<?xml version="1.0" encoding="utf-8" ?>
<rss version ="2.0" xmlns:atom="http://www.w3.org/2005/Atom">
<channel>
<atom:link href="http://kpcareers.org/rss" rel="self" type="application/rss+xml" />
<title><![CDATA[Kaiser Permanente - San Mateo Accounting, Finance, and Actuarial Services jobs]]></title>
<link>http://kpcareers.org/san-mateo/accounting,-finance,-and-actuarial-services-jobs</link>
<description><![CDATA[Looking for accounting, finance, and actuarial services jobs? Kaiser Permanente has career information for you]]></description>
<language>en</language>
<item>
<title><![CDATA[Executive Director Financial Regulatory Reporting - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>186798</span></p>Key financial executive responsible for providing leadership in: ensuring compliance throughout KFH/HP and subsidiaries with, and monitoring developments in, National Association of Insurance Commissioners (NAIC) statutory accounting and reporting requirements; establishing and maintaining consistency in application of statutory accounting and reporting across all applicable regions; represent KFH/HP in various external forums to influence statutory accounting standards setting; responsible for the accounting related aspects of regulatory reporting done by Corporate Controllers Department (CCD) including the California Department of Managed Health Care (DMHC); and acting as a regulatory accounting resource for the CCD, other departments and regional staff. At a future date, it is envisioned that this role will also assume responsibility for ensuring compliance throughout KFH/HP and subsidiaries with, and monitoring developments in, US GAAP accounting and reporting requirements.<br/><br/>Essential Functions:<br/>- Provide general oversight, leadership, and direction for regulatory accounting throughout KFH/HP and subsidiaries, working with staff in various departments and the regional Health Plans.<br/>- Monitor developments in DMHC and NAIC statutory accounting to identify issues that may affect KFH/HP, including attending meetings of the NAIC as needed.<br/>- Ensure the strategic direction of actual and proposed changes to DMHC and NAIC statutory accounting is understood by KFH/HP and work with Corporate Controllers Department personnel, Government Relations and regional regulatory staff to ensure KFH/HP understands, evaluates and responds appropriately and timely to actual and proposed changes to DMHC and NAIC statutory accounting.<br/>- Coordinate with Corporate Controllers Department and other personnel as necessary in the development and implementation of statutory accounting policies.<br/>- Provide oversight, review and quality control for regional statutory audited financial statements to ensure that statutory accounting and reporting requirements are applied appropriately and consistently.<br/>- Ensure that differences between US GAAP and statutory accounting are treated appropriately in audited statutory statements.<br/>- Primary responsibility for oversight and review of regulatory accounting reports for which the Corporate Controllers Department is responsible including the California DMHC, the California Department of Health Care Services, the California Department of Corporations, U.S. Census and a variety of other reports prepared on a quarterly, annual and periodic basis.<br/>- Present reports to senior management for review and approval prior to filing.<br/>- Conduct regular meetings with regional and program office staff to review changes to NAIC statutory accounting and their implementation at KFH/HP.<br/>- Work with staff through the organization to ensure consistent application of NAIC statutory accounting standards at a regional level.<br/>- Monitor and report to senior management on the status of compliance with NAIC statutory accounting, including consistent treatment across KFHP/H regions.<br/>- Act as backup to department staff preparing regulatory filings and ensure other staff assigned as backup maintain the knowledge and experience to perform backup duties as needed.<br/>- Ensure desktop procedures are complete, comprehensive and up-to-date.<br/>- Act as the Corporate Controllers Department resource for information requests related to regulatory audits when assistance is needed by other departments.<br/>- Executes continuous improvement and daily operations managing within department budget.<br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Seven (7) to ten (10) years of comprehensive experience in financial and regulatory reporting.<br/>- Five (5)to seven (7) years of experience supervising professional staff.<br/>- Management Experience in complex, matrixed organizations.<br/>- Substantial experience in change management including: effective goal setting for teams; successful motivation of work groups to adopt best practices; and restructuring to improve operational efficiency and effectiveness.<br/>- Experience in senior management and Board of Directors level communications.<br/>- Bachelor's degree in accounting or finance required.<br/>- CPA required.<br/><br/>Preferred Qualifications:<br/>- Experience in DMHC reporting and generally accepted accounting principles preferred.<br/>- Master's degree in business, finance, accounting or related field preferred.<br/>- Extensive knowledge of NAIC statutory accounting and State DOI filings strongly preferred.<br/>- Broad knowledge of the health care industry, insurance, managed care and integrated delivery systems preferred.<br/>]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3710837-executive-director-financial-regulatory-reporting-jobs]]></link>
<pubDate>Thu, 23 May 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3710837-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Financial Analyst Quality &amp Clinical Systems Support - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>185518</span></p>Kaiser Permanente is looking for a Financial Analyst in Oakland. Brand Strategy, Communications, and Public Relations (BSCPR) and Quality & Care Delivery Excellence (Q&CDE) financial support is responsible for the oversight of financial activities including: establishing and maintaining strong internal controls including Sarbanes Oxley; overall planning processes (i.e., Monthly Analysis, Forecast, Budget and Strategic Plan) and reporting; and ensuring business cases and financial analysis are consistently and accurately prepared and presented. Finance provides objective, thoughtful information, and analysis enabling Kaiser Permanente's senior leadership to make objective, informed decisions, and to achieve profitable growth.<br/><br/>Essential Functions:<br/>    - Provide financial reporting, analysis and planning support to Senior Vice Presidents, Vice Presidents and Directors;<br/>    - Actively engage with BSCPR and Q&CDE management during the monthly financial, quarterly forecast, and annual budget processes.<br/>    - Acts as a liaison between BSCPR and Q&CDE senior management and Program Office during the annual budgeting and strategic planning process;<br/>    - Participates in various analytical projects, gathering input from all BSCPR and Q&CDE personnel in order to develop concise, fact-based, presentations for senior management.<br/>    - Assist in the budgeting, forecasting, strategic planning, and reporting responsibilities for BSCPR and Q&CDE .<br/>    - Assist in Accounting, Compliance and Financial Reporting, ensure proper and timely recording of financial transactions in the general ledger in accordance with Generally Accepted Accounting Principles (GAAP).<br/>    - Assist in Financial Analysis and Reporting, conducts quantitative and qualitative financial analyses to address a broad array of issues across disciplines.<br/>    - Prepare detailed financial analysis for senior management.<br/>    - Actively engage with the client to ensure good communication in all financial areas and processes.