solving approaches
- Develops & manages annual internal control & process improvement review plan which complements the annual audit plan of Internal Audit services & the external auditors
- Prepares sensitive information & communicates it directly & effectively to clients & senior leaders
- Provides quality assurance resource to support change implementation initiatives
- Partners w/ finance functional directors to ensure that adequate controls are designed for business process improvement initiatives
- Directs the assessment of financial process practices at the regional level
- Facilitates the implementation of planned corrective measures
- Monitors operational programs & procedures to ensure existence of internal controls in the medical facilities & Regional offices to protect assets, maximize revenue & prevent errors or irregularities
- Directs professional staff to educate & guide finance units & customers to establish effective financial policies & procedures & apply Generally Accepted Accounting Principles & practices consistently
- Hires, trains, coaches & manages a team of professionals
- Provides work direction & guidance including professional development & training
- Manages the development of individual staff through annual goals setting & ongoing performance monitoring
- Creates team environment that encourages collaboration, supports receiving & providing feedback & encourages participation from all levels of staff
- Motivates team members & facilitates team meetings
- Adapts management style as appropriate to meet needs of a particular situation or team resulting in optimal performance


Qualifications:

Basic Qualifications:
- Bachelor's Degree required, with emphasis in business, finance, accounting or information systems required.
- Professional certification strongly preferred in at least one of the following: Certified Public Accountant (CPA), Certified Internal Auditor (CIA), Certified Management Accountant or Certified Information System Auditor (CISA).
- Ten (10) to fifteen (15) years of significant accountingand auditing experience required.
- Experience in managing, motivatingand developing a team of professional staff required.
- Significant knowledge of Sarbanes-Oxley legislation.
- Expertise in generally accepted accounting principles, internal control concepts, IT system controlsand health care regulations.
- Demonstrated ability to lead project work both tacticallyand strategically involving various partners.
- Demonstrated success in maintaining strong customer focusand achieving high levels of customer satisfaction.
- Demonstrated skills in identifyingand facilitating the resolution of business problems within a team setting.
- Demonstrated ability to determine the key business issuesand develop appropriate action plans from multi-disciplinary perspectives.
- Professional credibility necessary to mobilizeand orchestrate cross-functional responses within Kaiser.
- Proven leadership in matrix management environment that includes influencing, efficiency, collaboration, candorand openness with a focus on results orientation.
- Excellent supervisory leadership, project management, problem solvingand decision making skills.
- Ability to effectively communicate regulatoryand organizational requirements to customersand staff.
- Strong negotiation, presentationand facilitation skills.
- Excellent oraland written communication skills.


Preferred Qualifications:
- Health Care or Managed Care experience preferred.
- Understanding of the operations of KP preferred.
- Knowledgeand experience in custom and/or package system development, IT risksand controls.


Notes:
- May travel (15%).]]> Thu, 03 May 2012 16:00:00 GMT 2403984-Los-Angeles-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Supervises the Outside Medical Audit Group
- Develops, modifies and implements the departmental audit procedures as they affect all aspects of outside referral payments
- Ensures that audit staff tests payments for accuracy according to departmental policies and management guidelines
- Traces sources of inaccuracies; reports and proposes remedial action to appropriate management
- Ensures regular sampling of audits made by direct reports
- Prepares formal statistical summaries to department manager of findings and recommendations

Qualifications:

Basic Qualifications:
- Minimum of three (3) years of auditing or accounting experience
- Previous supervisory experience
- Prior experience in account payable and/or claims environment preferred
- Bachelor's degree or equivalent work experience in Business Administration or related field
- Proficient knowledge of mainframe, on-line computer systems, personal computers and spreadsheet and word processing programs
- Strong mathematical skills
- Medical terminology and knowledge of medical billing practices
- Good oral and written communication skills]]> Tue, 01 May 2012 16:00:00 GMT 2377228-Los-Angeles-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Provides leadership and guidance for the on-going evaluation of the internal control environment for all SOX, Model Audit Rule and Operational Business Control activities for the NW Region; directs the Internal Controls department on all activities including special projects
- Provides subject matter expertise regarding the National Sarbanes-Oxley Act of 2002 (SOX) initiative, Model Audit Rule and Operational Business Control Activities. Provides best practice guidance for internal control design, and supports business owners in the closure of identified deficiencies
- Develops and maintains effective partnerships with the regional business owners, National Mega Process Lead teams, Internal and External audit and the National Project Management Office and National Program Offices
- Partner with the SOX PMO to help create best practices that are effective and efficient to best leverage roles and responsibilities that support the ongoing vision of the SOX PMO strategy
- Ensure documentation of key business processes are continually maintained, including risk assessments and identification of key controls to meet the requirements of SOX. Ensure tests of controls are performed, results evaluated, and corrective action plans are developed and implemented to mitigate identified control weaknesses
- Provides overall leadership for the Internal Controls department and support regional business owners related to SOX, Model Audit Rule and Operational Business Control activities
- Ensure that departmental performance targets are set and clearly communicated.
- Independently prepare reports on the effectiveness of internal controls.Coordinate and communicate results with Controller, CFO, Compliance Officer, and Program Offices to create unified financial leadership for the region with regards to the internal controls
- Responsible for providing Project Management discipline for multiple projects included in the scope of the Internal Controls department including SOX, External Audit, Internal Audit and Management identified projects


Qualifications:

Basic Qualifications:
- Minimum of 7 years of internal audit experience and the evaluation of internal controls
- Minimum of 5 years of implementing Sarbanes-Oxley control activities
- Minimum of 5 years of supervisory/management experience
- Minimum of 3 years of project management experience
- Minimum of 3 years of health care experience in matrix management environment that includes influencing, efficiencies, collaboration and candor with focus on results orientation
- Minimum of 2 years of cost benefit analysis experience
- Minimum of 2 years of experience with fraud reviews and analysis
- Bachelor's degree or equivalent experience in accounting, finance or related field
- Strong technical skills in assessing business processes, design of internal controls, and assessment of risk
- Extensive knowledge and application of professional accounting principles, concepts, and techniques
- Strong listening stills and the ability to understand the business needs of operation managers
- Excellent decision making and problem solving skills
- Strong organizational and planning skills in managing complex projects
- Leadership skills and business acumen
- Ability to develop strong peer relationships
- Extensive experience with various automated accounting systems and databases
- Project Management experience
- Ability to enact change and influence people
- Excellent communication and presentation skills
- Proficient in Word and Excel, strong VISIO skills
- Experience managing professionals

Preferred Qualifications:
- Minimum of 7 years of internal audit experience and the evaluation of internal controls
- Minimum of 5 years of implementing Sarbanes-Oxley control activities
- Minimum of 5 years of supervisory/management experience
- Minimum of 3 years of project management experience
- Minimum of 3 years of health care experience in matrix management environment that includes influencing, efficiencies, collaboration and candor with focus on results orientation
- Minimum of 2 years of cost benefit analysis experience
- Minimum of 2 years of experience with fraud reviews and analysis
- Bachelor's degree or equivalent experience in accounting, finance or related field
- Strong technical skills in assessing business processes, design of internal controls, and assessment of risk
- Extensive knowledge and application of professional accounting principles, concepts, and techniques
- Strong listening stills and the ability to understand the business needs of operation managers
- Excellent decision making and problem solving skills
- Strong organizational and planning skills in managing complex projects
- Leadership skills and business acumen
- Ability to develop strong peer relationships
- Extensive experience with various automated accounting systems and databases
- Project Management experience
- Ability to enact change and influence people
- Excellent communication and presentation skills
- Proficient in Word and Excel, strong VISIO skills
- Experience managing professionals
Salary Range- $96,820.00 - $136,780.00]]> Thu, 26 Apr 2012 16:00:00 GMT 2384192-Portland-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
Under leadership of VP Finance, MSSA:
- Communicate with each MSSA leader about their Health Care Reform (HCR) needs and associated dollars in various budget categories.
- Analyze and consolidate information in different formats for different audiences
- Identify overlaps and gaps and identify those items that are not Reform
- Determine relative importance and priority of requests
- Frame discussions for MSSA HCR Advisory committee about options, ranges of costs, and decisions and provide analysis as necessary
- Serve as single point of contact for HCR staff and Advisory Committee
- Coordinate with Directors of HPO-PO Finance, HPSA FP&A, and HPO-CA Finance, HPIT PAC Finance and others to
- Ensure synchronization of identified HCR costs with functional budgets and expenses
- Keep them informed about activities of MSSA HCR Advisory Group and staff
- Advise of potential changes or issues

Under leadership of Director, HPO-PO Finance:
- Develop LRFP (Long Range Financial Plan), annual budget and quarterly forecasts in support of 3 senior leaders (SVPs) in HCR and FEHBP (Federal Employees Health Benefits Plan) in - both Program Office and the CA region.
- Actively contribute to the overall planning and execution of the HPO-PO budget during the annual planning process for all functional areas.
- Special projects as assigned.

Qualifications:

Basic Qualifications:
- Twelve (12) plus years financial analysis or related experience.
- Four (4) year degree in related field or equivalent experience.
- 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.
- Employs expertise as a generalist or specialist.

Preferred Experience:

-Knowledge of Kaiser Permanente budgeting and accounting practices.]]> Sun, 22 Apr 2012 16:00:00 GMT 2381534-Oakland-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Coordinates performance monitoring process with junior staff and participates in the development of forecasts.
- Conducts financial analyses independently or leads a team, participating in the most complex projects.
- Designs and builds financial models based on diverse financial sources, in order to inform strategic decisions.
- May direct the production of ad hoc and periodic reports for department, facility, and/or regional management.
- Works to improve data quality processes and report design to meet diverse and changing needs for management reporting.
- Participates in the planning and development of department and non-department budgets, budget system completion, high level reviews and conducts area wide analyses for target development.
- Prepares understandable and defensible financial analyses of decision alternatives by utilizing spreadsheets and accessing various databases.
- Oversees preparation of analyses for project teams, regional, departmental, and/or functional management and staff analysts.
- Writes reports of recommendations and delivers formal presentations of analytic findings and suggested action steps to management and senior leaders.
- Facilitates and participates in meetings and presentations.
- Provides education and management consulting on the use and interpretation of analyses, reports, methodologies and source data to managers/leaders.
- Develops feasibility studies and business plans to support new lines of products and services.
- Supports executive staff and committees in the development, analysis a communication of cost saving strategies and budgets and in the research of financial, operation and variance issues.

Qualifications:

Basic Qualifications:
- Six (6) plus years of related experience in financial analysis and budgeting.
- Bachelor's degree or equivalent.
- CPA or master's degree preferred.
- Extensive knowledge of several or all of the following.
- General finance theories and methodologies, discounted cash flow analysis, cost/benefit analysis, feasibility studies, large scale business planning, financial modeling and project management.
- Expert proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Strong oral and written communication, presentation and facilitation skills.
- Strong consulting skills.
- Works independently, accountable to complete work assignments.
- May provide project supervision to junior staff.]]> Fri, 20 Apr 2012 16:00:00 GMT 2367820-North-Bay-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Provides overall supervision of the collections department, contributes and ensures accurate and timely collection of all appropriate revenue for PBS.
- Recruits and maintains a competent, motivated and qualified staff including disciplining, counseling, coaching, advising, training, termination and resolution of personnel issues.
- Conducts performance evaluations for staff.
- Monitors and measures collection performance against cash performance targets by collector, by payer category, by medical center and division, and maintains communication between the collections teams and service area PBS teams.
- Identifies and develops new products and services to enhance recoveries.
- Communicates updated procedures and information to all involved parties.
- Ensures effective financial management of accounts.
- Receivable, to include financial tracking and analysis of financial recoveries and performance.
- Plans and implements departmental programs and systems that provide analytical support on financial issues.
- Authorizes refunds, write offs and adjustments up to a specified amount.
- Provides consulting expertise to business function areas and coordinates/conducts required training as identified from various sources or externally mandated requirements; stays abreast of all regulatory changes and requirements; implements and communicates changes to department and service area staff within PBS.
- Ensures timely and accurate processing of industrial, TPL, COB, commercial insurance, Medi-Cal, and outpatient Medicare and self pay accounts in accordance with best practices, defined process flows and procedures and applicable legislative and regulations.
- Ensures consistent application of processing procedures, policies and personnel practices among the employees on the collection team and promotes organization and division strategic objectives.
- Supervises the work of the staff in maintaining high quality of work with revenue enhancement and customer service focus, through monitoring operational performance, and implementation and improvement options for either/or Northern and Southern California.
- Ensures consistent application of divisional wide operational practices, policies and procedures.
- Develops, recommends, implements and monitors goals, objectives, and performance standards.
- Tracks and analyzes financial recoveries of outside vendors, ensuring effective performance.
- Plans, develops, and implements administrative strategies consistent with business plans, organizational goals, health plan member service agreements and federal and state law.
- Ensures appropriate financial reporting and accounting of revenue.
- Assume other duties as directed.

Qualifications:

Basic Qualifications:
- Three (3) years demonstrated ability to lead, manage and supervise staff, preferably in a healthcare environment.
- Bachelor's degree or equivalent collection management experience in a health care setting.
- Familiarity with specific lines of business (e.g., billing, collections, governmental programs, etc).
- Knowledge of applicable state and federal regulations related to billing and collections.
- Knowledge in budgeting and accounting principles and of personnel/labor laws and regulations.
- Knowledge of systems requirement development and user acceptance testing.
- Excellent negotiating and analytical skills.
- Demonstrated interpersonal skills in dealing with employees and all levels of management.
- User knowledge of word processing and spreadsheet software and mainframe systems.
- Strong verbal and written communication skills and excellent presentation skills.
- Knowledge and understanding of the relationship between management and union contracts and work within the parameters of the Labor management partnership, preferred.]]> Thu, 19 Apr 2012 16:00:00 GMT 2365433-Los-Angeles-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Provides leadership and direction for the unit in accordance with the overall strategic direction of the department.
- Serves as the content expert of the responsible area, providing assistance and advice.
- Communicates information effectively, translating financial data into meaningful information that support business decision-making.
- Applies understanding of operational and financial performance to anticipate and meet the needs of clients.
- Holds unit to high standards of performance.
- Assures integrity of data and analysis.
- Defines and frames complex issues and develops time tables/processes for decision making.
- Facilitates the ongoing learning, well-being, professional satisfaction and development of staff through training, work assignments, increased responsibility/autonomy and mentoring.

Qualifications:

Basic Qualifications:
- Significant (seven (7) plus years) of directly related financial experience with a variety of projects.
- Prior experience managing staff.
- Experience with KP data sources.
- Experience with SAS and Microsoft access helpful.
- Bachelors degree, or equivalent experience, in business administration, economics, finance, accounting, or related field.
- CPA, master's degree or extensive healthcare industry experience preferred.
- Knowledge in one (1) of the following: accounting, finance, quantitative analysis, financial analysis, healthcare economics, information systems, organizational development, health care delivery systems, project management or new business development.
- Knowledge of applicable federal and state laws and regulations related to the healthcare industry.
- Strong communications, presentation and interpersonal skills.
- Excellent skills in complex analytic problem solving, project management and group processes.
- Proficiency with Microsoft office (i.e., Excel, Word, PowerPoint).
- Masters degree in Business Administration (MBA), Public Health, Health Administration, or other related field preferred.]]> Thu, 19 Apr 2012 16:00:00 GMT 2365426-Oakland-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Analyzes and evaluates each outside medical services bill for appropriateness of charges and processes for payment ensuring payment is made only for authorized services, procedure codes are consistent with diagnosis codes and services are not unbundled. Investigates and resolves billing problems.
- Identifies impact of contractual agreements on actual costs and alerts supervisor of findings that indicate unfavorable impact of cost containment efforts.
- Monitors billing practices of outside providers. Reviews and processes Authorizations for Medical Care which involves verifying eligibility, monitoring benefit limits and assigning reason and service codes.
- Interprets existing contract language and responds to inquiries from outside providers regarding contractual arrangements. Utilizes multiple mainframe systems to determine primary payer status of pending referrals and answers inquiries of patients and providers.
- Works closely with KFHP case managers to inform them of all members in non-Kaiser hospitals to expedite repatriation and patients and providers to answer inquiries.
- Processes non-purchase order invoices, employee expense reports and other requests for payment.
- Investigates and resolves vendor/department inquiries.

Qualifications:

Basic Qualifications:
- Two-year college degree, or equivalent experience, in accounting or related field. Bachelors degree preferred.
- Previous medical billing office experience in a hospital or clinic environment requiring knowledge of medical terminology and application of medical billing codes or claims processing experience at a senior level.
- Familiarity with medical billing standards, Medicare billing requirements and KFHP benefits preferred.
- Excellent customer service, telephone presentation and problem solving skills.
- Previous experience working with a mainframe database claims processing/billing system.
- Ability to prioritize work in a high volume demanding environment.
- Must be able to work in a Labor/Management Parnership environment.

Please note: Hours are Monday through Friday, but can be negotiated.]]> Thu, 19 Apr 2012 16:00:00 GMT 2365348-Sacramento-Accounting-Finance-and-Actuarial-Services Essential Functions:
- Initiates and facilitates investigation variances trends, cost trends and utilization patterns and performs analysis.
- Coordinates process as defined. Ensures analyses are conducted in accordance with administrative objectives.
- Designs analytical reports and prepares complex financial trend and data analysis reports.
- May be accountable for the coordination, compilation, and verification of analytic interpretation of financial reports and analyses.
- Proactively identifies potential data and analytical needs to support management and performance monitoring requirements.
- Participates in the planning and development of regional, departmental and/or functional budgets.
- May be responsible for budget system completion and high level reviews.
- Performs special projects/studies of moderate to complex scope as directed.
- Develops work plans independently.
- Completes structured projects with targeted analytical outcomes, defined clients and project teams.
- Works autonomously and collaboratively with project teams and clients.
- Identifies operational impact of analytical findings.
- Manages projects of moderate to complex scope with general supervision.
- Conducts ongoing user education and provides management consultation on the use and interpretation of analyses, reports, methodologies and source data and systems.
- Develop spreadsheet and database analyses for presentation and analysis of financial reports.
- Coordinates and interacts with any of the following: Finance Team, Revenue Cycle, Admin, Dept. Administrators & Chiefs, and other organizational department leadership (as appropriate) in providing analytical assistance within defined parameters.
- Facilitates data analysis for and gives presentations.
- Monitors compliance with policies and procedures related to financial management and budget systems and related automated systems.
- Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Qualifications:

Basic Qualifications:
- Four (4) plus years of related experience in financial analysis and budgeting.
- Bachelor's degree or equivalent.
- CPA or master's degree preferred.
- Highly developed knowledge of finance theories such as present values theory/cash flow analysis and accounting principles.
- Able to formulate finance study designs and prepare and conduct professional presentations.
- Advanced proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Ability to facilitate design and requirements definitions meetings with a wide variety of managerial leaders.
- Demonstrate experience in both detailed financial and operational data analysis and consultative skills.
- Strong oral, written and presentation communication skills.
- Works under limited guidance and accountable to complete work assignments.
- May provide functional direction to junior finance staff.
- Skilled in various applications including MS Excel, Access, VBA, SQL and KP Health Connect preferred.]]> Wed, 18 Apr 2012 16:00:00 GMT 2362680-San-Francisco-Accounting-Finance-and-Actuarial-Services Essential Functions:
- Coordinates performance monitoring process with junior staff and participates in the development of forecasts.
- Conducts financial analyses independently or leads a team, participating in the most complex projects.
- Designs and builds financial models based on diverse financial sources, in order to inform strategic decisions.
- May direct the production of ad hoc and periodic reports for department, facility, and/or regional management.
- Works to improve data quality processes and report design to meet diverse and changing needs for management reporting.
- Participates in the planning and development of department and non-department budgets, budget system completion, high level reviews and conducts area wide analyses for target development.
- Prepares understandable and defensible financial analyses of decision alternatives by utilizing spreadsheets and accessing various databases.
- Oversees preparation of analyses for project teams, regional, departmental, and/or functional management and staff analysts.
- Writes reports of recommendations and delivers formal presentations of analytic findings and suggested action steps to management and senior leaders.
- Facilitates and participates in meetings and presentations.
- Provides education and management consulting on the use and interpretation of analyses, reports, methodologies and source data to managers/leaders.
- Develops feasibility studies and business plans to support new lines of products and services.
- Supports executive staff and committees in the development, analysis a communication of cost saving strategies and budgets and in the research of financial, operation and variance issues.