<br/>    - Assess the business performances and challenges for the BSCPR and Q&CDE areas.<br/>    - Help the organization focus on prioritizing initiatives and activities that create value to the company.<br/>    - Assist in modification of financial processes for the businesses.<br/>    - Assist in various analytical projects, gathering input from all customers in order to develop concise, fact-based, presentations for senior management.<br/><br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Typically two (2) to four (4) years financial analysis or related experience.<br/>- Bachelor's degree in finance related field or equivalent experience.<br/>- General application of financial analysis concepts and principles.<br/>- Full use and application of standard, financial analysis principles, theories, concepts and techniques.<br/>- Required proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables and macros.<br/>- Working knowledge of financial analysis policies, practices and systems.<br/>- Able to formulate study designs and conduct analyses.<br/>- Frequent use and general knowledge of industry practices, techniques and standards.<br/><br/>Preferred Qualifications:<br/>    - Experience with financial reporting, accounting, procurement, and compliance<br/>    - CPA certification<br/>    - Experience in preparing and delivering presentations to business leaders and senior management<br/>    - Financial and statistical analysis knowledge<br/><br/>]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3706570-financial-analyst-quality-amp-clinical-systems-support-jobs]]></link>
<pubDate>Wed, 22 May 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3706570-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Financial Consultant Medicare Medicaid - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>141686</span></p>Kaiser Permanente<br/>Financial Consultant<br/>Oakland, CA<br/><br/>Kaiser Permanente is looking for a Financial Consultant in Oakland. Within National Medicare & Medicaid Finance Group, this position supports the care and coverage lines of business in a broad range of financial, operational and risk analyses and is national in scope.The Financial Consultant Medicaid will handle all phases of projects assigned including client meetings, analysis, presentations and will lead a number of results-oriented project teams to successful completion within designated timeframes. Duties will include designing effective processes to track financial performance against expectations, including early 'red flags' to identify potential shortfalls, and ensuringthe integrity of measurement and control processes and all financial and reporting statements. He or she will prepare routine or new quantitative or qualitative analyses including but not limited to modeling, trends, variance, data review, data audits, reconciliations,industry/regional comparisons.Duties will include thedesign of BI dashboards, scorecards, charts / graphs, drill-downs, and dynamic reports to meet the new information needs.He or she will have the ability to understand impact of data on either revenue or cost or a line of business. The financial consultant Medicaid will applyknowledge of business practices across the program, as well as regional focus, haveindependent thought process, with the ability to link and convert external and internal activities into analytical models, summarize results and assess risk factors. He or she will serve as a consultant to internal and external teams on all matters related to assigned subject matter expertise as well as to department manager and director on matters related to assigned subject matter expertise.<br/><br/>Essential Functions:<br/>-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.<br/>-Responsible for more complex multi-faceted projects and analyses across disciplines and functional areas.<br/>-Assists in developing performance monitoring process and coordinating compilation, interpretation and presentation of monitoring information.<br/>-Participates in the planning and development of regional, departmental and/or functional budgets.<br/>-May be responsible for budget system completion, high level reviews and conducting area wide analyses for target development.<br/>-Conducts or participates in complex projects where analysis requires an in-depth evaluation of factors.<br/>-Creates and performscomplex financial modeling to maintain and enhance a newly built system wide excel based model which incorporates macros and visual basic programming code for efficient spreadsheet design.<br/>-Identifies and assimilates data from disparate financial systems to produce robust analysis for decision making.<br/>-Gather and drive stakeholder requirements and product vision through the planning, analysis, engineering, and testing phases.<br/>-Translate stakeholder requirements into various documentation deliverables such as functional specifications, use cases, workflow / process diagrams, data flow / data model diagrams.<br/>-Design BI dashboards, scorecards, charts / graphs, drill-downs, and dynamic reports to meet the new information needs.<br/>-Participate in the creation of a catalog of key performance indicators and the documentation of their supporting business requirements, data models, calculation rules, and metadata. <br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Bachelor's degree in finance, information systems, accounting, or related area or equivalent work experience<br/>- Eight or more years of financial analysis experience<br/>- Extensive knowledge of several or all of the following: general finance theories and methodologies, financial planning and analysis, cost/benefit analysis, feasibility studies, large scale business planning, financial modeling and project management<br/>- Demonstrated ability to lead a number of results-oriented project teams to successful completion within designated timeframes<br/>- Strongadvanced computer word processing functions such as graphics, pivot tables, familiarity with macros and database management<br/>- Strong communication and presentation, relationship-building skills.<br/><br/>Preferred Qualifications:<br/>- Knowledge of SAS programming<br/>- Expert with Excel and use of excel and macros to develop Ad-Hoc financial models<br/>- Strong knowledge of Generally Accepted Accounting Principles (GAAP)<br/>- Knowledge of andexperience with data warehousing solutions<br/>- Familiarity with Health Care industry<br/><br/>]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid2545711-financial-consultant-medicare-medicaid-jobs]]></link>
<pubDate>Mon, 20 May 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">2545711-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Financial Policy Consultant Controller's Department - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>176728</span></p>The Policy Consultant is responsible for designing effective financial and operational policies applicable to all regions and shared services operations (SSOs). This position is additionally responsible for coordinating efforts and providing technical expertise to other Finance departments to design technical internal accounting policies needed to standardize and document their operations. This position also assumes a leading role to inform, educate, and interpret financial operational policies of national scope to all regions and SSOs, and manage an effective vehicle to disseminate such policies and interpretations to all regional policy liaisons.<br/><br/>Essential Functions:<br/>- Facilitates the design and implementation of new financial policies and perform periodic change or updates to existing policies. Performs related research and analysis as needed. Monitors the development and issuance of new accounting and auditing standards; determines applicability to Kaiser Permanente, and write or amend policy accordingly<br/>- Coordinates efforts with the national business leaders, national and regional governance and compliance leaders, training managers and other subject matter experts in writing policy and in identifying policy gaps.