Qualifications:

Basic Qualifications:
- Six (6) plus years of related experience in financial analysis and budgeting.
- Bachelor's degree or equivalent.
- CPA or master's degree preferred.
- Extensive knowledge of several or all of the following.
- General finance theories and methodologies, discounted cash flow analysis, cost/benefit analysis, feasibility studies, large scale business planning, financial modeling and project management.
- Expert proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Strong oral and written communication, presentation and facilitation skills.
- Strong consulting skills.
- Works independently, accountable to complete work assignments.
- May provide project supervision to junior staff.]]> Wed, 18 Apr 2012 16:00:00 GMT 2362684-San-Francisco-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Develops insurance rates, rating systems, and rating structures for groups.
- Acts as Project lead on actuarial studies, pricing strategies and policies.
- Projects require complex planning and direction setting with actuarial team members.
- Provides guidance and support to in answering questions about the marketplace.
- Utilizes advanced actuarial concepts to develop procedures, conduct research, and make recommendations to management.
- Defines scope, coordinates, and assures completion of major projects.
- Initiates contact with management and alerts them to critical issues.
- Communicates, interprets, and presents key findings and implications / recommendations to Actuarial leadership.
- Reviews work of others for actuarial soundness.
- Provides actuarial information to produce revenue forecasts and financial reports.
- Stays aware of emerging issues affecting product lines.


Qualifications:

Basic Qualifications:
- Bachelor degree in mathematics, statistics, computer science; Or Masters and 2+ years experience.
- Minimum 3 years experience.
- Advanced knowledge of actuarial statistics assumptions used for ratemaking, loss reserving and forecasting, as well as company operations.
- Belongs to the Society of Actuaries with the designation of ASA (Associate).

Preferred Qualifications:
- Has a strong understanding of the application of research to major business and strategy questions
- Knowledge of health care industry dynamics and trends
- Ability to manage large projects and to oversee multiple projects at the same time
- Thorough knowledge of actuarial methodologies and their applications to business problems.
- Regularly contributes to the development of new actuarial techniques and work standards.
- Strong understanding of and ability to think through causal relationships
- Very familiar with the internal and external statistical plans and sources of data, and the use of spreadsheet applications.
]]> Wed, 18 Apr 2012 16:00:00 GMT 2359522-Atlanta-Accounting-Finance-and-Actuarial-Services
Essential Functions:
-Provides financial leadership for the Medicare line of business in the NW region.
- Responsibilities impact the integrated achievement of National Medicare Finance (NMF) and KP objectives that strongly contribute to long-term success of the Medicare Line of Business in the NW region.
- Oversees development of Medicare revenue budgets and forecasts to include all components of Medicare reimbursement.
- Regularly interacts with executives and/or major customers to support development of strategy and direction for the Medicare line of business consistent with overall strategic direction.
- Provides leadership and influence with the development and execution of risk adjustment related initiatives in cooperation with key business partners including KP medical group, coding, information systems, and national risk adjustment teams.
- Directs budget to actual reporting and variance analyses on a monthly basis; accountable for management and support of preparation, analytic support, and monitoring of CMS contracts (e.g., Medicare bid) in coordination with other regional and national partners.
- Maintains current knowledge of changes in Federal Medicare and regulations and requirements.
- Develops awareness and accountability within NMF, NMF's key business partners on all aspects of Medicare Advantage Reimbursement to ensure that reimbursement revenue is accurately recorded and reported, and in compliance with CMS regulations.
-Responsible for participating in audits and audit coordination at the regional level for external, internal, and regulatory financial audits and remediation of audit findings.
- Leads, directs, and participates cross regional/national work teams as necessary.
- Promotes sharing and implementation of best practices both regionally and nationally. - Manages the resolution of diverse and complex issues where analysis of situations or data requires an in-depth knowledge of multiple functions and KP objectives

Qualifications:

Basic Qualifications:
- Five (5) to eight (8) years of management experience and ten (10) to fifteen (15) years of related experience.
- Four (4) year degree in related field.
- Master's degree preferred.
- Requires expert knowledge of own area of functional responsibility and advanced knowledge of multiple related functions.

Preferred Qualifications:
- Leadership skills and experience in managing goals through collaboration and teamwork.
- Demonstrated ability to lead financial reporting, financial variance analysis, product line analytics, and product development analyses.
- Demonstrated ability to coordinate with regional and national peers/stakeholders and manage multiple projects, and manage to metrics.
- Demonstrated business acumen, problem solving and decision making skills.
- Excellent written and oral communication skills.
- Experience with staff development.
]]> Wed, 18 Apr 2012 16:00:00 GMT 2362663-Portland-Accounting,-Finance,-and-Actuarial-Services
This position plays a key role in support of the Pricing and Product Development department mission and goals.

The Pricing and Product Development department mission is to provide strategic, management and technical support to the organization in the achievement of financially sound sustainable growth in a manner consistent with Kaiser Permanente's business model and the KP promise of quality you can trust, convenient and easy service, caring with a personal touch, and affordability.

Relevant department goals include:
- High quality management control systems
- Products and benefits that meet the needs of the market
- Actuarial and Population Risk assessment activities that support strategic management decisions as well as underwriting activities
- Cross functional coordination and integration among all the regions nationally processes.

Essential Functions:
- Promote the development of actuarial staff and expertise and manage Shared Service actuaries and actuarial support staff.
- Manage Actuarial support across a comprehensive range of market segments (commercial, Medicare, Medicaid, and charitable care programs), products (HMO, dHMO, POS, PPO), coverages (medical, pharmacy, behavioral health, dental), and financial arrangements (insured, flex funding, self-funding).
- Manage actuarial support to Kaiser Permanente Insurance Company (KPIC), which provides insurance coverage and is the legal entity offering self-funding for Kaiser Permanente.
- Provide leadership and analytic support for Fee Schedule Oversight Team (FSOT), a senior leadership team that is cross-functional, cross-regional, and cross health plan/medical group.
- Evaluate and monitor changes in the capture and coding of services.
- Provide direction in the analysis of the Kaiser Permanente total value demonstrations - showing how KP delivers high quality care at below market total costs.
- Develop trend analyses that both give insight into changes in historical utilization and cost and support projections of future resource demands.
- Work in partnership with Finance, Market Strategy and Rate Setting teams to develop accurate forecasts of revenue and costs.Provide leadership in the development of rate actions that will best achieve organizational goals.
- Support the negotiations of the Medical Services Agreement and Memorandums of Understanding between the health plan and the Permanente Medical Groups.
- Develop and maintain rating factors, building rational variation in any regionally determined factors.Develop rating factors, pooling charges, and experience rating trends that generate dues/premium rates that are aligned with the organizations revenue needs.
- Develop pricing policies that achieve the organization's membership and contribution margin goals.Partner with Underwriting in the development and implementation of rate strategies that address group specific needs.
- Provide leadership, tools, and training to support self-funding across the organization.
- Provide leadership in the development of Medicare and retiree strategies


Qualifications:

Basic Qualifications:
-Bachelor's degree in mathematics, actuarial science, business, finance, economics, or equivalent.
-Member of the American Academy of Actuaries (MAAA) is required.
-Associate of the Society of Actuaries (ASA) is required.
- Minimum of 15 years of actuarial health plan experience with a demonstrated and successful leadership track record in large complex organizations.
- Minimum of 5 years as VP or Chief Actuary in medium to large sized health insurance companies.
- Experience implementing controls and reporting systems to improve management capabilities and results for local markets and nationally.
- Demonstrated ability to negotiate 'win-win' situations as it relates to business decisions.
- Ability to assess market conditions and recommend necessary pricing and rate setting improvements or revenue growth opportunities.
- Ability to build partnerships and influence other leaders is essential.In addition, the Chief Actuary must consistently demonstrate integrity, prudence, high energy, initiative to act, and self-confidence.

Preferred Qualifications:
- MBA or related graduate degree highly preferred.
- Fellow of the Society of Actuaries (FSA) is preferred.]]> Tue, 17 Apr 2012 16:00:00 GMT 2359539-Oakland-Accounting,-Finance,-and-Actuarial-Services Senior Manager, Northern California Accounts Payable
Oakland, CA


Kaiser Permanente is looking for a Senior Manager to oversee the Northern California Accounts Payable team.

Essential Functions:
- Establishes operational objectives and work plans, and delegates assignments to subordinate managers.
- Establishes and assures adherence to budgets, schedules, work plans, and performance requirements.
- Participates in the long-term strategic planning and direction setting of the function.
- Develops and establishes operational policies within area managed.
- Involved in developing, modifying and executing company policies that affect immediate operations and may also have KP-wide effect.
- Participates in the development of overall functional objectives and KP goals.
- Provides managerial responsibility for two or more departments or functions, through subordinates.
- Accomplishes results through subordinates, who exercise significant latitude and independence in their assignments.
- Develops performance requirements.
- Determines and establishes organizational structures.
- May have budget responsibilities.

Qualifications:

Basic Qualifications:
- 8+ years of accounting experience to include extensive work in high volume Accounts Payable
- 3+ years of management experience
- Strong knowledge of : AP processing, P-Card processing, EDI, Electronic Commerce, Automated Workflow, Purchasing, and the matching process associated with Accounts Payable processing
- Advanced knowledge of dues revenue, financial reporting, and business performance and working knowledge of other areas in Accounting function
- Bachelor's degree in related field or 4 years of additional equivalent experience

Preferred Qualifications:
- Master's degree, CPA, MBA or Management Accountant
- Six Sigma experience
- Previous direct supervisory experience in an organized labor environment
- Involvement in system implementation and/or integration
- Peoplesoft experience
- 3+ years of experience in managing a large operations team
]]> Mon, 16 Apr 2012 16:00:00 GMT 2355453-Oakland-Accounting-Finance-and-Actuarial-Services
Essential Functions:
- Leads teams in conducting financial analysis and feasibility studies of complex multi-faceted projects.
- Key topic areas include medical service delivery, hospital contracting, benefit design, capital investment decisions, departmental financial management, and other projects within the scope of Decision Support.
- Conducts very complicated analysis.
- Reviews and makes recommendations for the design of financial models.
- Oversees preparation of preliminary interpretations of analyses for project teams, clients and/or department management.
- Recommends suggested action steps based on analytic findings.
- Finalizes reports of recommendations.
- Delivers formal presentations of analytic findings and suggested action steps to Department Management and Senior Management.
- Supervises other analytical resources on a project basis.
- Provides guidance to more junior analysts and develops their skillsets, where appropriate.
- Leads projects involving multi-disciplinary teams.
- Provides education and management consulting on the use and interpretation of analyses, reports, methodologies, and source data to managers.
- Participates as a member of divisional task forces or committees, as assigned.
- Develops positive working relationships with peers in Divisional Offices, Services Areas, and Medical Groups to ensure accomplishment of key Finance Department objectives.

Qualifications:

Basic Qualifications:
- Significant, six (6) or more years of experience demonstrated financial and/or analytical experience with a variety of complex, multi-faceted projects.
- Experience in large-scale business planning, feasibility studies, and/or project management required.
- Health care experience highly preferred.
- Analytical supervisory experience strongly preferred.
- Bachelor's degree in Business Administration with an emphasis in Accounting, Finance, or related field.
- Master's degree highly preferred.
- Extensive knowledge of several or all of the following: general finance theories and methodologies, Net Present Value, Cost/Benefit analysis, Feasibility studies, large scale business planning, financial modeling, and project management.
- Ability to develop these skills in team members.
- Proficient with a variety of software applications (spreadsheet, word-processing, graphics etc.) and mainframe systems.
- Proven leadership skills in finance, project management, and consulting required.
- Must demonstrate effective communication, consulting, presentation, analytical and writing skills.
- Must be able to work in a Labor/Management Partnership environment.

Notes:
-PR# MT-1361
-Work schedule to vary as required.]]> Mon, 16 Apr 2012 16:00:00 GMT 2355431-California-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Coordinates performance monitoring process with junior staff and participates in the development of forecasts.
- Conducts financial analyses independently or leads a team, participating in the most complex projects.
- Designs and builds financial models based on diverse financial sources, in order to inform strategic decisions.
- May direct the production of ad hoc and periodic reports for department, facility, and/or regional management.
- Works to improve data quality processes and report design to meet diverse and changing needs for management reporting.
- Participates in the planning and development of department and non-department budgets, budget system completion, high level reviews and conducts area wide analyses for target development.
- Prepares understandable and defensible financial analyses of decision alternatives by utilizing spreadsheets and accessing various databases.
- Oversees preparation of analyses for project teams, regional, departmental, and/or functional management and staff analysts.
- Writes reports of recommendations and delivers formal presentations of analytic findings and suggested action steps to management and senior leaders.
- Facilitates and participates in meetings and presentations.
- Provides education and management consulting on the use and interpretation of analyses, reports, methodologies and source data to managers/leaders.
- Develops feasibility studies and business plans to support new lines of products and services.
- Supports executive staff and committees in the development, analysis a communication of cost saving strategies and budgets and in the research of financial, operation and variance issues.

Qualifications:

Basic Qualifications:
- Six (6) plus years of related experience in financial analysis and budgeting.
- Bachelor's degree or equivalent.
- CPA or master's degree preferred.
- Extensive knowledge of several or all of the following.
- General finance theories and methodologies, discounted cash flow analysis, cost/benefit analysis, feasibility studies, large scale business planning, financial modeling and project management.
- Expert proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Strong oral and written communication, presentation and facilitation skills.
- Strong consulting skills.
- Works independently, accountable to complete work assignments.
- May provide project supervision to junior staff.]]> Sun, 15 Apr 2012 16:00:00 GMT 2351512-Walnut-Creek-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Participates in the development of the Region's business plan & supports the preparation of the financial components.These include strategic financial planning for rates, capital, & operating expenses.
- Coordinates & directs the preparation of the Rate-making, Operating, & Long Range Financial (Operating & Capital) Forecasts assuring consistency w/ the Region's strategic business plan.This responsibility includes coordination of a multi-year process as well as putting together schedules & due dates & making sure all components are included. Monitors progress of forecasts & assures that decisions are made by Regional Management in order to complete them in a timely & accurate manner.
- Manages a first-class financial decision support capability that enables managers to make effective financial decisions.
- Develops financial recommendations such as resource allocation, cost structure changes & dues increases; reviews recommendations w/ the Manager of Financial Systems & Analysis & Senior Staff including Regional Controller, Medical Group Business Administrator, Health Plan Manager, & service area management teams & service chiefs.
- Provides efficient, on-going operation of the Financial Planning Department through effective organization, selection, development, appraisal, motivation & retention of competent staff.Hires, trains, & exercises overall responsibility for personnel under supervision.
- Provides a competent analytical staff to support the service area management teams & other accountable 'budget' owners in the development & day-by-day management of their financial responsibilities.
- Acts as a financial consultant to the Region.Responds to questions from all customers ranging from the Regional Manager & Medical Director to the supervisory level throughout the Region.Conducts financial management training.Produces routines & ad hoc reports for management that are used to monitor operations & make management decisions.
- Directs the preparation of financial feasibility studies & any special financial analysis required by the Region.Recommends course of actions.
- Directs the preparation & analysis of financial results, including variances from forecast, on a monthly & annual basis.Identifies trends & produces revised forecasts.
- Provides competent administration of the Medical & Hospital Service Agreements including preparation of the annual addendum.
- Directs the Region's capital Budget process.
- Directs the development of all financial reporting & analysis required by the Region's participation w/ a Medicare Cost Contract.This includes submission to HCFA of the annual budgets & cost reports, & special studies which determine the financial viability of participation in this program.

Qualifications:

Basic Qualifications:
- Broad business background w/ at least 5 years of financial planning experience is required.
- A minimum of 2 years of supervisory experience is required.
- BS Degree in business, finance, or accounting required.
- Ability to analyze, understand & communicate complex issues or trends is required.
- Extensive knowledge of PC & its applications is required.
- Familiarity w/ main frame systems is required.

Preferred Qualifications:
- MBA in general finance or health care finance or a CPA preferred.]]> Sun, 15 Apr 2012 16:00:00 GMT 2351492-Rockville-Accounting-Finance-and-Actuarial-Services Audit Director, Internal Audit Services
Oakland or Denver


Kaiser Permanente is looking for an Audit Director.


Essential Functions:

- Develops the strategy and sets priorities for multiple practice areas and regions, leveraging and engaging other members of the team as necessary. Takes the lead role in driving practice area/regional development based on risk assessment activities, client interactions, and industry knowledge. Directs the on-going risk assessment process.
- Identifies and leads continuous improvement efforts within IAS.
- Plays a lead role in the coordination of audit projects with other audit and compliance functions to maximize efficiency and coverage of key risk areas.
- Hires, develops, and manages an effective and diverse workforce.
- Plans, schedules and supervises assigned audit projects and staff in accordance with the audit plan, project budgets, and milestones. Reviews and approves project level risk assessments, develops audit plan programs, reviews work papers, and approves/prepares reports. Adheres to professional and IAS standards.
- Uses professional judgment to identify content, stakeholder groups, and timing for effective communication of ideas, areas of improvement, and audit conclusions. Professionally communicates both verbally and in writing. Communication is conveyed in a timely manner.
- Develops and builds client relationships. Ensures coordination with peers to accomplish the annual audit plan and department goals.
- Cultivate productive internal and external relationships that inform and guide the internal audit function toward effective and appropriate engagement, reporting, communications, and management decision making. Seeks to be a catalyst.
- As the lead Audit representative, interacts regularly with various Regional management, Internal Audit management and staff, and external auditors and consultants.
- Plans, schedules, and manages multiple various and diverse audit projects independently with minimal after-the-fact direction.
- Up to 35% travel.


Qualifications:

Basic Qualifications:

- 7+ years of professional auditing or comparable experience
- Bachelor's degree in business, accounting, finance or information systems or related field or4 additional years of equivalent work experience
- Demonstrated experience integrating various priorities, internal issues, and situation analyses into a cohesive strategic approach to department management
- Understands key industry knowledge, including industry value drivers, and risks
- One of following certifications is required:
- Certified Internal Auditor (CIA)
- Certified Public Accountant (CPA)
- Certified Information System Auditor (CISA)


Preferred Qualifications:
- Work experience within Internal Audit Services
- 5+ years supervisory experience
- Increasing levels of internal audit and project management experience
]]> Thu, 12 Apr 2012 16:00:00 GMT 2347848-Oakland-Accounting,-Finance,-and-Actuarial-Services
This leadership role consolidates monthly financial results and forecasts into actionable powerpoint presentations for the Senior Vice President and Vice Presidents of the Marketing and Internet Services Group, prepares consolidated budget scenarios with recommendations for reallocation of resources to meet business objectives, assists managers in review of staff deliverables and ad hoc analysis, consults and partners with Marketing leadership to further business objection by providing actionable analysis.
Essential Functions:
- Reviews and analyzes submitted budget/forecast data for completeness, changes in trend, and drivers of change.
- Designs effective processes to track financial performance against expectations, including early 'red flags' to identify potential shortfalls.
- Oversees analysis of planned financial objectives and identifies corrective actions.
- Partners with key leaders to shift (or maintain) direction.
- Acts as a proactive partner to insure business objectives are achieved in a financially efficient manner.
- Reviews and presents the financial information to key KP leaders - identifying key messages, risks, and opportunities. Continuously forecasts the progress and momentum in key operations against planned objectives.
- Handle all phases of projects assigned including client meetings, analysis, presentations.
- Lead the process to streamline, refine and improve the budget/forecast/reporting processes.
- Works cross-functionally to help insure planning processes are consistent, and properly support the development of national functions organizations individually and as an organization.
- Ensures integrity of measurement and control processes and all financial and reporting statements.
- Responsibilities impact the achievement of integrated functional and company objectives.
- Influences the development of the functional and company objectives.
- Erroneous decisions or recommendations would normally result in failure to achieve functional and company objectives and negatively affects expenditures and resources.
- Involves a high degree of interpretation and analysis of obscure or inconclusive data.
- Requires a high level of judgment and risk taking to make appropriate decisions for diverse, sophisticated, and undefined issues.
- Requires significantly complex decision-making.
- Develops solutions to problems of unusual complexity, which require a high degree of ingenuity and innovation, using independent judgment to accomplish objectives.
- Requires in-depth analysis to develop and implement unprecedented solutions for more complex problems.
- Requires the exchange of complex information.
- Must gain cooperation and acceptance/approval in resolving problems, and/or negotiating with other parties to arrive at an agreement.
- Assignments are often self-initiated and virtually self-supervisory.
- Works under consultative direction toward predetermined long-range goals and objectives.
- Review and analysis of key events by senior management are critical to the completion and attainment of objectives and goals.
- Provides on-going coaching, enabling team members to develop and improve skills and capabilities that support the effectiveness of the department/function.
- Serves as a technical/professional mentor to team members.
- Assume other duties as directed.

Qualifications:

Basic Qualifications:
- Twelve (12) plus years financial analysis or related experience.
- Four (4) year degree in related field or equivalent experience.
- 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.
- Employs expertise as a generalist or specialist.]]> Thu, 12 Apr 2012 16:00:00 GMT 2347824-Oakland-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Provides project, service line or product line management, management consulting, and analytical decision support services or technical expertise for a broad array of financial and operational issues.
- Responsible for more complex multi-faceted projects and analyses across disciplines and functional areas.
- Assists in developing performance monitoring process and coordinating compilation, interpretation and presentation of monitoring information.
- Participates in the planning and development of regional, departmental and/or functional budgets.
- May be responsible for budget system completion, high level reviews and conducting area wide analyses for target development.
- Conducts or participates in complex projects where analysis requires an in-depth evaluation of factors.


Qualifications:

Basic Qualifications:
-Eight or moreyears of financial analysis or related experience.
- Experience with regularly contributing to the development of new financial analysis concepts, techniques, and standards.
- Proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management. Proficiency in SAS (mainframe or PC).

Preferred Qualifications:
- MBA Preferred.

]]> Tue, 10 Apr 2012 16:00:00 GMT 2159257-Denver-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Prepares financial reports & conducts comprehensive analyses with written summaries to management.
- May be accountable for the coordination, compilation and distribution of financial data.
- Performs financial analysis upon identification of variances, and coordinates with junior analysts' variance analysis process as defined.
- Participates in the planning/development of regional, departmental and/or functional budgets and forecasts.
- May be responsible for budget system completion & high level reviews.
- Participates in and/or leads projects of moderate to complex scope as assigned.
- Responsibilities impact the achievement of key department and/or functional objectives.
- Contributes to the achievement of department objectives.
- Involves interpreting & analyzing established concepts.
- Exercises judgment to make decisions for less defined issues and selects methods and techniques for obtaining solutions.
- Requires moderately complex decision-making.
- Requires significant analysis to develop solutions for complex problems.
- Provides professional/technical guidance to team members.
- Influences others regarding existing concepts, processes and/or methodology.
- Plans/schedules job activities to work toward accomplishing set objectives.
- Report analyst duties, e.g., design and develop automated actionable reports to inform managers in a timely fashion.
- Data analyst duties, e.g., assists in the research, analysis, and remediation of moderately complex data issues that directly impacts reporting and analysis.
- Business systems analyst duties, e.g., help define business rules applicable to the development and/or use of the application.


Qualifications:

Basic Qualifications:
- Minimum of 5 years of financial analysis experience
- Bachelor's degree or equivalent combination of education and experience
- Broad application of financial analysis principles, theories, and concepts in applicable discipline, plus working knowledge of other related fields
- Thorough knowledge of financial analysis policies, practices and systems
- Highly developed knowledge of finance theories such as present values theory/cash flow analysis and accounting principles
- Able to formulate finance study designs and prepare and conduct professional presentations
- Full knowledge of industry practices and standards
- Advanced proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management

Preferred Qualifications:
- Health care/insurance experience
- Advance degree or certification in analytical discipline
- Extensive use of MS Office products
- Use of Data Query tools
- Project management skills

Salary Range:
$72,080.00 - $98,720.00 Annually]]> Mon, 09 Apr 2012 16:00:00 GMT 2334595-Portland-Accounting-Finance-and-Actuarial-Services
Essential Functions:
- Review all documentation related to the payment. Where appropriate, negotiate and coordinate efforts with vendors, materials management personnel and other departments in order to resolve any problem relating to delinquent or disputed reimbursements while striving to maintain satisfactory relationships with all parties involved.
- Appraise payment processes that are inefficient or invalid, ascertain best practices and collaborate with the Team Leader/Auditor and Manager to facilitate process improvement. Report performance issues to the Team Leader/Auditor or Manager. Provide, advise and report on cost containment.
- Advise and instruct internal and external customers on discrepancies, incomplete, or incorrect documentation. Emphasize the need to adhere to the invoice authorization and payment related regulations.
- Counsel and offer training to the Kaiser Supervisors/Managers relating to company policies and procedures, Accounting Principles, State and Federal regulations, Kaiser contracts and Sarbanes Oxley and internal controls/compliance policies. Establish a working relationship, and work with the Supervisors/Managers to streamline processes and reach mutually beneficial outcomes that comply with internal and external rules, regulations, and policies.
- Identify errors arising from transmission errors for new EDI vendors, alert the appropriate parties involved, and establish and execute an appropriate corrective action to correct the current problem and offer a preventive solution to avoid similar issues in the future.
- Process invoice entry transactions according to departmental protocols and guidelines. Maintain acceptable productivity standards by consistently meeting or exceeding the invoice entry requirements. Maintain acceptable accuracy levels to meet or exceed department standard. Maintain and resolve EDI transactions on a daily/weekly basis. Maintain professional knowledge of the job responsibilities and desk organization according to departmental standards.
- Report any vendor/department performance issues to the Sr. Coordinator.
- Responsible for processing all T & E reports for the Region. This process requires detailed auditing of all expenses made and determine the validity of the purchase. Must verify all account codes, calculations, and sign-off/approval signatures.
- Administer collection of open vendor credits on inactive accounts.
- Maintain professional knowledge of all Company Policies and Procedures, Federal and State regulations and Accounting principles.
- Maintain professional knowledge of the DOA Authorization, Lotus Notes and Microsoft Excel. Execute team objectives to include process improvements, problem resolution, training, and sharing expertise and innovative practices.

Qualifications:

Basic Qualifications:
- Associate Degree or equivalent combination of education and experience
- Thorough knowledge of accounting principles
- Thorough knowledge of IRS 1099 regulations
- Thorough knowledge of State of Georgia use tax laws
- Thorough knowledge of all phases of Accounts Payable practice
- 3 years Accounts Payable (invoice) payment processing in high volume department must include experience in processing purchase order related invoices
- Monthly accrual processing
- Experience with multi company, multi location and multiple cost centers

Preferred Qualifications:
- Georgia State tax laws
- College level accounting courses
- 5 years computerized AP in large organization
- Large volume of expense report processing
- Certified Accounts Payable Associate (must be obtained after employment)
]]> Mon, 09 Apr 2012 16:00:00 GMT 2131371-Atlanta-Accounting-Finance-and-Actuarial-Services
Essential Functions:
- Leads teams in conducting financial analysis and feasibility studies of complex multi-faceted projects.
- Key topic areas include medical service delivery, hospital contracting, benefit design, capital investment decisions, departmental financial management, and other projects within the scope of Decision Support.
- Conducts very complicated analysis.
- Reviews and makes recommendations for the design of financial models.
- Oversees preparation of preliminary interpretations of analyses for project teams, clients and/or department management.
- Recommends suggested action steps based on analytic findings.
- Finalizes reports of recommendations.
- Delivers formal presentations of analytic findings and suggested action steps to Department Management and Senior Management.
- Supervises other analytical resources on a project basis.
- Provides guidance to more junior analysts and develops their skillsets, where appropriate.
- Leads projects involving multi-disciplinary teams.
- Provides education and management consulting on the use and interpretation of analyses, reports, methodologies, and source data to managers.
- Participates as a member of divisional task forces or committees, as assigned.
- Develops positive working relationships with peers in Divisional Offices, Services Areas, and Medical Groups to ensure accomplishment of key Finance Department objectives.

Qualifications:

Basic Qualifications:
- Bachelor's degree in Business Administration with an emphasis in Accounting, Finance, or related field.
- Master's degree highly preferred.
- Significant, six (6) or more years of experience demonstrated financial and/or analytical experience with a variety of complex, multi-faceted projects.
- Experience in large-scale business planning, feasibility studies, and/or project management required.
- Health care experience highly preferred.
- Analytical supervisory experience strongly preferred.
- Extensive knowledge of several or all of the following: general finance theories and methodologies, Net Present Value, Cost/Benefit analysis, Feasibility studies, large scale business planning, financial modeling, and project management.
- Ability to develop these skills in team members.
- Proficient with a variety of software applications (spreadsheet, word-processing, graphics etc.) and mainframe systems.
- Proven leadership skills in finance, project management, and consulting required.
- Must demonstrate effective communication, consulting, presentation, analytical and writing skills.
- Must be able to work in a Labor/Management Partnership environment.

Notes:
- PR# RS-1203
- Work schedule to vary as required]]> Sun, 08 Apr 2012 16:00:00 GMT 2332190-California-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
-Actuarial services - functions include but are not limited to:
-Develop high performance analytical team through effective recruiting, mentoring and coaching;fosters partnership and influence in driving regional performance outcomes
a. Promote the professional development of actuarial and related staff.Utilize Kaiser's actuarial rotation program to effectively develop staff and to most efficiently deploy resources.
-Manage Actuarial support including rate setting and rate development across a comprehensive range of market segments (Commercial, Medicare, Medicaid, and charitable care programs), products (HMO, dHMO, POS, PPO), coverage (medical, pharmacy, behavioral health) and financial arrangements (insured, flex funding, self-funding).
-Oversee modeling and support for the national pricing solution (NPS), including the development of rating factors, pooling charges, and experience rating trends, in order to support regional underwriting staff and help meet regional membership and margin targets.
-Oversee model development, assumptions and projections for demand forecasting.
-Oversee internal fee schedule development, including the evaluation and monitoring of changes in the capture and coding of services.
-Provide direction in the analysis of the Kaiser Permanente total value demonstrations - showing how KP delivers high quality care at below market total costs.
-Develop trend analyses that both give insight into changes in historical utilization and cost and support projections of future resource demands.
-Work in partnership with Financial Planning, Revenue Cycle, Market Strategy and Rate Setting teams to develop accurate forecasts of revenue and costs.Provide leadership in the development of rate actions that will best achieve organizational goals.
-Develop pricing policies that achieve the organization's membership and contribution margin goals.Partner with Underwriting in the development and implementation of rate strategies that address group specific needs.
-Provide leadership, tools, and training to support the sustainability of self-funding across the organization.
-Oversee Medicare bid development and help set regional Medicare strategies.
-Contribute to the development, promote and assist in the implementation of market-leading best pricing practice models for underwriting, pricing, finance and marketing departments
- Provide strategic and tactical actuarial advice to the CO region regarding underwriting, pricing, marketing, sales, benefit and product design, finance and provider contracting by conducting actuarial studies, developing recommended actions, presenting them to Regional executives, and assisting in their implementation to improve plan performance.
- Develop IBNR estimates, and work in collaboration with finance in setting reserves.Explain drivers of changes in reserve levels.

Qualifications:

Basic Qualifications:
- BA or MA in mathematics, statistics, actuarial science, or related field.
- Associate of the Society of Actuaries (ASA) is required. Member of the American Academy of Actuaries (MAAA) is also required.
- Minimum of 15 years of well rounded health care actuarial experience, with experience in at least 15 of the following 25 areas:
a. Small group rating and underwriting
b. Large group rating and underwriting
c. Individual rating and underwriting
d. Reserving
e. Forecasting
f. Medicare (especially Medicare Advantage bids)
g. Medicaid
h. HMO products
i. POS products
j. Credibility analysis
k. Examining utilization experience by duration from enrollment for individual or small group business
l. Adverse selection analysis
m. Provider fee schedules
n. Specific and aggregate stop loss - products, rating, etc.
o. Developing and using continuance tables
p. Detailed cost and utilization analysis by service type
q. Pricing benefit differentials
r. Mental health - rating and other issues
s. Report development and generation
t. Managed pharmacies and formularies
- 7+ years of management experience, including 5+ at the executive level.
- Ability to oversee multiple projects and teams at the same time. Time management, and the ability to work well under pressure and meet deadlines.
- Working collaboratively, and the ability to partner well with both those within the department and other leaders within the organization.
- Excellent oral, written communication and interpersonal skills, including: a. Ability to speak well in public; b. Rapport/relationship building, and the ability to work well with external clients, brokers, and government entities (including insurance departments); and c. Writing professional documents.
- Working independently.
- Explaining actuarial concepts to non-actuarial people. Problem solving, and figuring out the best way to approach a problem (of an actuarial nature or otherwise).
- Developing training programs/presentations. Training others.

Preferred Qualifications:
- Fellow of the Society of Actuaries (FSA) is preferred.
- Management of 10 or more employees, with oversight of multiple departments at once preferred.]]> Thu, 05 Apr 2012 16:00:00 GMT 2329315-Denver-Accounting,-Finance,-and-Actuarial-Services Ensures the integrity and verifies the accuracy of data-entered into the admitting and billing systems for compliance with billing guidelines as well Department and Regional Policies and Procedures.
Essential Functions:
- Supervises the quality control dept and other departments as assigned
- Develops, modifies and implements the departmental audit procedures as they affect all aspects of the billing cycle
- Ensures that quality control staff checks and verifies for according to departmental policies and management guidelines
- Traces sources of inaccuracies; reports and proposes remedial action to appropriate management
- Ensures regular sampling of audits made by direct reports
- Prepares formal statistical summaries to department manager of findings and recommendations

Qualifications:

This is a Repost of 116120

Basic Qualifications:
- Bachelor's degree or equivalent work experience in Business Administration or related field
- Minimum of three (3) years of auditing or billing experience
- Previous supervisory experience
- Prior experience in account payable and/or claims environment preferred
- Proficient knowledge of mainframe, on-line computer systems, personal computers and spreadsheet and word processing programs
- Strong mathematical skills
- Medical terminology and knowledge of medical billing practices
- Good oral and written communication skills

Preferred Qualifications:
- Minimum of two (2) years of Supervisory experience
- Previous quality control experience - Prior experience in billing
]]> Wed, 04 Apr 2012 16:00:00 GMT 2325023-Los-Angeles-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
-Lead the regulatory compliance function and expertise within NMF to evaluate, assign, apply, and monitor new regulatory requirements.
- Assist with managing audit strategies and audit plans within a large regional or national matrix organization.
- Lead and/or coordinate Internal and External Audits (CMS, OIG, OFM, etc.). Audits may extend beyond NMF to include regional departments, business units or shared services, partners, contractors and external providers.
- Assist in managing the NMF audit functions: planning, scheduling, and supervision of NMF audit projects and staff in accordance with the audit plan, project budgets, and milestone.
- Partner and collaborate with NMF leadership, NMF partners, National Compliance Office, and Internal Audit services.
- Coordinate audit request and perform documentation review from a regulatory perspective.
- Assist in coordinating responses to audit findings and observations.
- Monitor implementation of outstanding and new Corrective Action Plans (CAPs) through completion, including remediation / enhancement of control systems.
- Assist with maintaining an audit history log or document library of past regulatory and financial audits.
- Assist with maintain a monitoring plan for periodic ongoing evaluation of prior remediated CAPs.
- Assist in performing data validation function within NMF to ensure data quality, integrity, accuracy, and completeness (financial and membership data, risk score capture, PDE reconciliation, risk score reconciliation, reimbursement data).
- Assist in coordinating and archiving attestations (DIR, OIG, NCO, IA, etc.), to ensure they are filed timely.
- Evaluate processes and controls to ensure compliance with KP policies and procedures, and Regulatory requirements.
- Build skills and capabilities to enhance performance of the team.
- Share knowledge, and contribute to the learning of others.
- Promote sharing and implementation of best practices both regionally and nationally. - Maintain current knowledge of audit principles and practices.

Qualifications:

Basic Qualifications:
- Twelve (12) plus years financial analysis or related experience.
- Four (4) year degree in related field or equivalent experience.
- 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.
-Applies advanced principles, theories and concepts.
- Contributes to the development of innovative principles and ideas.
- Employs expertise as a generalist or specialist.

Preferred Experience:
-Experience in regulatory and compliance activities.
-Certified Internal Auditor (CIA) or Certified Public Accountant (CPA).
-Medicare or health care experience.
]]> Tue, 03 Apr 2012 16:00:00 GMT 2239753-Oakland-Accounting,-Finance,-and-Actuarial-Services Oakland, CA


Kaiser Permanente is looking for an Accounts Payable (AP) Supervisor in Oakland. This person will be responsible for overseeing the Northern California Customer Service function. The Supervisor reports to the Buy to Pay Customer Services Manager within the Financial Services Operation (FSO). The role is responsible for maintaining customer interface via email, phone calls and/or any other means of notification of questions or issues with invoice processing. The Supervisor will ensure that the department operations meet customer service targets, rigorous quality standards and comply with Kaiser Permanente policies and procedures, generally accepted accounting principles and regulatory requirements.