<br/>- Consults with employees of all levels across all regions to educate employees on policy issues and provides adequate interpretation of policies.  Assist in the development of training materials, as needed.<br/>- Drives through obstacles and overcomes active resistance to change during policy design and interpretation utilizing effective negotiation and communication skills. Assess program-wide financial policy compliance.<br/>- Ensures good working relationships with management personnel utilizing written and oral communication tools.<br/><br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Typically eight (8) plus years of financial analysis or related experience.<br/>- Bachelor's degree in finance related field or equivalent experience.<br/>- Regularly contributes to the development of new financial analysis concepts, techniques, and standards.<br/>- Considered expert in field within KP.<br/>- Frequently contributes to the development of new financial analysis theories and methods.<br/>- Expert proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.<br/>- Thorough knowledge of financial analysis policies, practices and systems.<br/>- 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.<br/>- Employs expertise as a generalist or specialist.]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3614254-financial-policy-consultant-controller's-department-jobs]]></link>
<pubDate>Tue, 30 Apr 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3614254-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Financial Consultant National Medicare Finance - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>178544</span></p>This position may be based in Oakland CA, Aroura CO, or Pasadena CA. The Financial Consultant for Kaiser Permanente's National Medicare and Medicaid Finance (NMF)will report to the NMF Controller and will be responsible for systems implementations, reporting, and financial analysis related to Centers for Medicare and Medicaid Services (CMS) Medicare Advantage, Part D and HMO Cost Contract programs<br/>Develops, interprets and implements financial concepts for financial planning and control. Performs technical analysis to determine present and future financial performance. Gathers, analyzes, prepares and summarizes recommendations for financial plans, acquisition activity, trended future requirements and operating forecasts. Performs economic research and studies in the areas of rates of return, depreciations, working capital requirements, investment opportunities, investment performance and impact of governmental requirements.<br/>Essential Functions:<br/>- 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.<br/>- Responsible for more complex multi-faceted projects and analyses across disciplines and functional areas.<br/>- Assists in developing performance monitoring process and coordinating compilation, interpretation and presentation of monitoring information.<br/>- Participates in the planning and development of regional, departmental and/or functional budgets.<br/>- May be responsible for budget system completion, high level reviews and conducting area wide analyses for target development.<br/>- Conducts or participates in complex projects where analysis requires an in-depth evaluation of factors.<br/>- Responsibilities impact the achievement of key functional and/or KP objectives that have direct and significant business impact.<br/>- Contributes to the development of the department's objectives.<br/>- Erroneous decisions or recommendations would normally result in the inability to reach functional objectives and negatively affect expenditures and resources.<br/>- Involves interpreting and analyzing established concepts and trends.<br/>- Exercises considerable judgment to make decisions for less defined and complex issues.<br/>- Requires complex decision-making.<br/>- Develops solutions to a diverse range of complex problems, which require creativity and innovation within broadly defined policies and practices.<br/>- Requires in-depth analysis to identify and recommend new solutions for more complex problems.<br/>- Provides professional/technical guidance to team members.<br/>- Influences others to buy into new concepts and methodologies.<br/>- Engages in matters requiring coordination across functional lines.<br/>- Strong oral and written communication, presentation and facilitation skills and consulting skills.<br/>- Exercises considerable latitude in determining objectives and approaches to assignment.<br/>- Work is accomplished without considerable direction.<br/>- Work is evaluated upon completion to ensure objectives and performance requirements have been met.<br/>- May provide guidance to lower level staff.<br/><br/>Responsibilities<br/>    - Represent NMF in systems implementation projects impacting financial reporting, including validation of system calculations and outputs<br/>    - Support report development including design, testing and implementation<br/>    - Produce ad hoc reports for analysis of variances and payment issues<br/>    - Develop, implement and update NMF policies and procedures related to systems implementations and payment analysis<br/>    - Provide technical expertise for CMS payment methodologies and regulations impacting reimbursement<br/>    - Collaborate with NMF partners to identify and resolve data or payment issues impacting Medicare reimbursement<br/>    - Contribute to implementation of SOX-compliant work processes and internal controls<br/>    - Provide guidance to lower level analysts<br/><br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Typically eight (8) plus years of financial analysis or related experience.<br/>- Bachelor's degree in finance related field or equivalent experience.<br/>- Regularly contributes to the development of new financial analysis concepts, techniques, and standards.<br/>- Considered expert in field within KP.<br/>- Frequently contributes to the development of new financial analysis theories and methods.<br/>- Expert proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.<br/>- Thorough knowledge of financial analysis policies, practices and systems.<br/>- 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.<br/>- Employs expertise as a generalist or specialist.<br/><br/>Preferred Qualifications<br/>    - Thorough knowledge of Centers for Medicare and Medicaid Services (CMS) Reimbursement Methodology and Monthly Payment Reports for Medicare Advantage and Part D programs preferred<br/>    - Experience in a health plan, healthcare system or multi-service provider setting preferred<br/>    - Strong project management skills<br/>    - Experience with systems implementations and report development<br/>    - Ability to work with large data sets and complex calculations<br/>    - Detail oriented<br/>    - Excellent written and oral communication skills<br/>]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3577437-financial-consultant-national-medicare-finance-jobs]]></link>