Essential Functions
Applies metrics to develop, direct and monitor staff work schedules and workflow to achieve FSO goals and objectives, as well as the Vision, Standards and Norms.
Supervise and schedule work for approximately 10-15 AP employees and union staff. Know and understand the labor contract and what that means for daily work and appropriate disciplinary action.
Build and strengthen relationships with staff. Train, develop and assist staff in their work. Leads and helps front-line staff to complete project tasks as required by manager.
Ensure your staff complies with all SOX controls, as well as organizational, state and federal regulations.
Works closely with vendors and internal customer to resolve various invoicing issues.
- Gathers, analyses, prepares and summarizes metric information to manage and monitor the success of the organization.
- Collaborates with functional/department subject matter experts in implementing process improvements within the organization to reduce the number of customer issues or streamline our communication with vendors/customers.
- Responds in a professional manner to all inquiries, providing the highest level of customer service.
- Works on issues of limited scope.
- Receives assignments as objectives with the processes necessary to fulfill those goals.
- Requires moderate planning and direction setting.
- Monitors daily operations of a team.
Develops and directs work schedules and monitors work flow to achieve established goals and objectives.
- Develops and manages to customer service metrics
- Ensures that credit hold issues are resolved in a timely manner and understands when it is necessary to escalate the situation
- Responsible for recommending changes in guidelines, procedures and policies.


Qualifications:

Basic Qualifications
- Two (2) years of related experience and some supervisory experience.
Four (4) year degree in related field or equivalent experience. Strong communication and presentation skills
- Must be able to influence positive change in a Labor/Management Partnership environment (i.e. organized labor)
- Knowledge of the procurement to payment processes
- Understanding of generally accepted accounting principles, workflow analysis and internal accounting controls
- Familiarity with software applications, databases, and spreadsheets including Visio, Access, Excel, Word, PowerPoint, and mainframe systems
- Preferred Qualifications
- Bachelor's degree (BS or BA) with emphasis in Accounting, Finance
- Sarbanes Oxley and Six Sigma experience
- Previous direct supervisory experience in an organized labor environment
- Involvement in systems implementation and/or integration
]]> Mon, 02 Apr 2012 16:00:00 GMT 2316705-Oakland-Accounting-Finance-and-Actuarial-Services Pasadena, CA


Kaiser Permanente is looking for an Accounts Payable (AP) Supervisor in Oakland. This person will be responsible for overseeing the Northern California Customer Service function. The Supervisor reports to the Buy to Pay Customer Services Manager within the Financial Services Operation (FSO). The role is responsible for maintaining customer interface via email, phone calls and/or any other means of notification of questions or issues with invoice processing. The Supervisor will ensure that the department operations meet customer service targets, rigorous quality standards and comply with Kaiser Permanente policies and procedures, generally accepted accounting principles and regulatory requirements.

Essential Functions
Applies metrics to develop, direct and monitor staff work schedules and workflow to achieve FSO goals and objectives, as well as the Vision, Standards and Norms.
Supervise and schedule work for approximately 10-15 AP employees and union staff. Know and understand the labor contract and what that means for daily work and appropriate disciplinary action.
Build and strengthen relationships with staff. Train, develop and assist staff in their work. Leads and helps front-line staff to complete project tasks as required by manager.
Ensure your staff complies with all SOX controls, as well as organizational, state and federal regulations.
- Works closely with vendors and internal customer to resolve various invoicing issues.
- Gathers, analyses, prepares and summarizes metric information to manage and monitor the success of the organization.
- Collaborates with functional/department subject matter experts in implementing process improvements within the organization to reduce the number of customer issues or streamline our communication with vendors/customers.
- Responds in a professional manner to all inquiries, providing the highest level of customer service.
- Works on issues of limited scope.
- Receives assignments as objectives with the processes necessary to fulfill those goals.
- Monitors daily operations of a team.
Develops and directs work schedules and monitors work flow to achieve established goals and objectives.
- Develops and manages to customer service metrics
- Ensures that credit hold issues are resolved in a timely manner and understands when it is necessary to escalate the situation
- Responsible for recommending changes in guidelines, procedures and policies.


Qualifications:

Basic Qualifications
- Two (2) years of related experience and some supervisory experience.
Four (4) year degree in related field or equivalent experience. Strong communication and presentation skills
- Must be able to influence positive change in a Labor/Management Partnership environment (i.e. organized labor)
- Knowledge of the procurement to payment processes
- Understanding of generally accepted accounting principles, workflow analysis and internal accounting controls
- Familiarity with software applications, databases, and spreadsheets including Visio, Access, Excel, Word, PowerPoint, and mainframe systems
- Preferred Qualifications
- Bachelor's degree (BS or BA) with emphasis in Accounting, Finance
- Sarbanes Oxley and Six Sigma experience
- Previous direct supervisory experience in an organized labor environment
- Involvement in systems implementation and/or integration
Preferred Qualifications
- Bachelor's degree (BS or BA) with emphasis in Accounting, Finance
- Sarbanes Oxley and Six Sigma experience
- Previous direct supervisory experience in an organized labor environment
- Involvement in systems implementation and/or integration
- Familiarity with ERP systems such as Peoplesoft or Oracle
]]> Mon, 02 Apr 2012 16:00:00 GMT 2316678-Los-Angeles-Accounting-Finance-and-Actuarial-Services IT Senior Auditor, Internal Audit Services (IAS)
Oakland, CA


As an IT Senior Auditor at Kaiser Permanente, you will be responsible for performing various and diverse operational and financial integrated audits, reviews and special projects as assigned.

Essential Functions:
- Contribute to the audit planning process. Assist in the development of audit objectives and detailed test procedures that effectively address key controls and risks.
- Plan and perform reviews of IT general and application controls. This includes supporting integrated audits and system implementation reviews.
- Provide IT technical audit services and consulting relative to IT internal control practices for PC-Client, web and legacy applications in distributed network and multi-platform environments (e.g. mainframe and server-based operating systems, database management, and data and telecommunications network technologies).
- Develop work papers that address the objectives of the audit program and support the conclusions reached during testing. Adhere to the IIA Standards and IAS guidelines for workpaperdocumentation.
- Assess business systems/processes to identify key control points and risks. Document using narrative and/or flowcharting techniques.
- Draft audit conclusions, discuss potential issues with clients, and prepare and deliver other summary communication documents as required.
- With supervision, successfully execute all phases of the audit process for moderately complex projects.
- Contribute to the development of the assigned practice area by participating in risk assessment activities, creation of audit tools, establishing client relationships, and identifying and sharing relevant information.
- Other duties as assigned.
- Travel up to 35% of the time.


Qualifications:

Basic Qualifications:
- Typically less than 5 years of professional auditing or comparable experience
- Bachelor's degree in business, accounting, finance, information systems or related field or4 additional years of equivalent experience
- Demonstrated knowledge, skills, and experience in applying the principles & practices of internal auditing in accounting, financialand operational environments, including auditing business functionsand information technology systems
- Demonstrated knowledge of IT internal control and security practices
- Demonstrated general accounting, financial, andbusiness skills, knowledge,and experience
- Demonstrated skills in the identificationand resolution of business problems within a team setting
- Ability to researchand identify best practices
- Demonstrated ability to effectively utilize general audit software such as ACL, TeamMate, etc.
- Demonstrated ability to understandand document business processes & related internal controls in narrative and/or flowchart formats
- Basic project management skills
- Demonstrated ability to adapt quickly to changing demandsand environment,and rapidly develop in-depth knowledge of new audit areas
- Excellent verbaland written communicationand presentation skills
- Ability to persuade, articulate, anddefend positions
- Proficiency in Microsoft Office (Word, Excel, PowerPoint & Access) and Lotus Notes

Certifications:
One of the following certifications is required (or actively pursuing):
- Certified Internal Auditor (CIA)
- Certified Public Accountant (CPA)
- Certified Information System Auditor (CISA)


Preferred Qualifications:
- 2+ years of IT auditing experience
- Audit experience within a large, complex organization
]]> Mon, 02 Apr 2012 16:00:00 GMT 2316642-Oakland-Accounting,-Finance,-and-Actuarial-Services Oakland, CA

Kaiser Permanente is looking for an Accounts Payable (AP) Manager in Oakland. This person will be responsible for overseeing the Northern California Data Entry function. The Manager reports to the Buy to Pay Data Entry Sr. Manager within the Financial Services Operation (FSO). The role is responsible for managing timely and accurate processing of various types of invoices, ensuring any prompt payment discounts are taken. He or she will demonstrate the ability to lead, plan, schedule and direct the day-to-day activities. The Manager will ensure that the department operations meet processing targets, rigorous quality standards and comply with Kaiser Permanente policies and procedures, generally accepted accounting principles and regulatory requirements.

Essential Functions:
Make sure your team achieves FSO's strategy, goals and objectives, and Vision, Standards and Norms, on time and in budget.
Build a high-performing team. Know the labor contract and what that contract means to building a high-performing team and the operation's daily management.
Manage all aspects of the operation, including hiring, training, assigning/directing work in a labor and non-labor environment. As necessary, lead a project team to improve operational performance.
Build strong, effective relationships with key business partners and vendors with input from the director. Resolve operational issues and problems in consultation with the director.
Ensures that the operation complies with all SOX controls, as well as organizational, state and federal regulations.
- Review accounts payable ledgers, operational performance metrics and ensure established performance goals are achieved.
- Provide high level of customer service to internal/external customers to ensure KP objectives are accomplished.
- Monitor records of amounts owed and ensure prompt payment of invoices.
- Promote a team environment and provide work direction and guidance.
- Provide managerial responsibility for one or more teams or departments, which may be managed by employees with formal supervisory responsibilities.
- Accomplish results through subordinates who exercise significant latitude and independence in their assignments.
- Develop and administer schedules and performance requirements. - May have budget responsibilities.
- Works on issues of diverse scope.
- Receives assignments as objectives and determines how to use resources to meet these goals and schedules.
- Requires significant planning and direction setting to coordinate with other divisions or resources.
- Recommends changes to policies and establishes procedures that affect the immediate function.
- Monitors projects to ensure completion on schedule and within budget.
- Significant impact on functional objectives and goals.
- Responsibilities impact the integrated achievement of functional and company objectives, that strongly contribute to short-term success or failure.
- Erroneous decisions/recommendations or failure to achieve results cause inefficiencies, increased costs, and may impact the short-term goals of the function.
- Generally involves a high degree of interpretation and analysis of somewhat obscure or inconclusive data.
- Requires a high level of judgment to make appropriate decisions for diverse and undefined issues.
- Requires significantly complex decision-making.
- Works on issues of diverse scope where significant analysis of situation or data requires evaluation of a variety of complex factors including an understanding of current and projected functional trends.
- Interprets operational policies in selecting methods and techniques to determine the best solutions.
- Problem-solving continually involves new concepts and creativity where precedents are limited.
- Requires the exchange of complex information.
- Must gain cooperation, acceptance or approval, in resolving problems, and/or negotiating with other parties to arrive at an agreement.
- Often must lead a cooperative effort among members of a project team.
- Exercises considerable latitude in determining objectives and approaches to assignments.
- Managerial direction is available, but work is normally reviewed at time of completion for adequacy in meeting objectives.
- Review and analysis of events by senior management is critical to the completion and attainment of goals.
.




Qualifications:

Basic Qualifications:
- Two (2) +years of management experience and five (5) + years of related experience.
- Four (4) year degree in related field or equivalent experience.
- Requires full knowledge of own area of functional responsibility and working knowledge of another function.

Preferred Qualifications:
- Accounts Payable experience
- Experience managing large AP teams.
- Experience within a large matrix organization.
]]> Fri, 30 Mar 2012 16:00:00 GMT 2308921-Oakland-Accounting,-Finance,-and-Actuarial-Services Senior Financial Analyst
Burbank, CA


Kaiser Permanente is looking for a Senior Financial Analyst in Burbank. This position will support the Marketing Sales and Service Administration (MSSA).


Essential Functions:
- Provide finance support for thesales function throughbudgeting, forecasting, month-end closing and reporting processes and be responsible for oversight ofinternal controls and performance managementimprovement.
- Willprovide, develop, interpret and implement financial concepts for financial planning and control.
- Perform financial analysis to determine present and future financial performance.
- Gathers, analyzes, prepares and summarizes recommendations for financial plans, future requirements, and operating forecasts.
- Accountable for the coordination, compilation, and distribution of financial data
- Prepares financial reports and conducts comprehensive analyses with written summaries to management.
- Up to 5% travel.


Qualifications:

Basic Qualifications:
- 5+ years of financial analysis or related experience that focused on forecasting, budgeting, variance analysis, and accounting work
- Bachelor's degree in finance related field or 4 years of additional equivalent experience
- Broad application of financial analysis principles, theories, and concepts in applicable discipline, plus working knowledge of other related fields
- Advanced proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, and database management
- Team player, ability to see the big picture, and detail oriented
- Strong oral, written, and presentation skills
- Proactive business partner with a track record for great customer service
]]> Fri, 30 Mar 2012 16:00:00 GMT 2308902-Los-Angeles-Accounting,-Finance,-and-Actuarial-Services Manager, Accounts Payable Controls
Oakland, CA

Kaiser Permanente is looking for a Manager, Accounts Payable Controls in Oakland.The Managerwill manage the APDocument Controls area and will demonstrate the ability to lead by metircs, plan, schedule and direct day-to-day activities.

Essential Functions:
Make sure your team achieves FSO's strategy, goals and objectives, and Vision, Standards and Norms, on time and in budget.
Build a high-performing team. Know the labor contract and what that contract means to building a high-performing team and the operation's daily management.
Manage all aspects of the operation, including hiring, training, assigning/directing work in a labor and non-labor environment. As necessary, lead a project team to improve operational performance.
Build strong, effective relationships with key business partners and vendors with input from the director. Resolve operational issues and problems in consultation with the director.
Ensures that the operation complies with all SOX controls, as well as organizational, state and federal regulations.
- Responsible for the timely opening, sorting, prepping, scanning and records retention of incoming mail (including printing electronic images)
- Responsible for timely queue management (dup images and bad images)
- Reviews accounts payable operational performance metrics and ensures established performance goals are achieved
- Provide high level of customer service to internal/external customers to ensure KP objectives are accomplished.
- Promotes a team environment and provides work direction and guidance


Qualifications:

Basic Qualifications:
Two (2) + years of management experience and five (5) + years of related experience.
Four (4) + year degree in related field or equivalent experience.
Requires full knowledge of own area of functional responsibility and working knowledge of another function.

Preferred Qualifications:
Ability to motivate a team
Knowledge of document management
Vendor management experience
Experiencesupervisingunion employees
]]> Fri, 30 Mar 2012 16:00:00 GMT 2308888-Oakland-Accounting-Finance-and-Actuarial-Services
Essential Functions:
- Provides financial leadership for the Medicare line of business in the CO region.
-Responsibilities impact the integrated achievement of National Medicare Finance (NMF) and KP objectives that strongly contribute to long-term success of the Medicare Line of Business in the CO region.
-Oversees development of Medicare revenue budgets and forecasts to include all components of Medicare reimbursement.
-Regularly interacts with executives and/or major customers to support development of strategy and direction for the Medicare line of business consistent with overall strategic direction.
-Provides leadership and influence with the development and execution of risk adjustment related initiatives in cooperation with key business partners including KP medical group, coding, information systems, and national risk adjustment teams.
-Directs budget to actual reporting and variance analyses on a monthly basis; accountable for management and support of preparation, analytic support, and monitoring of CMS contracts (e.g., Medicare bid) in coordination with other regional and national partners.
-Maintains current knowledge of changes in Federal Medicare and HMO regulations and requirements.
-Leads, directs, and participates cross regional/national work teams as necessary.
-Promotes sharing and implementation of best practices both regionally and nationally.
-Manages the resolution of diverse and complex issues where analysis of situations or data requires an in-depth knowledge of multiple functions and KP objectives.


Qualifications:

Basic Qualifications:
-Bachelors Degree in Business, Accounting, Finance, Economics or related area.
-Ten or more years of finance or related experience.
-Five or more years of management experience.
-Leadership skills and experience in managing goals through collaboration and teamwork.
-Demonstrated ability to lead financial reporting, financial variance analysis, product line analytics, and product development analyses.
-Demonstrated ability to coordinate with regional and national peers/stakeholders and manage multiple projects, and manage to metrics.
-Demonstrated business acumen, problem solving and decision making skills.
-Excellent written and oral communication skills.
-Experience with staff development.

Preferred Qualifications:
-Master's degree in related field, CPA/ CMA,
-Knowledge of laws and regulations governing Medicare reimbursement.
-Strong understanding of systems.
]]> Thu, 29 Mar 2012 16:00:00 GMT 2308882-Denver-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Assists central DSS staff in the alignment of general ledger cost centers & accounts w/ the department codes where utilization occurs. This must be monitored & reviewed on a monthly basis.
- Evaluates the costs per unit as calculated in the monthly costing process & the costs per RVU to ensure that utilization & costs have been matched accurately & correct statistics have been used in the costing process.
- Analyzes general ledger accounting practices to understand the appropriate allocations of overheads, following national guidelines. Validates the accuracy of statistics used to allocate overheads w/in Decision Support & ensures that these statistics are provided on a timely basis to central Decision Support Staff to support the monthly costing process.
- Oversees the monthly DSS production cycle, ensuring that all monthly tasks are completed in the timeline provided by the Service Level Agreement w/ Central DSS.
- Consults w/ medical analytic staff in the areas of LAB, Radiology, Pharmacy, Office visits, Ambulatory Surgery, claims, etc. to understand utilization data & map this data for loading to the Decision Support System. This requires a close collaborative relationship to understand the implications of any changes in how this data is coded in the source systems.
- Collaborates w/ general accounting staff & medical analytic staff to ensure that utilization is mapped correctly to general ledger accounts to accurately determine the cost of medical services w/in Decision Support.
- Frequently reviews general ledger accounting practices to ensure that all insurance related costs are separated from medical related costs as they are loaded to the system. This requires an understanding of what functions are supported by each of these costs.
- Reviews on a monthly basis the balancing of the DSS system to ensure that costs w/in DSS match the statements of operation for all regional Kaiser entities.
- This position will provide guidance to the National DSS Group as it relates to the costing of regional utilization.