<pubDate>Mon, 29 Apr 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3577437-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Senior Accountant National Medicare Finance - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>164827</span></p>Responsible for the recording of daily transactions relating to cash transactions, accounts payable transactions, payroll transactions & premium & claims transactions, for the completion of accurate & timely accounting records & for the production of financial & regulatory reports, based on those records. Other responsibilities include performing account analysis, preparing account reconciliations, preparing accounting statements & reports, & coordination & management of account reporting & filings. Plans, coordinates & resolves accounting matters w/ other Accounting members, departments, locations & divisions. Accounting policies & procedures are established to ensure that all financial transactions are executed & documented in accordance w/ generally accepted accounting principles. Findings & recommendations are presented to senior management.<br/><br/>Essential Functions:<br/>- Record entries to & perform reconciliations of various complex accounts, including bank accounts, those requiring complex analysis or those w/ high visibility to senior management.<br/>- Prepare various investment schedules & financial reports including balance sheets, income statements, etc. & produce reports for management or outside parties.<br/>- Review financial reports for accuracy.<br/>- Provide analysis of various complex accounts.<br/>- Perform financial analysis, translate data into a management report & make recommendations for the management of financial resources.<br/>- Recommend methods & procedures to improve specific task-related activities & the functioning of the accounting department. Resolve issues w/ other staff or departments w/out management involvement.<br/>- Provide support for internal & external audits, & Third Party Administrator's (TPA) data, & back-up support for creation of regulatory financials.<br/>- Investigate & resolve issues & complete special projects as needed.<br/>- Review reconciliations, journal entries & reports prepared by Associate Accountant or Accountant. Provide guidance/direction to team members as needed for the results of the review.<br/>- Participate in cross-training of peers.<br/>- Responsibilities impact the achievement of key department &/or functional objectives.<br/>- Contributes to the achievement of department objectives.<br/>- Erroneous decisions or failure to achieve department objectives would normally affect expenditures & resources.<br/>- Able to use judgment to determine if TPA & divisions in providing data have made adequate progress requested. Resolve issue w/ party. Escalate only if needed.<br/>- Ability to work w/out structure & prioritize tasks effectively.<br/>- Represents the accounting department in communications to outside parties. Able to identify potential problems w/out supervision, & develop & present solutions to staff & management.<br/>- Ability to handle multiple tasks & solve problems independently w/out detailed supervision. Flexibility to perform a variety of detailed accounting functions & meet established deadlines. Able to piece together complex data from multiple sources, & determine if the data is adequate to meet financial reporting requirements for GAAP & for outside agency purposes.<br/>- Provides professional/technical guidance to team members.<br/>- Influences other team members & outside parties regarding existing concepts, processes &/or methodology.<br/>- Operates under general supervision.<br/>- Provides periodic informal work guidance/direction to, & training of team members.<br/>- Assume other duties as directed.<br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Generally five (5) years demonstrated experience performing detailed accounting functions including preparation of supporting schedules, journal entries, financial statements and account reconciliations.<br/>- Four (4) year degree in related field or equivalent experience.<br/>- Strong attention to detail, aptitude for numbers and well organized.<br/>- Excellent spreadsheet (Excel), word processing (Word), and database (Access) skills required.<br/>- Excellent written and verbal communication and problem solving skills.<br/>- Strong knowledge of GAAP, internal controls, and accounting procedures.<br/>- Knowledge and ability to translate raw data into input formats that will ultimately generate accurate financial and management reports.]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3172509-senior-accountant-national-medicare-finance-jobs]]></link>
<pubDate>Sun, 28 Apr 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3172509-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[New Graduate Underwriter - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>181629</span></p>Underwritings overarching function is to anticipate key business, marketplace and competitor dynamics in developing and implementing strategies to optimize business results which include retention and growth targets while mitigating risk. Primary focus is on establishing the appropriate rate and conditions of offering to achieve revenue, membership and margin goals. Additionally, processes and policies are managed to support optimal customer service while collaborating with Sales/Account Management partners to optimize business opportunities and effective solutions.<br/><br/>Essential Functions:<br/>- Adhere to business processes and policies that support for all job levels particularly in areas of rate actions, benefit structure, customer engagements, etc<br/>- Meets established department turn around goals by balancing deadlines<br/>- Comply with new and existing policies, procedures, and methodologies<br/>- Comply with continuous quality improvement programs<br/>- Strategize with internal customers on implications of decisions on business outcomes<br/>- Assist in positioning Underwriting as an integral partner in the creation of effective business solutions<br/>- Establish relationships with Sales/Account Management to understand business potential with purchasers, brokers & consultants<br/>- Develop solutions that establish credibility with Sales/Account Management and external customers<br/>- Acquire and exhibit knowledge of the external business environment to add value<br/>- The Underwriting function impacts the financial results of the region and at this level significant loss could occur to a small book of business or a smaller region<br/>- Uses current rating methodology and judgment to structure group, interpret benefit array, group contribution scheme, etc. to determine if the proposed rate will produce company-wide membership and revenue targets<br/>- Releases rates rarely without peer review<br/>- Demonstrates reasoning skills to work through problems<br/>- Develops solutions to routine problems, following established policies and procedures<br/>- Problems are not usually clearly defined and solutions are not usually readily available<br/>- Follows established policies & procedures<br/>- Works under general supervision<br/>- Exercises discretion in rating decisions<br/>- Has some authority to make decisions on changing rates<br/>- Participates in determining objectives of assignment<br/>- Participates with peers, team, internal partners, supervisor or manager in problem solving<br/>- Participates in QA process as both one whose work is reviewed and as a peer reviewer for team members<br/>- Participates in case reviews with internal partners when appropriate<br/>- May coach and act as a mentor to peers or less experienced or skilled staff<br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Minimum Requirements: One (1) year of work experience is required<br/>- 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<br/>- Preferred: Two (2) to three (3) years of related experience performing analysis work<br/>- Bachelor's degree preferred OR a minimum one (1) to two (2) years of equivalent experience in business administration, health care administration, mathematics, statistics, financial analysis or a related field<br/>- Demonstrated computer literacy including Excel and Word<br/>- Sound written & verbal communication<br/>- Ability to accurately calculate algebraic rating formulas<br/>- Ability to work with incomplete or imperfect information & develop reasonable assumptions<br/>- Ability to balance conflicting deadlines and meet established departmental turnaround goals<br/>- Good organizational skills and the ability to work under pressure<br/>- 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<br/>- Awareness of the market environment for health care in California<br/>- Ability to work cooperatively with others<br/>- Ability to adapt to changing policies and procedures]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3603582-new-graduate-underwriter-jobs]]></link>