Qualifications:

Basic Qualifications:
- 5 years of experience working in an accounting related function or a medical analytic related field.
- Bachelor's degree w/ a concentration in a medical operation related field, accounting, business administration, finance or a related field.
- Good microcomputer skills, excellent knowledge of spreadsheets & a solid understanding of database applications & use of end-user tools such as MicroSoft Access or Business Objects to access database tables & write reports required.
- Outstanding analytical skills to analyze revenue data, & to review & audit revenue in the allocation process required.
- Superior communication skills both verbal & written to communicate clearly w/ regional counterparts required.
- Requires a good understanding of medical terminology & codes.
- Excellent organization & documentation skills w/ a strong attention to detail is required.
Preferred Qualifications:
- Experience w/ cost accounting is preferred.
- Master's degree w/ a concentration in a medical operation related field, accounting, business administration, finance or a related field. preferred.
]]> Wed, 28 Mar 2012 16:00:00 GMT 2305161-Rockville-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Establishes & manages the process for improving performance, reviewing performance against plan, identifying performance drivers and improvement opportunities
- Partners with HPA, MSSA & CSC to ensure key operational and financial metrics are established, monitored and reported monthly to achieve business objectives
- Collaborates in the development of management reports regarding revenue performance
- Reviews and analyzes monthly dues revenue results and variances from budget/projections
- Analyzes trends in monthly adjustments and compares results/forecasts
- Researches large variances and evaluates impacts to reserves/forecasts
- Partners with Director Membership & Benefits Administration to ensure timely identification, reporting and resolution of rate discrepancies as well as resolution of technical or process issues surfaced during monthly close process
- Participates in the identification of root cause and ensures appropriate remediation action is taken. Reviews and approves revenue adjustments, including retroactive membership, bad debt write-off, and payment plans>$50K
- Prepares reports & analyses relating to membership, dues revenue, expenses, and operational expenses
- Directs the design and implementation of data collection and reporting systems
- Works with Regional Finance to develop standardized approaches related to key processes including budgeting, forecasting, reporting, and capital planning
- Works in partnership with regional actuaries and FP&A in the development of annual & multi-year forecasts of dues revenue
- The Director of Finance will not have any direct reports, but will work closely and jointly with Senior Management in pursuit of best practices for KP
- Leads project work as requested (i.e., new system implementations, process improvements, etc.)
- Partners with HPA & MSSA to ensure compliance with a strong internal control environment (SOX & operational controls)
- Ensures compliance with administrative, legal and regulatory requirements of local, state and federal regulatory agencies
- Consistently supports Compliance and the Principles of Responsibility (KP 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, and KP policies/procedures


Qualifications:

Basic Qualifications:
- Minimum of 10 years of experience in finance management and strategic planning in a multi-faceted health care system and multi-service provider setting
- Bachelor's degree in business administration, accounting, finance and/or health care administration
- Thorough knowledge of federal, state and regulatory accounting and reporting regulations, GAAP, cost management techniques, financial analysis and budgets required
- Experience in leading successful large-scale business transformation initiatives
- Experience in managing complex, large-scale projects and/or multiple departments and establishing detailed work plans and setting priorities
- Proven leadership skills in a matrix management environment that includes influencing, efficiency, collaboration, candor, and openness with a focus on results orientation
- Demonstrated expertise as a financial and strategic leader, with excellent problem-solving skills, proven capability to motivate change and galvanize action, proven ability to balance execution of a strategic vision with a willingness to dive into details, and consistent results-orientation
- Business expertise, financial acumen and interpersonal skills to effectively work through a complex and political organization to influence and facilitate change
- Advanced interpersonal communication skills (written and verbal) to deal effectively in delicate, sensitive and/or complex situations with a wide variety of influential internal and external parties
- Strong presentation skills, with experience presenting to senior level executives, leadership groups, and large audiences
- Industry knowledge

Preferred Qualifications:
- Master's degree or CPA
- Experience in Dues Revenue and associated components (reserves, write-offs, etc.)
- Knowledge or exposure to Health Care Accounts Receivable and the responsibilities with monitoring, reporting, and reserving
- Health care operations management and industry best practices in Finance Operations
- Thorough knowledge of complex project management processes, tools, techniques and methodologies to lead large-scale effort

]]> Fri, 23 Mar 2012 16:00:00 GMT 2288453-Portland-Accounting,-Finance,-and-Actuarial-Services The position requires extensive collaboration with senior leadership groups throughout the Program, on all aspects of technology and investment finance, governance, and strategic planning. The IT CFO is also a participating member of several governance bodies and steering committees, ensuring the delivery of outcomes from major technology investments and initiatives, while also being responsible for financial and administrative support for several investment decision-making committees.
The IT CFO will ensure that the IT Finance team maximizes business value by providing business-savvy thought leadership, analyses and counsel as a change agent of the organization.
The successful executive has demonstrated substantial leadership, relationship management, and collaboration competencies, as these are fundamental elements of the Kaiser Permanente culture.
Essential Functions:
- Strategic leader and thought partner to KP CIO and IT Executive Committee, using financial and business insights to maximize value delivered through IT, overseeing an annual budget of $2.6B Operating Expense and $0.6B Capital Expense
- Provide financial information and insights to key internal business partners and senior leadership forums such as Operational Leadership Group (OLG), National Leadership Team (NLT), and KP Presidents Group (KPPG)
- Ensure integration of technology strategic planning with Enterprise / Program strategic planning
- Ensure KP IT meets financial commitments
- Ensure KP IT meets all financial compliance and SOX requirements
- Lead all financial operations for KP IT Accounting, Billing and Compliance, Financial Planning, Analysis and Reporting
- Leverage and partner with KP National Finance functions including Treasury, Controller's department, Financial Shared Services Organization (Accounts Payable and Payroll), Financial Planning and Analysis and Strategic Planning to ensure seamless end-to-end financial management for IT
- Drive technology investment prioritization; support investment governance bodies, and ensure financial evaluation and due diligence of all technology project business cases
- Partner with IT Operations leadership and Procurement to negotiate key contracts and ensure financial evaluation
- Evaluate and ensure due diligence for all items - contracts, purchase orders and invoices, before CIO approval
- Evaluate and act upon market opportunities related to technology
- Lead finance engagement with Portfolio Approval Council (PAC) leadership, and financial and administrative support for Cross-PAC and the IT Sub-Group.
- Manage and continue to develop a high performing IT Finance team by providing vision, strategic leadership and talent development.


Qualifications:

Basic Qualifications:
- Requires MBA or Master's level degree in Finance or Accounting
- Minimum of 15 years of progressive Finance, Accounting and Strategy leadership roles managing financial planning and analysis, strategic planning and prioritization of portfolio of investments, management of comparable budget roles.
- Additionally the ideal candidate will have 10 years of experience in IT Finance, with demonstrated Board of Directors level experience in relationship management and stakeholder engagement at Vice President level or above at the corporate group or business unit level.
- A demonstrated track record of process improvements and driving strategies leveraging financial systems to enhance financial planning, analysis and reporting capabilities and experience leading and managing performance of 100+ employee finance organization.
- Experience with financial allocation and chargeback methods, financial analysis and modeling, GAAP Accounting, Cost Accounting, including Activity-Based Costing, MS Office capability, Cognos, Business Objects and Peoplesoft.
- The position requires a strong and proven senior business leader who understands and will lead IT Finance to drive real business value. She/he must have demonstrated leadership in building and managing large teams and initiatives in a complex client-focused IT and/or health care environment; and must have a strong balance of business acumen and finance knowledge.
- To be successful in this environment, the VP will need to combine both technical and social intelligence, creativity and innovation, with experience in health plan systems development and implementations in a large environment. She/he must be able to communicate financial subjects to both IT and business-centric audiences to build champions and influence outcomes favorably to deliver results.
- The VP must possess leadership capabilities and creativity to build and manage a highly effective organization, grow and develop high-performance teams that are geographically dispersed and deliver IT Finance deliverables, strategies and vision.
- The successful candidate will have a track record of solid leadership experience and background in negotiating commitment to achieve long-term partnerships and results. We seek a proven, creative, conceptual, solution-oriented thought leader who leads by example through strong personal leadership conviction, possesses influencing and alignment-building skills, and a true team orientation, with strong interpersonal skills. We seek a strong team player willing to partner and engage with other IT functional units to deliver substantive added value to business planning and operations.
- S/He will also have a demonstrated track record of being an excellent steward for the resources of the organization, a change agent catalyzing process improvements, a strategic thinker who is equally focused on results and execution, an innovator in their field, and a talent champion with a passion for enhancing performance.
]]> Thu, 22 Mar 2012 16:00:00 GMT 2131318-Oakland-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Responsible for driving performance, in collaboration with the Area Manager, and Chief Operating Officer.
- Establishes and manages the process for improving performance reviewing performance against plan, identifying performance drivers and improvement opportunities.
- Partners with other AFOs and Regional Finance to develop recommended approaches that drive consistency and standardization across the Region.
- Drives the standardization of financial and planning processes.
- Responsible for consistent practices among Areas, and coordinating activities between the Area and Regional Finance.
- Ensures that issues associated with Region versus Area responsibilities are surfaced and resolved.
- Collaborates with financial counterparts in the medical group.
- Responsible for maintaining a collaborative relationship between finance personnel in the Area and the medical group.
- Champions regional initiatives and drives local implementation of initiatives (e.g., DHMO, KP HealthConnect, cost center standardization and UCOA).
- Coordinates and provides oversight to Shared Services activities including IT, materials management, Payroll and Accounts Payable.
- Responsible for the development of annual and multi-year forecasts of Area revenue and expense.
- Develops overhead allocation in conjunction with regional departments.
- Partners with the Area Manager and Senior Leadership to develop and implement financial plans and budgets, including medical services and capacity planning.
- Responsible for cost management methodology and capital requirements.
- Directs the analysis and oversight of performance to operational budgets including benchmarking and opportunity analysis and ensures day to day cost performance.
- Prepares reports and analyses relating to membership, revenues, expenses, and utilization.
- Directs the design and implementation of data collection and reporting systems.
- Provides direction to Area Manager and Area finance team on appropriate financial policies and procedures.
- Works with Regional Finance to develop standardized approaches related to key processes including budgeting, forecasting, reporting, and capital planning.
- Identifies opportunities to eliminate rework and redundancies between the Areas and Region.
- Responsible for the development of a long-range capital plan and business plan addressing market trends and area needs.
- Partners with Senior Leadership and TPMG in addressing Area operational and service delivery needs.
- Assume other duties as directed.

Qualifications:

Basic Qualifications
- Extensive experience, (ten (10) plus years), in finance management and strategic planning in a multi-faceted health care system and multi-service provider setting required.
- Third party billing and health information management experience desired.
- Bachelor's degree in Business Administration, Economics, Finance, Health Care Administration, Operations Research, Public Health Administration, or other related field.
- Master's degree or CPA strongly preferred.
- Thorough knowledge of federal and state regulatory accounting and reporting regulations, GAAP, cost management techniques, financial analysis, and budgets required.
- Demonstrated expertise as a financial and strategic leader with excellent problem-solving skills.
- Proven capability to motivate change and galvanize action.
- Proven ability to balance execution of a strategic vision with a willingness to dive into details and consistent results-orientation.
- Demonstrated leadership capabilities including excellent interpersonal skills (negotiation, listening, and communication).
- Willingness to challenge the 'status quo'.
- Demonstrated political savvy and open collaborative leadership style that promotes teamwork and partnership.]]> Wed, 21 Mar 2012 16:00:00 GMT 2288521-California-Accounting,-Finance,-and-Actuarial-Services Serve as Mega Process Lead Designee (MPLD) for Kaiser Permanente Purchasing Materials Management (PMM).
Coordinating internal and external audits of purchasing.
Serving as subject matter expert
Ensure the adherence to National Procurment & Supply and KP financial policies and procedures.
Partner with Financial Services Organization (FSO) to ensure seamless buy to pay process for customers
Develop and oversee vendor credentialing criteria in contracting process
Provide interpretation and analysis of GAAP, KP - Uniform Accounting Policies and Procedures
Be able to solve complex issues where analysis of situations or data requires an in-depth knowledge of Kaiser Permanente
Complete special projects on a timely basis
Be able to solve complex issues

Essential Functions:
- Establishes operational objectives and work plans, and delegates assignments to subordinate managers.
- Establishes and assures adherence to budgets, schedules, work plans, and performance requirements.
- Develops and establishes operational policies within area managed.
- Involved in developing, modifying and executing company policies that affect immediate operations and may also have KP-wide effect.
- Participates in the development of overall functional objectives and KP goals.
- Responsibilities impact the integrated achievement of functional and/or KP objectives, that strongly contribute to long-term success or failure.
- Erroneous decisions/recommendations will result in significant inefficiencies, and/or failure to meet functional objectives and may jeopardize overall KP activities.
- Involves a high degree of interpretation and analysis of obscure or inconclusive data.
- Has final authority to make most decisions, except for those that require additional management approval.
- Requires a broad range of complex decision-making.
- Some decisions could be precedent setting.
- Works on complex issues where analysis of situations or data requires an in-depth knowledge of organizational objectives and project functional trends.
- Requires experienced business or technical judgment to create novel solutions for thought-provoking, diverse and highly complex issues.
- Analyzes recommendations made by others to solve issues bearing broad or company-wide impact.
- May involve the application of sophisticated methodology.
- Requires the ability to change the thinking of, or gain acceptance from, others in sensitive situations, without damage to the relationship.
- Requires the persuasion, presentation and/or negotiation of functional strategies, philosophies, policies, and/or opinions in order to substantially impact the function.
- Interacts with management on matters concerning functional areas, multiple regions and/or customers.
- Exercises latitude in determining objectives and approaches to assignments.
- Management reviews results to determine success of operation.
- Accomplishes results through subordinates, who exercise significant latitude and independence in their assignments.
- Develops performance requirements

Qualifications:

Basic Qualifications:
- Five (5) years of management experience and ten (10) years of related health care experience or equivalent.
- Five (5) years experience in accounting management in health care or other large financial organizations.
- Four (4) year degree in accounting/finance with audit and accounting management experience.
- CPA, CMA and/or MBA or equivalent.
- Requires knowledge of own area of functional responsibility and working knowledge of multiple related functions.]]> Mon, 19 Mar 2012 16:00:00 GMT 2274129-Oakland-Accounting,-Finance,-and-Actuarial-Services The Financial Analyst is responsible for modeling (developing forecasts, budgets and multi-year plans), analyzing and reporting financial and operational results. They will assist with developing business cases, and will support operation and capital planning activities.

Essential Functions:
- Prepares annual plan/budget (s), monthly forecast(s) and multi-year forecasts taking into account changes in tactical and strategic plans, operations, contracts trends, etc. Maintains FP&A's budgeting system
- Provides financial/analytical support to key constituents throughout the organization
- Identifies, analyzes and tracks trends that impact financial performance (e.g., new/changed product offerings, utilization and operations)
- Prepares business cases including financial, operation and economic analysis


Qualifications:

Basic Qualifications:
- Bachelors Degree in Accounting, Finance, Economics or related field
- One to three years of financial analytical experience
- Computer literacy with proficiency in Microsoft Office Applications (e.g., Excel, Access) and SQL or other relational database tools
- Excellent communication skills both verbal and written
- Excellent problem-solving skills and teamwork abilities
- Demonstrated ability to multi-task and meet deadlines
- Must be a self-starter and have excellent follow-through skills
- Ability to handle changing priorities
- Detail-oriented

Preferred Qualifications:
- Knowledge of health care industry (e.g., health delivery, health insurance)
]]> Thu, 15 Mar 2012 16:00:00 GMT 2270901-Atlanta-Accounting-Finance-and-Actuarial-Services IT Audit Project Manager
Oakland, CA


Internal Audit Services (IAS) is looking for an IT Audit Project Manager in Oakland.


Essential Functions:
- Leads the field execution of diverse IT, integrated, and operational audits, reviews, and special projects. Drives the audit planning process by identifying key risks and assessment of project scope alternatives to identify an appropriate testing approach.
- Leads the planning, scheduling, and field supervision of assigned audit projects. Ensures projects are moving forward by working effectively with client and IAS management.
- Efficiently and effectively leads the audit team to successful project completion.
- Identifies, suggests, and helps implement new/improved audit approaches, tools, and techniques.
- Ensures that all work papers prepared as part of the audit engagement include sufficient evidence to support audit conclusions, and meet IIA Standards/IAS policies.
- Professionally communicates scope, purpose, and conclusions both verbally and in writing. Ensures communications are conveyed in a timely manner.
- Actively coach staff and deliver feedback throughout the audit engagement. Provides opportunities for project staff to enhance their skills. Provide comprehensive, constructive and timely project evaluations that include opportunities for improvement.Support development of the assigned practice area by actively contributing perspective to the team's priorities and risk assessments, identifying areas where further research and development would be value-added, creating audit tools, establishing client relationships, and identifying and sharing relevant information.
- Other duties as assigned.


Qualifications:

Basic Qualifications:
- Typically 5+ years of auditing or comparable experience, to include increasing levels of internal project management experience.
- Bachelor's degree in business, accounting, finance, information systems or related field or 4 additional years of equivalent experience.
- Demonstrated ability to plan, supervise & perform integrated audits & data analysis, & effectively utilize general audit software such as ACL, Teammate, etc.
- Consistently delivers high quality results, strives to improve his/her performance, demonstrates a sense of urgency, and improve industry knowledge.
- Demonstrated time management, leadership, & interpersonal skills. Demonstrated project management skills.
- Demonstrated ability to build & lead a cohesive audit team, & 'mentor' audit staff.
- Demonstrated ability to interact effectively with management.
- Develops subject matter knowledge in major business processes or functions.
- Demonstrated knowledge of IT internal control and security practices (e.g. COBiT), standards, and regulations as well as professional standards.
- Demonstrated experience auditing IT internal controls, including technology infrastructure, IT general controls, application controls, new systems implementations, and integrated auditing.

Certifications:
One of the following certifications is required.
- Certified Internal Auditor (CIA)
- Certified Public Accountant (CPA)
- Certified Information System Auditor (CISA)

Preferred Qualifications:
- 5+ years of IT auditing experience
- Audit experience within a large, complex organization

]]> Tue, 13 Mar 2012 16:00:00 GMT 2262450-Oakland-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Initiates and facilitates investigation variances trends, cost trends and utilization patterns and performs analysis. Coordinates process as defined.
- Ensures analyses are conducted in accordance with Administrative objectives.
- Designs analytical reports and prepares complex financial trend and data analysis reports.
- May be accountable for the coordination, compilation, and verification of analytic interpretation of financial reports and analyses.
- Proactively identifies potential data and analytical needs to support management and performance monitoring requirements.
- Participates in the planning and development of regional, departmental and/or functional budgets. May be responsible for budget system completion and high level reviews.
- Performs special projects/studies of moderate to complex scope as directed. Develops work plans independently.
- Completes structured projects with targeted analytical outcomes, defined clients and project teams.
- Works autonomously and collaboratively with project teams and clients. Identifies operational impact of analytical findings.
- Manages projects of moderate to complex scope with general supervision.
- Conducts ongoing user education and provides management consultation on the use and interpretation of analyses, reports, methodologies and source data and systems. Develop spreadsheet and database analyses for presentation and analysis of financial reports.
- Coordinates and interacts with any of the following: Finance Team, Revenue Cycle, Admin, Dept. Administrators & Chiefs, and other organizational department leadership (as appropriate) in providing analytical assistance within defined parameters.
- Facilitates data analysis for and gives presentations. Monitors compliance with policies and procedures related to financial management and budget systems and related automated systems.

Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Qualifications:

Basic Qualifications:
- Bachelor's degree or equivalent. CPA or Masters degree preferred.
- 4+ years related experience in financial analysis and budgeting.
- Highly developed knowledge of finance theories such as present values theory/cash flow analysis and accounting principles.
- Able to formulate finance study designs and prepare and conduct professional presentations.
- Advanced proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Strong oral, written and presentation communication skills.
- Ability to facilitate design and requirements definitions meetings with a wide variety of managerial leaders.
- Demonstrate experience in both detailed financial and operational data analysis and consultative skills.
- Works under limited guidance; accountable to complete work assignments. May provide functional direction to junior finance staff.