<pubDate>Sun, 28 Apr 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3603582-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[New Graduate Underwriter - (San Jose, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>181821</span></p>Underwritings overarching function is to anticipate key business, marketplace and competitor dynamics in developing and implementing strategies to optimize business results which include retention and growth targets while mitigating risk. Primary focus is on establishing the appropriate rate and conditions of offering to achieve revenue, membership and margin goals. Additionally, processes and policies are managed to support optimal customer service while collaborating with Sales/Account Management partners to optimize business opportunities and effective solutions.<br/><br/>Essential Functions:<br/>- Adhere to business processes and policies that support for all job levels particularly in areas of rate actions, benefit structure, customer engagements, etc<br/>- Meets established department turn around goals by balancing deadlines<br/>- Comply with new and existing policies, procedures, and methodologies<br/>- Comply with continuous quality improvement programs<br/>- Strategize with internal customers on implications of decisions on business outcomes<br/>- Assist in positioning Underwriting as an integral partner in the creation of effective business solutions<br/>- Establish relationships with Sales/Account Management to understand business potential with purchasers, brokers & consultants<br/>- Develop solutions that establish credibility with Sales/Account Management and external customers<br/>- Acquire and exhibit knowledge of the external business environment to add value<br/>- The Underwriting function impacts the financial results of the region and at this level significant loss could occur to a small book of business or a smaller region<br/>- Uses current rating methodology and judgment to structure group, interpret benefit array, group contribution scheme, etc. to determine if the proposed rate will produce company-wide membership and revenue targets<br/>- Releases rates rarely without peer review<br/>- Demonstrates reasoning skills to work through problems<br/>- Develops solutions to routine problems, following established policies and procedures<br/>- Problems are not usually clearly defined and solutions are not usually readily available<br/>- Follows established policies & procedures<br/>- Works under general supervision<br/>- Exercises discretion in rating decisions<br/>- Has some authority to make decisions on changing rates<br/>- Participates in determining objectives of assignment<br/>- Participates with peers, team, internal partners, supervisor or manager in problem solving<br/>- Participates in QA process as both one whose work is reviewed and as a peer reviewer for team members<br/>- Participates in case reviews with internal partners when appropriate<br/>- May coach and act as a mentor to peers or less experienced or skilled staff<br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Minimum Requirements: One (1) year of work experience is required<br/>- 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<br/>- Preferred: Two (2) to three (3) years of related experience performing analysis work<br/>- Bachelor's degree preferred OR a minimum one (1) to two (2) years of equivalent experience in business administration, health care administration, mathematics, statistics, financial analysis or a related field<br/>- Demonstrated computer literacy including Excel and Word<br/>- Sound written & verbal communication<br/>- Ability to accurately calculate algebraic rating formulas<br/>- Ability to work with incomplete or imperfect information & develop reasonable assumptions<br/>- Ability to balance conflicting deadlines and meet established departmental turnaround goals<br/>- Good organizational skills and the ability to work under pressure<br/>- 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<br/>- Awareness of the market environment for health care in California<br/>- Ability to work cooperatively with others<br/>- Ability to adapt to changing policies and procedures]]></description>
<link><![CDATA[http://kpcareers.org/silicon-valley/accounting,-finance,-and-actuarial-services/jobid3603546-new-graduate-underwriter-jobs]]></link>
<pubDate>Sun, 28 Apr 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3603546-Silicon-Valley-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Senior Financial Consultant HPO - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>179796</span></p>Successful Candidate will be able to work independently, with various management layers, up to and including EVP in the preparation and analysis of business cases for review by the Health Plan IT Portfolio Approval Council (HP-IT PAC) and the Program Office Executive Capital Approval Committee (CAC). Business case development will include financial evaluations, and benefit realization documentation of national and multi-regional investments.Will articulate methods of identifying benefits from business case through the budgeting cycle to ensure benefit realization.This highly motivated team works in partnership to ensure high quality output with full peer review.<br/><br/>Essential Functions:<br/>- Engage client departments in the framing and financial analysis of business issues, the identification of alternatives and the development of business cases that accurately and meaningfully portray the business value of decision alternatives.<br/>-Serve as a subject matter expert in partnership with client departments' management and finance team to provide financial insight and analysis to business issues and ensure practices consistent with proper accounting treatment, adherence to policy, and delivery of committed benefits.<br/>-Train, educate and promote a change in culture related to value creation and disciplined benefit achievement throughout HPO/HPSA departments, project leaders and management sponsors.<br/>-Responsible for working on multiple projects simultaneously, often under tight time frames with priorities that may change. Incumbent is responsible for analysis and representation of investments projects to financial leaders and governance bodies.<br/>-Complete special projects or other duties as assigned.<br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Twelve (12) plus years financial analysis or related experience.<br/>- Four (4) year degree in related field or equivalent experience.<br/>- Advanced knowledge (broad expertise or unique knowledge) of policies, practices and systems.<br/>- Develops advanced concepts, techniques and standards.<br/>- Develops new applications based on professional principles and theories.<br/>- Viewed as functional expert in field within KP.<br/>- Applies advanced principles, theories and concepts.<br/>- Contributes to the development of innovative principles and ideas.<br/>- Employs expertise as a generalist or specialist.]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3589161-senior-financial-consultant-hpo-jobs]]></link>
<pubDate>Wed, 24 Apr 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3589161-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Manager Accounting National Medicare Finance - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>173243</span></p>The Accounting Manager for Kaiser Permanente's National Medicare Finance (NMF) will report to the NMF Director of Accounting and Financial Reporting and will be responsible for the proper, accurate, and timely recording/reporting of the Program's Medicare Revenue. He or she will manage the NMF Accounting team, provide accounting leadership and direction, and ensure compliance with Sarbanes-Oxley (SOX) and Model Audit Rule (MAR). Responsibilities also include recruiting, training, coaching, developing and evaluating staff and leading system project initiatives and process improvements.<br/><br/>Responsibilities:<br/>-Manage the preparation, analysis and review of monthly Medicare revenue accruals and reserves for program-wide revenues of $12 billion for over 1.1 million Kaiser Medicare members<br/>-Manage the month-end close process to ensure NMF Medicare financial reporting is completed timely and accurately<br/>-Communicate financial results to NMF, Regional and Program Office financial leaders<br/>-Identify and communicate risks and opportunities to NMF, Regional and Program Office financial leaders<br/>-Implement and oversee SOX and MAR compliant work processes and internal controls<br/>-Support the director to oversee the development, implementation and update of NMF Accounting policies and procedures<br/>-Support internal and external financial audits including preparation and review of documentation and timely response to audit requests<br/>-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<br/>-Serve as a backup to the director to participate in NMF, regional, Program and Medicare business line initiatives including system implementations<br/>-Manage team of 3-4 staff<br/>-Hire, train, coach and manage staff and evaluate performance<br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Two (2) years of management experience and five (5) years of related experience.<br/>- Four (4) year degree in related field or equivalent experience.<br/>- Requires full knowledge of own area of functional responsibility and working knowledge of another function.<br/><br/>Preferred Qualifications:<br/>-CPA or CMA<br/>-MBA<br/>-Experience in a health plan, healthcare system, multi-service provider setting, or public accounting firm preferred<br/>-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 Electronic Health Records programs preferred<br/><br/>]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3352663-manager-accounting-national-medicare-finance-jobs]]></link>
<pubDate>Thu, 18 Apr 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3352663-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Financial Senior Analyst Accounts Payable Oakland CA - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>163392</span></p>Develops, interprets and implements financial concepts for financial planning and control. Performs technical analysis to determine present and future financial performance. Gathers, analyzes, prepares and summarizes recommendations for financial plans, acquisition activity, trended future requirements and operating forecasts.<br/><br/>Essential Functions:<br/>- Prepares financial reports and conducts comprehensive analyses with written summaries to management.<br/>- May be accountable for the coordination, compilation and distribution of financial data.<br/>- Performs financial analysis upon identification of variances, and coordinates with junior analysts' variance analysis process as defined.<br/>- Participates in the planning and development of regional, departmental and/or functional budgets.<br/>- May be responsible for budget system completion and high level reviews.<br/>- Participates in and/or leads projects of moderate to complex scope as assigned.<br/>- Responsibilities impact the achievement of key department and/or functional objectives.<br/>- Contributes to the achievement of department objectives.<br/>- Erroneous decisions or failure to achieve department objectives would normally affect expenditures and resources.<br/>- Involves interpreting and analyzing established concepts.<br/>- Exercises judgment to make decisions for less defined issues and selects methods and techniques for obtaining solutions.<br/>- Requires moderately complex decision-making.<br/>- Develops solutions to complex problems.<br/>- May refer to established precedents and policies.<br/>- Requires significant analysis to develop solutions for complex problems.<br/>- Provides professional/technical guidance to team members.<br/>- Influences others regarding existing concepts, processes and/or methodology.<br/>- Strong oral, written and presentation communication skills.<br/>- Participates in determining objectives of assignment.<br/>- Works under limited direction.<br/>- Plans/schedules job activities to work toward accomplishing set objectives.<br/>- Work is reviewed by management at key intervals for advice and guidance prior to completion.<br/>- Prepare monthly journal entries and supporting documentation.<br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Typically five (5)+ years financial analysis or related experience.<br/>- Bachelor's degree in finance related field or equivalent experience.<br/>- Broad application of financial analysis principles, theories, and concepts in applicable discipline, plus working knowledge of other related fields.<br/>- Advanced proficiency in PC based word processing and spreadsheet applications, including advanced functions such as graphics, pivot tables, macros and database management.<br/>- Thorough knowledge of financial analysis policies, practices and systems.<br/>- Complete understanding and application of financial analysis principles, concepts, practices, and standards.<br/>- Highly developed knowledge of finance theories such as present values theory/cash flow analysis and accounting principles.<br/>- Able to formulate finance study designs and prepare and conduct professional presentations.<br/>- Full knowledge of industry practices and standards.]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3151749-financial-senior-analyst-accounts-payable-oakland-ca-jobs]]></link>
<pubDate>Tue, 16 Apr 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3151749-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Pharmacy Internal Auditor (ODC 203178) - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>179039</span></p>This position conducts audits of various Pharmacy business, operating and financial systems, determines whether organizational units' planning, accounting, custodial or control activities for material assets such as --but not limited to --equipment, materials, supplies, drugs, and cash are in compliance with established management control systems, policies and procedures. Also, plans, conducts audits and reviews in accordance with established standards, reports findings, makes recommendations for correcting unsatisfactory conditions, improving operations, and reducing costs, and works with local pharmacy management and staff to coordinate the implementation of recommendations.<br/>Essential Functions:<br/>- Implements and maintains established audit/control systems and policies and procedures.<br/>- Plans the scope of the audit and designs an audit methodology to accomplish the objective.<br/>- Determines the auditing procedures to be used, including sampling, surveillance, and the use of data processing equipment.<br/>- Collaborates w/ operating departments to schedule the audits.<br/>- Evaluates control systems effectiveness through the application of knowledge of business systems, financial, and other operations, as well as auditing principles, practices and techniques.<br/>- Obtains, analyzes, and appraises evidentiary data as a base for an informed, objective opinion on the adequacy and effectiveness of the system and the efficiency of performance of the activities being reviewed.<br/>- Analyzes data obtained through audit for evidence of deficiencies in controls, duplication of effort, extravagance, fraud or lack of compliance w/ applicable regulations, legislation, and/or management policies/procedures.<br/>- Presents the audit results including identified deficiencies and corrective recommendations to management for decision-making.