Preferred Qualifications:
- CPA or Masters degree preferred. Skilled in various applications including MS Excel, Access, VBA, SQL and KP Health Connect.]]> Mon, 27 Feb 2012 14:00:00 GMT 2206992-Oakland-Accounting-Finance-and-Actuarial-Services
Essential Functions:
- Plan, organize and direct through management and supervisory personnel the cost effective operations of the departments responsible for all patient/third party billing, patient registration, admitting, ED check-out, Revenue Cycle quality, financial counseling, central eligibility unit and local cash control management/reporting.
- Formulate and make recommendations to Assistant Administrator Finance and the Managing Director, Patient Access on policies and practices relating to Revenue Cycle operations.
- Ensure compliance with administrative/legal requirements of government regulations concerning Medicare, Medi-cal, Workers' Compensation, bargaining unit contracts and organizational fee schedules
- Ensure adequate internal controls are in place
- Recruit, develop and maintain a competent and productive team; responsible for staff development and related goal setting/performance standard with the Revenue Cycles managers and staff.
- Delegate authority to unit managers for management of day-to-day operations and the completion of special projects
- Partners with KFH/KFHP Local Managers and Senior Local Medical Group Manager to establish a single, strategic, integrated operational business plan to optimize the billing and collection of non-dues revenue.
- Develop and strengthen the Revenue Cycles relationship with senior management in health plan/hospital, in order to improve the level and quality of joint decisions being made that have financial, legal and regulatory implications to the Revenue Cycle organization.
- Provide leadership in the development of non-dues revenue financial forecasts, budgets, and reports for their areas of responsibility.
- Ensure all critical business needs and requirements are identified and met with automated/manual processes.
- Represent and act on behalf of the Assistant Administrator for Finance and the Regional Managing Director for Patient Access in numerous special projects and committees involving key regional, facility, and divisional managers.
- Responsible for the development and adherence to payroll and non-payroll budgets.
- Accountable for resources being distributed and applied appropriately to meet deliverables. Ensure department operates within budget.


Qualifications:

Basic Qualifications:
- Minimum five (5) years of experience required managing a staff of professionals in the revenue cycle environment, preferably in an acute care hospital
- Bachelor's degree required in Finance, Business Administration OR four (4) years of equivalent management experience
- Master's degree preferred
- Demonstrated knowledge of general business concepts including financial management, team building practices, organizational behavior and personnel/labor laws and regulations
- Demonstrated ability to utilize effective financial management tools, information systems methodologies and supervisory techniques
- Must be able to work in a Labor/Management Partnership environment

Preferred Qualifications:
- Experience with electronic medical records in a hospital setting

Notes:
- Will have oversight over the Local Business Office, Admitting, Billing, Medical Records and Transcription departments]]> Mon, 27 Feb 2012 14:00:00 GMT 2206974-California-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Coordinates performance monitoring process with junior staff and participates in the development of forecasts.
- Conducts financial analyses independently or leads a team, participating in the most complex projects.
- Designs and builds financial models based on diverse financial sources, in order to inform strategic decisions.
- May direct the production of ad hoc and periodic reports for department, facility, and/or regional management.
- Works to improve data quality processes and report design to meet diverse and changing needs for management reporting.
- Participates in the planning and development of department and non-department budgets, budget system completion, high level reviews and conducts area wide analyses for target development.
- Prepares understandable and defensible financial analyses of decision alternatives by utilizing spreadsheets and accessing various databases.
- Oversees preparation of analyses for project teams, regional, departmental, and/or functional management and staff analysts.
- Writes reports of recommendations and delivers formal presentations of analytic findings and suggested action steps to management and senior leaders.
- Facilitates and participates in meetings and presentations.
- Provides education and management consulting on the use and interpretation of analyses, reports, methodologies and source data to managers/leaders. - Develops feasibility studies and business plans to support new lines of products and services.
- Supports executive staff and committees in the development, analysis a communication of cost saving strategies and budgets and in the research of financial, operation and variance issues.

Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Qualifications:

Basic Qualifications:
- Six (6) plus years of related experience in financial analysis and budgeting.
- Bachelor's degree or equivalent.
- CPA or Master's degree preferred.
- Extensive knowledge of several or all of the following:
- General finance theories and methodologies, discounted cash flow analysis, cost/benefit analysis, feasibility studies, large scale business planning, financial modeling and project management.
- Expert proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Strong oral and written communication, presentation and facilitation skills.
- Strong consulting skills.
- Works independently, accountable to complete work assignments.
- May provide project supervision to junior staff.]]> Mon, 27 Feb 2012 14:00:00 GMT 2206961-Oakland-Accounting-Finance-and-Actuarial-Services
Essential Functions:
- Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
- Coordinates performance monitoring process with junior staff and participates in the development of forecasts.
- Conducts financial analyses independently or leads a team, participating in the most complex projects.
- Designs and builds financial models based on diverse financial sources, in order to make informed strategic decisions.
- May direct the production of ad hoc and periodic reports for department, facility, and/or regional management.
- Works to improve data quality processes and report design to meet diverse and changing needs for management reporting.
- Participates in the planning and development of department and non-department budgets, budget system completion, high level reviews and conducts area wide analyses for target development.
- Prepares understandable and defensible financial analyses of decision alternatives by utilizing spreadsheets and accessing various databases.
- Oversees preparation of analyses for project teams, regional, departmental, and/or functional management and staff analysts.
- Writes reports of recommendations and delivers formal presentations of analytic findings and suggested action steps to management and senior leaders.
- Facilitates and participates in meetings and presentations.
- Provides education and management consulting on the use and interpretation of analyses, reports, methodologies, and source data to managers/leaders.
- Develops feasibility studies and business plans to support new lines of products and services.
- Supports executive staff and committees in the development, analysis and communication of cost saving strategies and budgets and in the research of financial, operation and variance issues.
- Assumes other activities and responsibilities from time to time as directed.
- Works independently; accountable to complete work assignments.
- May provide project supervision to junior staff


Qualifications:

Notes:
- Work schedule to vary as required.


PR# MT-1128.


Basic Qualifications:
- Bachelor's Degree in Finance related field and minimum six (6) years related experience, or Master's Degree in related field and minimum four (4) years related experience.
- Extensive knowledge of several or all of the following: general finance theories and methodologies, discounted cash flow analysis, cost/benefit analysis, feasibility studies, large scale business planning, financial modeling and project management.
- Expert proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Strong oral and written communication, presentation and facilitation skills and consulting skills.
- Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors.]]> Wed, 22 Feb 2012 14:00:00 GMT 1236448-California-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Prepares financial reports and conducts comprehensive analyses with written summaries to management.
- May be accountable for the coordination, compilation and distribution of financial data.
- Performs financial analysis upon identification of variances, and coordinates with junior analysts' variance analysis process as defined.
- Participates in the planning and development of regional, departmental and/or functional budgets.
- May be responsible for budget system completion and high level reviews.
- Participates in and/or leads projects of moderate to complex scope as assigned.
- Responsibilities impact the achievement of key department and/or functional objectives.
- Contributes to the achievement of department objectives.
- Erroneous decisions or failure to achieve department objectives would normally affect expenditures and resources.
- Involves interpreting and analyzing established concepts.
- Exercises judgment to make decisions for less defined issues and selects methods and techniques for obtaining solutions.
- Requires moderately complex decision-making.
- Develops solutions to complex problems.
- May refer to established precedents and policies.
- Requires significant analysis to develop solutions for complex problems.
- Provides professional/technical guidance to team members.
- Influences others regarding existing concepts, processes and/or methodology.
- Strong oral, written and presentation communication skills.
- Participates in determining objectives of assignment.
- Works under limited direction.
- Plans/schedules job activities to work toward accomplishing set objectives.
- Work is reviewed by management at key intervals for advice and guidance prior to completion.
-Work collaboratively with Operations, Financial Operations Team, and Senior Finance Management to achieve accuracy in budgeting, forecasting and variance analysis.

Preferred skills include:
-Knowledge of Membership Administration and Finance processes
-1-2 years of related experience in Healthcare
-Excellent communication and presentation skills
-Demonstrated ability to deliver quality results on time or ahead of schedule
-Organizational skills and flexibility to cope with an ever-changing environment


Qualifications:

Basic Qualifications:
- Typically five (5) years financial analysis or related experience.
- Bachelor's degree in finance related field or equivalent experience.
- Broad application of financial analysis principles, theories, and concepts in applicable discipline, plus working knowledge of other related fields.
- Advanced proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Thorough knowledge of financial analysis policies, practices and systems.
- Complete understanding and application of financial analysis principles, concepts, practices, and standards.
- Highly developed knowledge of finance theories such as present values theory/cash flow analysis and accounting principles.
- Able to formulate finance study designs and prepare and conduct professional presentations.
- Full knowledge of industry practices and standards.]]> Mon, 20 Feb 2012 14:00:00 GMT 2139472-San-Diego-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Develop & maintain billing controls within Patient Financial Services (PFS)
- Manage & develop a high functioning patient billing & collection team that includes manager & supervisor levels that support delegation & oversight
- Continually assess & develop an organizational structure that supports high performance results during significant system & insurance product changes
- Work in partnership with labor to ensure that the contract in place is monitored & followed
- Identify performance indicators & benchmarks & integrate with reporting
- Utilize appropriate software reporting tools
- Develop appropriate reporting for various levels of management
- Develop & maintain departmental policies & procedures
- Develop staff that can analyze & recommend ongoing improvements to processes, procedures, systems & reports (management, operations & transactions)
- Direct & manage accounts receivable (A/R) to ensure accounts are collected appropriately from members, nonmembers, insurance carriers, Medicare, Medicaid, & other payer sources
- Plan, coordinate & prepare information for quarterly & year-end audits with public accounting firms & third-party auditors as they relate to A/R operations
- Direct the processing of cash receipts collected from members, accounts receivable lockboxes, & insurance payments; ensure that cash is accurate & balances on a daily basis
- Develop systems & controls to ensure that cash management includes appropriate internal controls
- Maintain & follow guidelines of the Sarbanes Oxley requirements; ensure that required audits are completed on a timely basis, & issues identified are researched & addressed on an ongoing basis
- Support ongoing work with community benefit & charity care, & ad-hoc business case analyses
- Counsel staff, develop high performers & take appropriate action with poor performers including highly structured & formalized progress disciplinary steps when required
- Recruit, develop & maintain competent & productive management team members
- Responsible for staff development & related goal setting/performance standards with PFS managers & staff
- Delegate authority to unit managers for management of day-to-day operations & the completion of special projects
- Other duties may be required

Qualifications:

Basic Qualifications:
- A minimum of 8 years of progressive hospital patient accounting
- A minimum of 5 years of managing a large patient accounting department
- Bachelor's degree or equivalent combination of education and work experience
- High level of understanding of computer systems
- Extensive knowledge of State and Federal Laws related to health care billing and collection requirements
- High level of knowledge of governmental compliance rules and issues as it pertains to health care billing, collection and other reimbursement
- Detailed understanding of billing technical elements such as standard forms and data, coordination of benefit and third party liability billing and collection, electronic billing, data edit programs, reimbursement methodologies such as DRGs, APDRGs, APCs, ASCs
- Strong financial knowledge in AR and reserve analysis, basic market analysis; staffing and financial reporting skills
- Functional understanding of health care operations and physician group practices
- Excellent communication and negotiation skills
- Demonstrated skill and prior experience in writing reports and making presentations of complex materials to a variety of audiences
- Demonstrated leadership skills and ability to work independently. Ability to unify and motivate teams to accomplish goals and objectives
- Ability to resolve complex problems and influence acceptance and adherence to difficult policies, especially in team members that do not have a formal reporting relationship to this position
- Ability to analyze and resolve problems that affect the bill submission and collection process, regardless of whether the problem originates in an area under direct or indirect control
- Financial management skills, including the ability to financially analyze data for operations, budgeting, auditing, forecasting

Preferred Qualifications:
- Prior management of a union-represented staff
- Masters degree in Business, Finance or Accounting.
- Professional billing in a hospital/clinic setting
- Certification from HFMA or other related organization
]]> Sun, 19 Feb 2012 14:00:00 GMT 2183122-Portland-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Provide develop, interpret and implement financial concepts for financial planning and control.
- Perform financial analysis to determine present and future financial performance.
- Gathers, analyzes, prepares and summarizes recommendations for financial plans, future requirements, and operating forecasts.
- Works on issues of diverse scope.
-Review and analysis of events by senior management is critical to the completion and attainment of goals.
- Provides managerial responsibility for one or more teams or departments, which may be managed by employees with formal supervisory responsibilities.
- Accomplishes results through subordinates who exercise significant latitude and independence in their assignments.
- Develops and administers schedules and performance requirements.
- May have budget responsibilities.

Qualifications:

Basic Qualifications:
- Two or moreyears of management experience
- Five or moreyears of related experience.
- Four (4) year degree in related field or equivalent experience.]]> Tue, 14 Feb 2012 14:00:00 GMT 2172054-Los-Angeles-Accounting,-Finance,-and-Actuarial-Services

The Sr. Financial Analyst develops, interprets, and implements financial concepts for financial analysis, data driven decision making, modeling, forecasting, planning and control with KP's revenue cycle function. Assists the organization in making strategic data-related decisions by extracting, analyzing, manipulating, and reporting data. Performs technical analysis to determine present and future financial performance. Gathers, analyzes, prepares and summarizes recommendations for future performance, and operating forecasts.

Performs research and studies in the areas of revenue, expected reimbursement, rates of return, accounts receivables, reserves, investment opportunities, investment performance and impact of governmental requirements. Studies, forecasts, and makes recommendation on opportunities for process and technology improvements based on results of analysis.

Essential Functions:
- Prepares financial reports and conducts comprehensive analyses with written summaries to management.
- May be accountable for the coordination, compilation and distribution of financial data.
- Performs financial analysis upon identification of variances, and coordinates with junior analysts' and partners within the revenue cycle on variance analysis process as defined.
Extracts, manipulates, and scrubs data to be used in producing metrics and analyses. Builds and/or maintains complex queries.
Conducts robust data validation and error correction.
Delivers metrics and analytic results using custom reports or automated reporting tools. For some projects, interprets results and translates data and information into actionable knowledge, and assists others in using the knowledge. Guides use of metrics and analyses towards actionable results.
- Participates in the planning and development of regional, departmental and/or functional targets and forecasts.
- May be responsible for target development in the areas of revenue capture, expected reimbursement, receivables, cash, cycle times, cost to collect, and other important indicators for the revenue cycle.
- Participates in and/or leads projects of moderate to complex scope as assigned.

Qualifications:

Basic Qualifications:
- Bachelor's degree in finance or a related field or an additional 4 years of equivalent work experience in lieu of degree.
- 5+ years of financial analysis or related experience.
Proficient in SQL programming skills.
- Broad application of financial analysis principles, theories, and concepts in applicable discipline, plus working knowledge of other related fields.
- Advanced proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Thorough knowledge of financial analysis policies, practices and systems.

Preferred Qualifications:
- 1+ years experience working in a healthcare environment.
- Knowledge and understanding of Epic or equivalent revenue cycle systems and data.
Knowledge of Epic's Clarity reporting database.
- Expertise with revenue cycle data, reporting, and expected reimbursement approaches.
]]> Tue, 14 Feb 2012 14:00:00 GMT 2172019-Oakland-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
- Initiates investigation of budget variances, cost trends, and utilization patterns and performs analysis.
- Coordinates budget monitoring process as defined by supervisor.
- Ensures budget forecasting and financial planning and analysis are conducted in accordance with Administrative objectives.
- Designs analytical reports and prepares complex financial trend and data analysis reports.
- May be accountable for the coordination, compilation, and verification of analytic interpretation of financial reports and analyses prepared by junior staff.
- Participates in the planning and development of regional, departmental and/or functional budgets.
- May be responsible for budget system completion and high level reviews.
- Performs special projects/studies of moderate to complex scope as directed.
- Develops work plans independently.
- Completes structured projects with targeted analytical outcomes, defined clients, and project teams.
- Works autonomously and collaboratively with project teams and clients identifying operational impact of analytical findings.
- Manages projects of moderate to complex scope with general supervision.
- Conducts ongoing user education and provides management consultation on the use and interpretation of analyses, reports, methodologies and source data and systems.
- May develop spreadsheet and database analyses for presentation and analysis of financial reports.
- Coordinates and interacts with any of the following: Finance Team, Administration, and Department Administrators & Chiefs in providing analytical assistance within defined parameters.
- May prepare and/or give presentations.
- Monitors compliance with policies and procedures related to financial management and budget systems and related automated systems.
- Assumes other activities and responsibilities from time to time as directed.

Qualifications:

Basic Qualifications:
- Bachelor's degree in finance related field and minimum four (4) years of related experience OR Master's degree in related field and minimum two (2) years of related experience.
- Highly developed knowledge of finance theories such as present values theory/cash flow analysis and accounting principles.
- Able to formulate finance study designs and prepare and conduct professional presentations.
- Advanced proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Strong oral, written, and presentation communication skills.]]> Thu, 09 Feb 2012 14:00:00 GMT 2162354-Los-Angeles-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Expert in assigned specialty areas to include: system build, regional resource to clinical operations, reimbursement guidelines, coding rules and regulations and outside reference structures.
- Originator of initial system requests in tracking system for new services upon meeting guidelines defined by Charge Capture.
- All fee schedule implications must be considered and impact analysis completed.
- A comprehensive summary will be prepared for consideration against clinical operations and revenue impact.
- Monitoring of classification system updates for application within assigned venue.
- Preparation of recommendations and position statement for incorporation into existing practice.
- Analyze and assign updates to appropriate department navigator(s) and coordination with all fee schedule(s) entries.
- Meet or exceed Revenue Cycle and KPHC deadlines within regulatory mandates and to meet SOX compliance.
- Prepare communication content addressing pending changes/updates for distribution through appropriate communication streams.
- Travel between Medical Center facilities may be required.
- (NOTE: see NCAL 911534 Charge Capture Consultant).

Qualifications:

Basic Qualifications:
- Bachelor's degree OR equivalent combination of education and experience in Health Information Management (HIM), Management, Business Administration, Healthcare, Public Health, Finance and/or other Allied Health.
- Certification by the American Health Information Management Association (AHIMA) in one of the following: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS)
- Five (5) years of coding experience in at least one of the following specialty areas: radiology, laboratory, cardiology, GI, ortho, supplies &implants, or neurology.
- Electronic Health Record experience preferred.
- Understands reimbursement guidelines as related to Charge Capture.
- Understands EPIC files, ICD-9-CM, CPT, HCPCS classification systems and generic codes and pricing related to Charge Capture.
- Demonstrates ability to understand, utilize and apply HIM principles, practices and standards related to electronic health records, confidentiality of patient information and technologies impacting HIM.
- Demonstrates operational expertise in HIM functions including records management, chart completion, release of information, coding (including use of ICD-9-CM and CPT), abstracting, data reporting and Revenue Cycle Charge Capture.
- Demonstrates ability to interact with diverse groups at all levels of the organization.
- Demonstrates excellent communication and presentation skills (written and verbal).
- Demonstrates ability to work in a team environment, build effective teams and is
a motivated self-starter.
- Demonstrates experience with results-oriented approach; must excel in a collaborative and consensus-building environment.
- Demonstrates ability to respond to detailed questions from Hospital HIMs operational units (coding, release of information, record retrieval, transcription, etc.); reviews analytical data and monitor quality reviews and identify HIMs operational trends and benchmarks; develop data requirements and work with analytical groups to extract,
organize and analyze data; develop and implement uniform IT platforms.
- Demonstrates proficiency with computer systems including use of standard office applications (email, word processing, spreadsheets, etc.).
- Must be able to work in a Labor Management Partnership environment.