<br/>- In concert w/ local pharmacy management/staff, implements the corrective plan and supports Divisional and Service Area pharmacy management in resolution and prevention of identified control weaknesses.<br/>- Corrective actions may include procedural oversight, training of key managers and staff, coordination w/ other departments, revision of controls/records/policies/procedures, and follow-up audits and reviews to evaluate effectiveness of corrective actions and to identify the mechanics of detected fraud/theft/abuse and/or to develop controls for fraud/theft prevention.<br/><br/>Secondary Functions:<br/>- Under direction of the Manager-Pharmacy Audit & Compliance, conducts audits of various Pharmacy business, operating and financial systems.<br/>- Performs other duties as required.<br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Two (2) plus years (usually) of previous relevant experience in inventory control and/or auditing in a KP Outpatient Pharmacy as a Pharmacy Tech.<br/>- Bachelor's degree in business administration or a related field preferred.<br/>- Ability to demonstrate knowledge of Pharmacy business and operational systems, including PIMS and related business processes and interfaces (e.g., PBS, RABS, ARBIS, ICS, etc).<br/>- Ability to utilize and apply internal auditing principles, practices and techniques.<br/>- Ability to utilize effective oral and written communication skills.<br/>- Must be able to work in a Labor/Management Partnership environment.]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3523286-pharmacy-internal-auditor-(odc-203178)-jobs]]></link>
<pubDate>Wed, 10 Apr 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3523286-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Pharmacy Internal Auditor (RPO 203069) - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>179035</span></p>This position conducts audits of various Pharmacy business, operating and financial systems, determines whether organizational units' planning, accounting, custodial or control activities for material assets such as --but not limited to --equipment, materials, supplies, drugs, and cash are in compliance with established management control systems, policies and procedures. Also, plans, conducts audits and reviews in accordance with established standards, reports findings, makes recommendations for correcting unsatisfactory conditions, improving operations, and reducing costs, and works with local pharmacy management and staff to coordinate the implementation of recommendations.<br/>Essential Functions:<br/>- Implements and maintains established audit/control systems and policies and procedures.<br/>- Plans the scope of the audit and designs an audit methodology to accomplish the objective.<br/>- Determines the auditing procedures to be used, including sampling, surveillance, and the use of data processing equipment.<br/>- Collaborates w/ operating departments to schedule the audits.<br/>- Evaluates control systems effectiveness through the application of knowledge of business systems, financial, and other operations, as well as auditing principles, practices and techniques.<br/>- Obtains, analyzes, and appraises evidentiary data as a base for an informed, objective opinion on the adequacy and effectiveness of the system and the efficiency of performance of the activities being reviewed.<br/>- Analyzes data obtained through audit for evidence of deficiencies in controls, duplication of effort, extravagance, fraud or lack of compliance w/ applicable regulations, legislation, and/or management policies/procedures.<br/>- Presents the audit results including identified deficiencies and corrective recommendations to management for decision-making.<br/>- In concert w/ local pharmacy management/staff, implements the corrective plan and supports Divisional and Service Area pharmacy management in resolution and prevention of identified control weaknesses.<br/>- Corrective actions may include procedural oversight, training of key managers and staff, coordination w/ other departments, revision of controls/records/policies/procedures, and follow-up audits and reviews to evaluate effectiveness of corrective actions and to identify the mechanics of detected fraud/theft/abuse and/or to develop controls for fraud/theft prevention.<br/><br/>Secondary Functions:<br/>- Under direction of the Manager-Pharmacy Audit & Compliance, conducts audits of various Pharmacy business, operating and financial systems.<br/>- Performs other duties as required.<br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Two (2) plus years (usually) of previous relevant experience in inventory control and/or auditing in a KP Outpatient Pharmacy as a Pharmacy Tech.<br/>- Bachelor's degree in business administration or a related field preferred.<br/>- Ability to demonstrate knowledge of Pharmacy business and operational systems, including PIMS and related business processes and interfaces (e.g., PBS, RABS, ARBIS, ICS, etc).<br/>- Ability to utilize and apply internal auditing principles, practices and techniques.<br/>- Ability to utilize effective oral and written communication skills.<br/>- Must be able to work in a Labor/Management Partnership environment.]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3523285-pharmacy-internal-auditor-(rpo-203069)-jobs]]></link>
<pubDate>Wed, 10 Apr 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3523285-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Director Clinical Documentation Integrity - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>178509</span></p>This is a regional director level position which supports acute care hospitals within the program for clinical documentation improvement. This position uses masters level project management, clinical knowledge & knowledge of coded data for documentation requirements to improve overall patient quality, capture severity, acuity & risk of mortality. In addition to having expertise in understanding the clinical documentation required for the completeness of the patient records using a multidisciplinary team process. Provides oversight, leads & directs a regional clinical documentation improvement program & staff. Position includes recruiting, hiring & supervising RNs & HIM coding professional who are CDI staff. Works w/ hospital & regional teams to reach goals & objectives of the program which include quality, safety, data integrity & accurate reimbursement. This position reports into Revenue Cycle Integrity, a regional revenue cycle department.<br/><br/>Essential Functions:<br/>- Implement & provide oversight for a regional clinical documentation improvement program in an organized & standardized manner.<br/>- Recruit, hire & train clinical documentation improvement staff (30+ FTEs) that will function at the medical centers (hospitals).<br/>- Mentor & supervise CDI staff.<br/>- Establish effective working relationships w/ the local & regional staff/teams/leadership.<br/>- Facilitate appropriate clinical documentation to support diagnosis capture. Identifies & reviews primary & secondary diagnosis & complications to ensure diagnosis & Identify & review for POA (Present on Admission), Hospital Acquired Conditions (HACs) documentation & initiate a communication clarification process when appropriate w/ providers.<br/>- Reviews clinical issues w/ medical coding staff & w/ physicians to identify those diagnoses that impact severity of illness indicators) for each patient.<br/>- Serves as an expert resource in reviewing all medical records in support of consistent documentation for all payer types to ensure complete & accurate diagnosis capture & coding.<br/>- Adheres to the hospital standards to promote a cooperative work environment by utilizing communication skills, interpersonal relationships & team building.