Preferred Qualifications:
- Epic, Excel and revenue cycle 2 year experience.
- Knowledge of computer skills to include Word, Excel, Powerpoint, Access and Visio.]]> Mon, 06 Feb 2012 14:00:00 GMT 2153429-Los-Angeles-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Develops annual and multi-year forecasts of revenue requirements to meet projected costs, Medical Center capital requirements, overhead allocation, and other capital requirements in conjunction with Financial Planning.
- Recommends and supports plans to maximize revenue recovery, and refine cost management methodology and capital planning.
- Partners with and provides consultation to Area Manager(s) and Senior Leadership to develop and implement financial plans and budgets, including medical services and capacity planning.
- Prepares reports and analyses relating to membership, revenues, expenses, and utilization.
- Directs the design and implementation of data collection and reporting systems.
- Provides direction to Area Manager(s), Medical Center Management team, and their staff on the appropriate use of budgeting processes, audit trails and application of financial policies and procedures.
- Ensures adherence to regulatory requirements.
- Works with Medical Center Management team, KFHP/KFH and SCPMG Outside Services to review, evaluate and manage contracts and payment for outside medical services.
- Evaluates the financial impact for the delivery of new and existing products. In conjunction with Regional Financial Services, ensures that effective accounting controls are established and maintained to safeguard all physical assets.
- Ensures compliance with administrative, legal and regulatory requirements of local, state and federal regulatory agencies.
- Works with Operations Support Services Leader to educate staff to the accounting policies and procedures for obtaining goods and services, real property leases and equipment leases.
- Assesses market trends, regulatory environment and internal practices to make recommendations to develop/adjust strategy to meet the changing business and market conditions.
- Actively works with National Facilities Services (NFS) Team Manager in tracking and monitoring capital project status.
- Works with Senior Financial Analyst and NFS Team Manager in monitoring all capital related projects.
- Provides financial guidance to Medical Center Manager on capital related issues.
- Monitors management reports provided by NFS.

Qualifications:

This is a repost of 121697


Basic Qualifications:
- Extensive (usually ten (10) plus years) experience in finance management and strategic planning in a multifaceted health care system and multi-service provider setting required.
- Appropriate education and experience in capital project oversight finance.
- Bachelor's degree or equivalent experience, in accounting, finance, business, health care or public Administration required.
- Master's degree preferred.
- CPA preferred.
- Strong communication, presentation and analytical skills required.
- Thorough knowledge of federal, state and regulatory accounting and reporting regulations, GAAP, cost management techniques, financial analysis and budgets required.
- Must be able to work in a Labor/Management Partnership environment.]]> Sun, 05 Feb 2012 14:00:00 GMT 2153391-Los-Angeles-Accounting-Finance-and-Actuarial-Services
Essential Functions:
- Responsibilities impact the achievement of key functional and/or KP objectives that have direct and significant business impact
- Contributes to the development of the department's objectives
- Involves interpreting and analyzing established concepts and trends
- Exercises considerable judgment to make decisions for less defined and complex issues
- Requires complex decision-making
- Develops solutions to a diverse range of complex problems, which require creativity and innovation within broadly defined policies and practices
- Requires in-depth analysis to identify & recommend new solutions for more complex problems
- Provides professional/technical guidance to team members
- Influences others to buy into new concepts and methodologies
- Engages in matters requiring coordination across functional lines
- Exercises considerable latitude in determining objectives and approaches to assignment
- Work is accomplished without considerable direction
- Work is evaluated upon completion to ensure objectives and performance requirements have been met
- May provide guidance to lower level staff
- Report analyst duties, e.g., design and develop automated actionable reports to inform managers in a timely fashion
- Data analyst duties, e.g., assists in the research, analysis, and remediation of moderately complex data issues that directly impacts reporting and analysis
- Business systems analyst duties, e.g., help define business rules applicable to the development and/or use of the application


Qualifications:

Basic Qualifications:
- Minimum of 8 years of financial analysis experience
- Bachelor's degree in finance related field or equivalent combination of education and experience
- Expert proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management
- Thorough knowledge of financial analysis policies, practices and systems
- Extensive knowledge of several or all of the following: general finance theories and methodologies, discounted cash flow analysis, cost/benefit analysis, feasibility studies, large-scale business planning, financial modeling and project management
- Regularly contributes to the development of new financial analysis concepts, techniques, and standards
- Frequently contributes to the development of new financial analysis theories and methods
- Employs expertise as a generalist or specialists

Preferred Qualifications:
- Health care/insurance experience
- Advanced degree or certification in analytical discipline
- Extensive use MS Office products
- Use of Data Query tools
- Project management skills

Salary Range: $38.22 - $52.35
]]> Tue, 31 Jan 2012 14:00:00 GMT 2137472-Portland-Accounting,-Finance,-and-Actuarial-Services Essential Functions:
- Serves as an expert consultant to executive leadership on major and highly complex healthcare issues with strategic importance.
- Provides leadership and direction for the department in accordance with the overall strategic direction of Finance.
- Communicates information strategically, delivering results-oriented messages.
- Actively monitors operational and financial performance to anticipate and meet the needs of leadership.
- Drives for changes in work products and processes that will improve departmental efficiencies and effectiveness.
- Applies thorough understanding of key business processes to effectively anticipate and address the longer-term implications of decisions/actions.
- Manages all steps of major projects or processes and adjusts planned approach as required.
- Fosters a positive and proactive work environment, emphasizing respect for individuals, high standards of quality, customer service, innovation and team work.
- Fosters strong results orientation within department by motivating staff and holding them accountable to meeting customer needs and organizational goals.
- Facilitates the ongoing learning, well-being, professional satisfaction and development of staff through training, work assignments, increased responsibility/autonomy and mentoring.
- Understands interrelationships among systems and process across functional areas to redesign process, improve efficiency, and ensure optimal results.
- Identifies and communicates opportunities for change to improve performance.


Qualifications:

Basic Qualifications:
- Substantial (8-10 years) directly related financial experience with analytically challenging projects.
- Significant (3+ years) general management experience.
- Direct operational experience.
- Significant experience with KP data sources.
- Bachelors degree in business administration, economics, finance, accounting, or related field.
- CPA or Master's Degree highly preferred.
- Knowledge in one or more of the following: accounting, finance, Quantitative analysis, financial analysis, healthcare economics, information systems, organizational development, health care delivery systems, project management or new business development.
- Knowledge of applicable federal and state laws and regulations related to the healthcare industry.
- Excellent communications, presentation and interpersonal skills.
- Able to manage through influence and collaboration.
- Excellent skills in complex analytic problem solving, strategic planning, program development, project management, change management and group process.
- Demonstrated effectiveness in staff development, team building, conflict resolution and group interaction.
- Proficiency with Microsoft office (i.e., Excel, Word, PowerPoint).
]]> Tue, 31 Jan 2012 14:00:00 GMT 1660542-Oakland-Accounting-Finance-and-Actuarial-Services Financial Analyst
Oakland, CA


Kaiser Permanente is looking for a Financial Analyst in Oakland. This position is part of the Kaiser Permanent Insurance Company (KPIC) Financial Planning & Analysis Team and participates in the planning and development of KPIC financial plans, budgets and forecasts.


Essential Functions
Compiling and generating financial reports, comprehensive variance analysis with written explanations on key findings.
Researching and providing supporting data and information for budget/forecasting purposes.
Analyzing business trends.
Data and performance metric reporting in support of KPIC managers and leaders, responding to data or information queries from KP Region and KPIC managers.
Working with various financial and operations directors to develop departmental, operational and financial reports.
May be accountable for the coordination, compilation and distribution of financial data.
Responsible for assigned tasks associated with monthly close process.
Participates in the planning and development of departmental and company budgets, forecasts, and business cases with responsibility for identified team deliverables.
Collects data, researches, and prepares analysis for departmental or functional budget performance and projects.
May monitor department budgets by reviewing data in the financial system and communicating with the managers.
May be accountable for the coordination, compilation, and verification of analytic interpretation of financial reports and analyses.
Proactively identifies potential data and analytical needs to support management and performance monitoring requirements.
Works autonomously and collaboratively with project teams and clients.
Completes structured projects with targeted analytical outcomes, defined clients and project teams.
Prepares financial trend and data analysis reports.
May be accountable for the coordination, compilation and distribution of financial data.
Participates in the development of departmental and/or functional budgets.
May be responsible for entry in budget system with accuracy and high level reviews.
Performs ad-hoc projects/studies of moderate scope utilizing knowledge of finance theories such as present value, cash flow analysis, and basic statistical analysis.
Communicates and supports analytical findings.
Identifies and recommends process improvements.
Monitors compliance with policies, procedures and controls related to financial management, budget systems, and related automated systems.


Qualifications:

Basic Qualifications:
- Bachelor's degree (Economics, Business, Finance, Accounting or Math)
- 2 years work experience or related internships or schooling
- Basic understanding of financial analysis concepts and accounting practices
- Proficient in PC based word processing, presentation, and spreadsheet applications, including advanced functions such as graphics and pivot tables
- Strong analytical, oral and written communication skills
- Able to analyze data and recognize analytical patterns
- Demonstrated problem solving and organization skills
- Works under general guidance; accountable to complete work assignments


Preferred Qualifications:
- Knowledge of statistics, and forecasting
- Skilled in various applications including Cognos, Onelink, Access and VBA
- Database management
]]> Mon, 30 Jan 2012 14:00:00 GMT 2134581-Oakland-Accounting,-Finance,-and-Actuarial-Services Senior Financial Analyst
Pasadena, CA


Kaiser Permanente is looking for a Senior Financial Analyst in Pasadena. This position will support the Accounts Payable department.

Essential Functions:
- Prepares financial reports and conducts comprehensive analyses with written summaries to management.
- May be accountable for the coordination, compilation and distribution of financial data.
- Performs financial analysis upon identification of variances, and coordinates with junior analysts' variance analysis process as defined.
- Participates in the planning and development of regional, departmental and/or functional budgets.
- May be responsible for budget system completion and high level reviews.
- Participates in and/or leads projects of moderate to complex scope as assigned.
- Responsibilities impact the achievement of key department and/or functional objectives.
- Contributes to the achievement of department objectives.
- Erroneous decisions or failure to achieve department objectives would normally affect expenditures and resources.
- Involves interpreting and analyzing established concepts.
- Exercises judgment to make decisions for less defined issues and selects methods and techniques for obtaining solutions.
- Requires moderately complex decision-making.
- Develops solutions to complex problems.
- May refer to established precedents and policies.
- Requires significant analysis to develop solutions for complex problems.
- Provides professional/technical guidance to team members.
- Influences others regarding existing concepts, processes and/or methodology.
- Strong oral, written and presentation communication skills.
- Participates in determining objectives of assignment.
- Works under limited direction.
- Plans/schedules job activities to work toward accomplishing set objectives.
- Work is reviewed by management at key intervals for advice and guidance prior to completion.

Qualifications:

Basic Qualifications:
-5+ years financial analysis or related experienceincluding Accounts Payable processing and accounting procedures
- Bachelor's degree in finance related field or equivalent experience
- Broad application of financial analysis principles, theories, and concepts in applicable discipline, plus working knowledge of other related fields
- Strong knowledge or background in developing analytical models using spreadsheets
- Solid or advanced understanding of Microsoft Excel and Access
- Advanced proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management
- Thorough knowledge of financial analysis policies, practices and systems
- Complete understanding and application of financial analysis principles, concepts, practices, and standards
- Highly developed knowledge of finance theories such as present values theory/cash flow analysis and accounting principles
- Able to formulate finance study designs and prepare and conduct professional presentations
- Full knowledge of industry practices and standards]]> Mon, 30 Jan 2012 14:00:00 GMT 2134556-Los-Angeles-Accounting,-Finance,-and-Actuarial-Services Financial Analyst
Pasadena, CA

Kaiser Permanente is looking for a Financial Analyst in Pasadena. This position will support the Accounts Payable department.

Essential Functions:
- Prepares more complex financial trend and data analysis reports.
- May be accountable for the coordination, compilation and distribution of financial data.
- Performs financial analysis upon identification of variances and prepares summary of key findings.
- Responsible for more complex departments/functions.
- Participates in the planning and development of regional, departmental and/or functional budgets.
- May be responsible for budget system completion.
- Participates in projects of moderate complexity as assigned and may lead projects of low complexity.
- Responsibilities impact the achievement of department objectives.
- Results usually contribute to the completion of projects and department objectives.
- Typical errors would cause moderate delays, inefficiencies and/or expenses.
- Typically involves interpreting and carrying out general guidelines.
- Requires some judgment to develop alternatives.
- Provides information to others to be used in the decision-making process.
- Requires limited decision-making.
- Demonstrated problem solving and organization skills.
- Exchanges and interprets non-routine information and/or collaboration of work.
- Strong oral and written communication skills.
- Follows generally defined directions.
- Works under general supervision.
- Exercises some discretion within defined boundaries.
- Will seek a supervisor or manager to provide guidance and/or solve problems for difficult issues.


Qualifications:

Basic Qualifications:
-2+ years financial analysis or related experience
- Bachelor's degree in finance related field or 4 additional years of equivalent experience
- Strong knowledge or background in developing analytical models using spreadsheets
- General application of financial analysis concepts and principles
- Full use and application of standard, financial analysis principles, theories, concepts and techniques
- Solid or advanced understanding of Microsoft Excel and Microsoft Access
- Working knowledge of financial analysis policies, practices and systems
- Able to formulate study designs and conduct analyses
- Frequent use and general knowledge of industry practices, techniques and standards]]> Mon, 30 Jan 2012 14:00:00 GMT 2134513-Los-Angeles-Accounting,-Finance,-and-Actuarial-Services
Key focus is on quantitative and qualitative analysis and reporting on the financial and operational performance of procurement activities. Additional areas of focus include analysis and interpretation of trends and metrics, use of database applications and various systems support tools and evaluation of data quality. Maintains and produces regular financial reports in addition to ad hoc analyses, as needed. May work independently or as a part of a project team and consults frequently with appropriate managers on progress.

Qualifications:

Basic Qualifications:
- Advanced MS excel and MS access skills
-Intermediate MS word and MS PowerPoint skills
-Bachelors degree in business, finance or management information systems
-5+ years of financial reporting and data analysis experience
- Broad application of financial analysis principles, theories, and concepts in applicable discipline, plus working knowledge of other related fields.
- Advanced proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Thorough knowledge of financial analysis policies, practices and systems.
- Complete understanding and application of financial analysis principles, concepts, practices, and standards.
- Highly developed knowledge of finance theories such as present values theory/cash flow analysis and accounting principles.
- Able to formulate finance study designs and prepare and conduct professional presentations.
- Full knowledge of industry practices and standards.]]> Thu, 26 Jan 2012 14:00:00 GMT 2127415-Oakland-Accounting,-Finance,-and-Actuarial-Services IT Staff Auditor
Oakland, CA


Kaiser Permanente is looking for an IT Staff Auditor in Oakland.


Essential Functions:
- Responsible for conducting and documenting moderately complex financial and operations audits.
- Prepare working papers documenting and supporting audit procedures and techniques conducted.
- Understand and document business systems and processes using narrative and/or flowcharting techniques.
- Under guidance of Auditor-in-Charge, may prepare audit presentations to management.
- Other duties as assigned.


Qualifications:

Basic Qualifications:
- Typically less than one year of IT auditing or comparable experience. More experienced staff in this position considered to have 2 years experience.
- General accounting, financial & business skills, knowledge, and experience.
- Ability to adapt quickly to changing demands & environment, and rapidly develop in-depth knowledge of new audit areas.
- Ability to effectively utilize general audit software such as ACL, AutoAudit, etc.
- Basic project management skills.
- Excellent verbal and written communication and presentation skills.
- Proficiency with Microsoft Office (Word, Excel, PowerPoint, and Access)
- Ability to utilize Lotus Notes
- Bachelor's degree or 4 additional years of equivalent experience

One of the following certifications is strongly preferred:
- Certified Internal Auditor (CIA)
- Certified Public Accountant (CPA)
- Certified Information System Auditor (CISA)
If currently not certified, employee is expected to actively demonstrate progress toward completion of certification within a reasonable time as approved by the VP, Internal Audit Services.]]> Wed, 25 Jan 2012 14:00:00 GMT 2124665-Oakland-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- The financial planning responsibilities include planning, budgeting, project reporting, forecasting, construction metrics, and benchmarking.Specific accountabilities are outlined below:
- Supports the Executive Vice President and Chief Financial Officer, and the SVP, Strategic Planning, by providing information and conducting analyses to support theKP and Regional multi-year capital plans.
- Assists Regional Capital Planning departments in the development of the Long Range Financial Plan.
- The Vice President, Finance for NFS will lead the NFS accounting processes, develop and maintain NFS financial policies and procedures, and ensure Sarbanes-Oxley compliance and other financial compliance.Specific accountabilities include:
- Develops awareness and accountability within NFS on all aspects of internal control in both financial and operational environments to ensure that assets are protected and the integrity of the general ledger is assured.
- Leads implementation, monitors correction, and improvements of NFS' control systems including: training of personnel; periodic evaluation and auditing of control systems in place; oversight of corrective action plans to remedy control weaknesses identified; and involvement in control design considerations of systems under development.
- The Northern California, Southern California and Regions outside California (ROC) regional NFS Financial Directors will have a dual reporting to Vice President, Finance for NFS as well as the Regional Project Operations Director. Regional NFS Finance team is accountable for planning and accounting for individual regional projects
- Manages National Facilities Services' short and long range financial planning and budgeting processes, consistent with the overall processes set in the Program and regions.Identifies key risks and links these processes to the strategic direction of the regions, other shared services and the Program.
- Collaborates with Regional Accounts Payable to ensure on time payment to vendors based on contracted terms and conditions.

Qualifications:

Basic Qualifications:
- Master's degree in accounting or finance.
- Minimum of 10 years of experience escalating managerial work-experience involving diverse financial functions in a highly diversified organization(s).Demonstrated track record in providing financial leadership in a complex medium to large sized business including developing dynamic, constructive working relationships and partnerships with senior leadership.
- Demonstrated experience in managing across a geographically dispersed matrix organization.
- Demonstrated experience in leading finance in a complex facilities operation and construction portfolio including supporting master planning, strategic planning, and facility operations.
- Exceptional interpersonal, communication and presentation skills. Ability to clearly articulate goals and expectations to staff at all levels of the organization and with diverse constituency groups.
- Ability to work collaboratively across the organization while maintaining the ability to be decisive and forthright in a consensus-driven, professional environment. Demonstrated ability to negotiate 'win-win' situations as it relates to business decisions.
- Proven experience building a team, managing a diverse staff and creating a successful organization and effective processes.
- Ability to understand and assess complex market conditions and recommend necessary cost structure improvements or revenue growth opportunities.
- Experience implementing financial controls and reporting systems to improve management capabilities and results for local market and impact within a larger business unit. Knowledge of the application of information technology to various financial systems.
- Genuine enthusiasm for working in a changing environment with the ability to champion transformation in the finance department and inspire finance staff to embrace departmental changes.
- Ability to consistently demonstrate high personal ethics, integrity, prudence, energy, initiative, and self-confidence.

Preferred Qualifications:
- CPA or equivalent work experience preferred.
- Experience in large real estate transactions, facility management operations and construction projects strongly preferred.
- Preferred qualifications include familiarity with cost and schedule control principles on large complex construction projects and programs and familiarity with governmental programs in the health care field, which will affect the financial operations of the business, especially the Office of State Health Planning and Development and other regulatory bodies.
]]> Wed, 25 Jan 2012 14:00:00 GMT 2006319-Oakland-Accounting,-Finance,-and-Actuarial-Services
Essential Functions:
- Manages the Claims & Referral Department located in Denver, including referral processing, claims adjudication, claims research & resolution, claims, training & medical bill review of member & provider claims for outside referred & emergency medical services for Denver/Boulder andColorado Springs
- Develops & implements policies & procedures regarding claims & referral processing to support regulatory & business requirements for all products offered in Denver/Boulder and Colorado Springs
- Manages to performance standards that comply w/ employer group, regulatory & market requirements
- Works in partnership w/ each market's provider contracting staff, utilization management staff & insurance systems to develop policies & procedures that support contract administrations & um protocols
- Maintain current information & knowledge of all applicable Kaiser policies, local, state & federal laws & regulations, & accreditation standards
- Ensures that the training activities incorporate all applicable KP policies, local, state & federal laws & regulations, & accreditation standards
- Supervises assigned staff
- This includes interviewing, selecting, training, motivating, evaluating, counseling, disciplining & terminating in compliance w/ EEO/AA goals & personnel policies of the organization
- In addition to defined technical requirements, accountable for consistently demonstrating service behaviors & principles defined by the KP Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives
- Also accountable for consistently demonstrating the knowledge, skills, abilities, & behaviors necessary to provide superior & culturally sensitive service to each other, to our members, & to purchasers, contracted providers & vendors


Qualifications:

Basic Functions:
- A minimum of 4 years of progressive experience in automated claims adjudication
- A minimum of 3 years of supervisory experience
- Bachelor's degree in business, accounting or finance
- Equivalent experience will be considered
- Demonstrated ability to direct & manage the activities of the Claims & Referral department
- Working knowledge of financial contracts, state & federal regulations relating to Health Maintenance Organizations, Workers Compensation, No-Fault & Medicare
- Effective verbal, written & interpersonal communication skills

Preferred Qualifications:
- Previous experience w/ computer system design, implementation & conversions preferred
]]> Mon, 16 Jan 2012 14:00:00 GMT 2102769-Denver-Accounting,-Finance,-and-Actuarial-Services
Provides documentation review, coding, & data abstracting of medical service documentation to ensure that KP Colorado receives appropriate reimbursement & conforms to applicable guidelines & regulations. Serves as a technical coder for all specialties.Makes members/patients & their needs a primary focus of one's actions; develops & sustains productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations, & needs. Builds rapport & cooperative relationship w/ members/patients. Considers how actions or plans will affect members; responds quickly to meet member/patient needs & resolves problems.

Essential Functions:
- Required to research & assign Hospital surgical procedures (CPT-4), diagnosis (ICD-9CM), & procedures (CPT-4 & HCPCS) based on review of the entire medical record
- Ability to research, analyze and/or review detailed & high complexity code edits & transactions within the KP Resolute system
- Provides additional support to the coding staff by resolving complex cases & issues
- Contributes to the development & maintenance of specialty specific education materials
- Maintains current knowledge of coding conventions, guidelines, updates, & regulations governing government & third party billing to ensure that KP Colorado coding & documentation meets regulatory guidelines & audit standards, & results in appropriate reimbursement
- Must meet & maintain departmental quality & production standards
- Participates as needed in the testing & training of new system applications
- Collaborates w/ clinical & non-clinical groups, to develop, implement & communicate specific coding & documentation guidelines that will fulfill the internal needs for complete & consistent clinical data
- Serves as coding expert on various committees as requested
- Supports compliance & KP's Code of Conduct by adhering to federal & state laws & regulations, accreditation & license requirements, by policies & procedures
- Responds appropriately to observed fraud & abuse
- Performs other duties assigned
- In addition to defined technical requirements, accountable for consistently demonstrating service behaviors & principles defined by the KP Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives
- Also accountable for consistently demonstrating the knowledge, skills, abilities, & behaviors necessary to provide superior & culturally sensitive service to each other, to our members, & to purchasers, contracted providers & vendors


Qualifications:

Basic Qualifications:
- Minimum of 4 years of outpatient or inpatient coding experience using ICD-9, CPT-4 and HCPCS
- AAPC or AHIMA certification required
- Maintain a minimum of 6 months sustained 95% accuracy in current position for internal employees in the coding department
- Successful completion of a coding and surgical coding assessment test
- Must maintain all certifications required by this position
- Ability to understand the clinical content of a health record including research & analysis of complicated records
- Ability to abstract & assign all codes to surgical procedures performed
- Above average written & communication skills w/ the ability to present, explain, & write information in a clear, concise, & organized format
- Ability to work w/ a variety of health care professionals at all levels
- Ability to communicate w/ physicians & non-physician staff w/ a commitment to provide quality customer service
- Knowledge of medical specialties, including clinical conditions seen & procedures performed
- Ability to use spreadsheet & word processing applications
- Customer service skills, customer focus abilities & the ability to understand KP customer needs

Preferred Qualifications:
- Knowledge of electronic medical record systems preferred

Salary Range: $22.47 - $25.49 Hourly
]]> Tue, 27 Dec 2011 14:00:00 GMT 2060656-Denver-Accounting-Finance-and-Actuarial-Services
Essential Functions
- Collects data, researches, and prepares analysis for regional, departmental or functional budget performance and projects.
- May monitor department budgets by reviewing data in the financial system and communicating with the managers/chiefs.
- Investigates and corrects errors.
- Prepares advanced financial trend and data analysis reports.
- May be accountable for the coordination, compilation and distribution of financial data by junior staff.
- Participates in the development of regional, departmental and/or functional budgets.
- May be responsible for entry in budget system with accuracy.
- Performs ad-hoc projects/studies of moderate scope utilizing knowledge of finance theories such as present value and cash flow analysis.
- Conducts ongoing user education and provides management consultation on the use reports, methodologies and source data and systems.
- Communicates and supports analytical findings.
- Identifies and recommends process improvements.


Secondary Functions:
- Preparing Journal Entries
- Reconciling Balance Sheet accounts.
- Ad hoc reporting and analysis

Qualifications:

Basic Qualifications:
- 2+ years of related experience in financial analysis and budgeting.
- Database management preferred.
- Bachelor's degree or equivalent. CPA or Masters degree preferred.
- Able to formulate study designs and conduct analyses.
- Required proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, and macros.
- Strong oral and written communication skills.
- Demonstrated problem solving and organization skills.
- Works under general guidance; accountable to complete work assignments.
- May provide functional direction to Finance Assistant staff or junior level analyst staff.


Preferred Qualifications:
-Working knowledge of accounting transaction flows, including system interfaces, account reconciliations, and internal controls
- Intermediate to advanced user of Microsoft Excel, Word and PowerPoint.
- Experience with Microsoft Access, Crystal and/or COGNOS report writing skills
- Experience with PeopleSoft/Oracle General Ledger and Payroll Systems
- Able to work well in a changing environment
- Good documentation skills, organized, able to multi-task and meet deadlines


Skills Testing: Excel]]> Sun, 11 Dec 2011 14:00:00 GMT 2025404-Oakland-Accounting-Finance-and-Actuarial-Services Essential Functions:
- Coordinates performance monitoring process with junior staff and participates in the development of forecasts.
- Conducts financial analyses independently or leads a team, participating in the most complex projects.
- Designs and builds financial models based on diverse financial sources, in order to inform strategic decisions.
- May direct the production of ad hoc and periodic reports for department, facility, and/or regional management.
- Works to improve data quality processes and report design to meet diverse and changing needs for management reporting.
- Participates in the planning and development of department and non-department budgets, budget system completion, high level reviews and conducts area wide analyses for target development.
- Prepares understandable and defensible financial analyses of decision alternatives by utilizing spreadsheets and accessing various databases.
- Oversees preparation of analyses for project teams, regional, departmental, and/or functional management and staff analysts.
- Writes reports of recommendations and delivers formal presentations of analytic findings and suggested action steps to management and senior leaders.
- Facilitates and participates in meetings and presentations.
- Provides education and management consulting on the use and interpretation of analyses, reports, methodologies and source data to managers/leaders.
- Develops feasibility studies and business plans to support new lines of products and services.
- Supports executive staff and committees in the development, analysis a communication of cost saving strategies and budgets and in the research of financial, operation and variance issues.
- Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Qualifications:

Basic Qualifications:
- Six (6) plus years of related experience in financial analysis and budgeting.
- Bachelor's degree or equivalent.
- CPA or Master's degree preferred.
- Extensive knowledge of several or all of the following:
- General finance theories and methodologies, discounted cash flow analysis, cost/benefit analysis, feasibility studies, large scale business planning, financial modeling and project management.
- Expert proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.
- Strong oral and written communication, presentation and facilitation skills.
- Strong consulting skills.
- Works independently, accountable to complete work assignments.
- May provide project supervision to junior staff.


Secondary Functions:
-Responsible for the financial development and implementation of the clinical trial pre-award budgeting process.
- Assists Principal Investigators with development and negotiation of financially appropriate and fiscally sound budgets for clinical trial and clinical research protocols.
- Works with the KPNC Principal Investigators to determine and document 'Routine' and Non-Routine' care procedures.
- Resolves problems and issues resulting from budget development and routing proposals through the KPNC financial management process.
- Communicates with sponsor/industry finance officer for budget queries and required deliveries.
- Tracks the budgeting process through KPNC financial management systems.
- Actively assesses and develops process improvements for budget development, budget negotiation, and Medicare coverage analysis processes.
- Trains staff appropriately and follows up to assure effectiveness of new processes.
- Works with KPNC Revenue Cycle to perform Medicare Coverage Analysis to determine whether Medicare, Medicaid or other third party payer can legitimately be billed for a given item or service identified as part of a clinical trial as dictated by KPNC DOR and Revenue Cycle, local and national Medicare regulations.
- Collaborates with the DOR fiance and the Kaiser Foundation Research Institute (KFRI) to ensure applicable KPNC finance rules and policies are instituted in the pre-award budgeting process.
Function #1: Research Budget Development
A. Works with the CCRU team and Principal Investigators with the development and negotiation of financially appropriate contracts and budgets for clinical trial, clinical research, and foundation research protocols.
B. Ensures the determination of 'Routine' and Non-Routine' is determined and tracked.
C. Collaborates with the DOR finance, the Kaiser Foundation Research Institute, and Principal Investigators in identifying payment milestones associated with research budgets.
Function #2: Data Collection & Management
A. Collects financial data, analyzes charges, and reviews the data to ensure accuracy in the pre-award budget development process.
B. Work with CCRU business partners to perform operational audits of active budgets to validate and improve cost model/s for clinical trials and clinical research budgets.
Function #3: Attends Finance Meeting as Assigned
A. Attends assigned meetings to ensure KPNC is on the forefront of industry trends in budget development and monitoring.
Function #4: Team Training and Meetings
B. Attends KPNC and CCRU-DOR meetings. Develops staff through orientation, training and mentioning. Performs related responsibilities as required. Trains clinical trial and clinical research teams in the pre-award budgeting process.
Function #: Feasibility Analysis
C. Responsible for ensuring financial feasibility of industry sponsored clinical trial budgets as well as inputting final approved budgets into the appropriate KPNC finance system
]]> Thu, 01 Dec 2011 14:00:00 GMT 1997118-Oakland-Accounting-Finance-and-Actuarial-Services
Audits medical records & provides feedback to physician & non-physician staff for outpatient and/or inpatient professional fee services to ensure that KP Colorado is compliant w/ applicable guidelines & regulations. Builds & maintains a professional relationship w/ internal & external customers. Considers how actions and/or plans will affect internal & external customers; responds quickly to resolve problems & meet customer needs.

Essential Functions:
- Performs audits of documentation & coding of inpatient and/or outpatient professional fee services
- Analyzes results & identifies patterns, trends & variations in coding & documentation practices
- Presents feedback to physician & non-physician staff on documentation & appropriate coding of diagnoses, procedures, modifiers & E&M services & offers recommendations for improvement
- Develops & presents training for physician & non-physician staff at the team or individual level as needed
- Able to interpret & apply national & state coding guidelines to ensure accurate documentation & coding
- Maintains a sustained level of coding accuracy & productivity to support auditing & feedback schedules & comply w/ department standards
- Maintains current knowledge of coding conventions, updates, government regulations & third party billing requirements
- Performs other duties as assigned
- In addition to defined technical requirements, accountable for consistently demonstrating service behaviors & principles defined by the KP Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives
- Also accountable for consistently demonstrating the knowledge, skills, abilities, & behaviors necessary to provide superior & culturally sensitive service to each other, to our members, & to purchasers, contracted providers & vendors



Qualifications:

Basic Qualifications:
- 4 years of experience in outpatient or inpatient professional coding using ICD-9, CPT-4 & HCPCS to include 2 years of performing coding audits & providing feedback to facilitate improvement of documentation & coding based on the audit results
- HS diploma or equivalent
- AHIMA or AAPC coding certification required
- Internal applicants must maintain a minimum of 6 months of sustained 95% accuracy in their current position in the coding department
- Must pass internal assessment test
- Demonstrated ability to understand the clinical content of a health record including the most complicated records
- Must possess a thorough knowledge of coding conventions, governmental regulations, & third party billing requirements as well as pharmacology indications for drug usage & related adverse reactions, ancillary testing (laboratory, radiology, etc.), anatomy, physiology, & medical terminology
- Excellent written & oral communication skills
- Demonstrated ability to explain, in writing or orally, complex information in a clear, concise, & organized format
- Must be able to work w/ a variety of health care professionals at all levels
- Ability to communicate w/ physician & non-physician staff w/ a commitment to provide quality customer service
- Previous experience using MS Office products to include Excel, Word & PowerPoint
- Familiarity w/ electronic medical record systems required
- Must maintain all certifications required by this position
- Must be able to work independently & in a team environment
- Position requires travel to multiple KP facilities within the Denver Metro area
Salary Range $27.67-$32.54]]> Sun, 13 Nov 2011 14:00:00 GMT 1793743-Denver-Accounting-Finance-and-Actuarial-Services
Essential Functions:
- Examines and summarizes statistical data by applying mathematical and statistical knowledge to unpaid claim liability, trend analysis, rate formula, forecasting, and premium analysis
- Develops and enhances procedures including review for actuarial soundness
- Analyzes in-progress or completed work for reasonableness and accuracy, and may recommend specific course of action.
- Provides technical assistance to regional staff in the planning, execution, and analysis of actuarial studies.

Qualifications:

Basic Qualifications:
- Bachelor's degree in Mathematics, Actuarial Science, statistics, or related field
- 2 years of actuarial experience, and must have successfully passed 3 actuarial exams.
- Intermediate level of quantitative skills including understanding of probability, sampling, and descriptive and inferential statistics.
- Excellent analytic and problem-solving skills.
- Working knowledge of primary research methods.
- Some knowledge of data analysis software.
- General application of actuarial concepts and principles.
- Full use and application of standard marketing principles, theories, concepts, and techniques.

Preferred Qualifications:
- 5 actuarial exams preferred.
- Knowledge of health care industry dynamics and trends preferred.
]]> Wed, 09 Nov 2011 14:00:00 GMT 1923797-Portland-Accounting,-Finance,-and-Actuarial-Services Senior Assistant Controller, MSSA Membership Accounting
San Diego, CA


Kaiser Permanente is looking for a Senior Assistant Controller for Membership Accounting based in San Diego for the Marketing, Sales, Service & Administration (MSSA) organization. This position will oversee the accounting, timely collection, recognition, and reporting of more than $24 Billion annually in dues revenue for the California regions.


Essential Functions
- Responsible for the recording of daily transactions relating to cash receipts and disbursements, accounts payable, payroll and premium accounting entries for the completion of accurate and timely accounting records and for the production of financial and regulatory reports.
- Supervising the account analysis work, preparing account reconciliations, preparing accounting statements and reports, and coordination and management of account reporting and filings.
- Participates in the planning & budgeting processes, coordinates and resolves accounting matters with other accounting members, departments, locations, and divisions.
- Insures that accounting policies and procedures are followed to ensure that all financial transactions are executed and documented in accordance with generally accepted accounting principles.
- Identifies financial issues and makes recommendations to MSSA and processing center senior management.
- Communicates effectively with senior financial management in the regions as to significant transactions, issues, and trends.
- Manages the development and maintenance of financial accounting systems required to maintain reporting requirements in an evolving regulatory and business climate.
- Selects, develops, and evaluates personnel to ensure the efficient operation of the function.
- Manages an accounting staff responsible for the subledger accounting in support of General Ledger accounts for Group and Individual Plans Dues Revenue, Cash Receipts, Cash Disbursements, Dues Accounts Receivable and Reserves in a shared service organization with more than 700 people serving multiple regions.
- Establishes and assures adherence to budgets, schedules, work plans, and performance requirements.
- Participates in the long-term strategic planning and direction setting of the San Diego Consolidation Service Center (CSC) and the membershop administration function.
- Develops, establishes, and maintains operational policies within the CSC Finance function.
- Involved in developing, modifying and executing company policies that affect immediate operations and may also have KP-wide effect. Approves all CSC policies and major work procedures that have impact on financial results or financial management.
- Ensures a strong SOX control environment for the membership administration process, including integration with upstream and downstream processes. Manage all Membership Accounting transactions with effective SOX controls, including segregation of duties and remediation of key control testing issues.
- Participates in the development of overall CSC objectives and KP goals. Actively engages with CSC Leadership team and obtains a working knowledge of business line operations to confirm
- Promotes a strong culture of Compliance and reinforces Principles of Responsibility through CSC Leadership meetings, staff meetings, and everyday interactions with CSC employees.
- 10-15% travel within and outside of California.


Qualifications:

Basic Qualifications
10+ years experience in Accounting Management positions in health care or other large organizations
5+ years experience as Finance Leader for Membership Accounting or similar large, high volume processing centers
4-year degree in accounting or 4 additional years of equivalent experience
SOX and audit management experience

Preferred Qualifications
CPA, CMA and / or MBA
Bachelor's degree in accounting]]> Tue, 18 Oct 2011 16:00:00 GMT 1875103-San-Diego-Accounting,-Finance,-and-Actuarial-Services