<br/>- Collaborates in the development of programs, initiatives & workflows which provide alignment w/ education for internal customers to support clinical documentation guidelines.<br/>- Communicates information timely & effectively w/ medical center leaders & clinical staff.<br/>- Works w/ Regional Coding Review Managers & the Regional Director of Coding to develop, implement & monitor departmental policies & procedures that support organizational goals, business objectives, regulatory needs & requirements.<br/>- Conducts quality assurance reviews on the CDI processes & functions, resulting in the reporting of any corrective action.<br/>- Collaborates w/ the HIM Director of the medical centers, dietary, speech, physical, respiratory & wound care staff.<br/>- Provides education to these service lines & department leadership.<br/>- Conducts data & root cause analysis, provides feedback & shares findings on the analysis to leaders, local regional management & medical team.<br/>- Leads the 'Query process' to medical staff for accurate clear documentation in the patient's medical records.<br/>- Monitor & track verbal & written queries & produce reports as required.<br/>- Provide input on RAC issues relating to clinical documentation.<br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Minimum of eight (8) years of clinical experience (i.e. inpatient, clinical documentation, &/or case management reviews).<br/>- Prior Clinical Documentation Improvement experience, either as a specialist or as a program manager/leader.<br/>- Experience w/ Recovery Audit Contractors (RAC).<br/>- Acute care inpatient care experience & extensive knowledge of MS-DRG, APR-DRGs or similar methodology preferred.<br/>- Graduate from an accredited school of nursing (BSN required).<br/>- Current licensure to practice as a Registered Nurse in the State of California. Master's degree preferred.<br/>- CCDS (Certified Clinical Documentation Specialist) or CCS (Certified Coding Specialist) optional.<br/>- CCDS, certified clinical documentation specialist preferred.<br/>- CCS (Certified Coding Specialist) optional preferred.<br/>- Expert interpersonal, communication (verbal, non-verbal, & listening skills).<br/>- Understand Adult Learning Theory.<br/>- Knowledge of HCCs (Hierarchical Condition Categories) & inpatient clinical documentation issues preferred.<br/>- Understand coding classifications systems such as, but not limited to ICD-9 CM, MS-DRG, APR-DRGs, & HCCs strongly preferred.<br/>- Strong ability to present to multiple physician advisory boards, steering committees & executive staff on the importance of documentation improvement, & effectiveness of CDI & its goals & objectives.<br/>- Collect, analyze & interpret data (CDI) for physician endorsement of program initiatives.<br/>- Facilitate understanding, compliance, & completeness in documentation.<br/>- Ability to Combine clinical knowledge & business acumen to deliver results w/ a track record of assessing & capitalizing on opportunities for streamlining operations through broad based experience in project leadership & process reengineering.<br/>- Consistently produce client deliverables faced w/ multiple project resource constraints.<br/>- Utilize training in understanding of the DMAIC process &/or Black or Green Belt certifications.(ie.Six Sigma methodologies).<br/>- Must exhibit efficiency, collaboration, candor, openness, & results orientation. - Knowledge of the healthcare revenue cycle.<br/>- Competent computer skills including word processing, spreadsheets, & presentation software.<br/>- Must have strong analytical skills.<br/>- Demonstrate an understanding of the operations &/or business of KP, health policy<br/>trends, & any applicable regulations related to the responsible practice area.]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3501484-director-clinical-documentation-integrity-jobs]]></link>
<pubDate>Thu, 04 Apr 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3501484-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Senior Analyst CMIS - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>135412</span></p>This position is responsible for the monthly processing of CMIS data in the Eclipsys/TSI Decision Support System. CMIS database encompasses 17 million encounters annually & 17 Service Areas.<br/>Essential Functions:<br/>- Must ensure that the general ledger & patient data files are loaded properly each month through monthly validation & reconciliation<br/>- Audits the calculation & application of unit costs<br/>- Provides quality control by reviewing a complex M204, mainframe, & TSI database to check for unacceptable variances & errors<br/>- Coordinates the correction of any & all identified errors<br/>- Provides a complete & reconciled database to users on a timely basis each month<br/>- Conducts the monthly processing to populate the CMIS regional database w/ financial, clinical, demographic, utilization, & cost data<br/>- Conducts database batch processing & coordination<br/>- Coordinates the team's correction of any data rejects<br/>- Audits & reconciles expenses & utilization as they travel through the Eclipsys/TSI modules<br/>- Maintains the Indirect Cost Allocation structure for the entire region<br/>- Understands the complexities of the ICA structure<br/>- Audits the success of the demographic & clinical data loads<br/>- Audits final costing & identifies any data quality issues<br/>- Corrects the problem or brings the issue to the appropriate level for correction<br/>- Resolves intricate data issues<br/>- Serves as a CMIS liaison to & maintains regular contact w/ Partners providing source system data<br/>- Meets w/ source system owners to resolve any data feed issues & discuss data feed improvements<br/>- Meets w/ IT representatives to resolve any technological issues & discuss technological improvements<br/>- Takes direction from Consultants for database improvement<br/>- Communicates database status to Service Area consultants<br/>- Works w/ CMIS team members to improve CMIS database continually<br/><br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Previous (usually two (2) to three (3) years) relevant work experience<br/>- Experience w/ relational databases<br/>- Experience in working in a multi-disciplinary team<br/>- Project coordination experience preferred<br/>- Mainframe experience preferred<br/>- Bachelor's degree, or equivalent experience in information management, finance, accounting or related field<br/>- Written & oral communication skills<br/>- Good project management & consulting skills<br/>- Excellent verbal & written communication skills<br/>- Proficient in PC databases, decision support tools, spreadsheets, & word processing<br/>- Strong analytic skills<br/>- Ability to work independently<br/>- Ability to meet deadlines<br/>- Attention to detail required<br/>- Strong problem solving ability<br/>- Ability to multi-task<br/>- Ability to determine key business issues & develop effective action plans from multi-disciplinary perspectives<br/>- Ability to conduct & interpret quantitative & qualitative analyses<br/><br/>Preferred Qualifications:<br/>- Master's degree]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid2429264-senior-analyst-cmis-jobs]]></link>
<pubDate>Sun, 10 Mar 2013 16:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">2429264-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Vice President Business Development - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>170581</span></p>The Vice President, Business Development, provides vision, strategic direction and leadership for planning, building, developing, and implementing, a comprehensive business development function that supports the long term objectives, mission and vision for Kaiser Foundation Health Plan and Hospitals. This role includes identifying potential acquisitions, partnerships, joint ventures and contractual relationships involving non-Kaiser Permanente entities that support the sustainable growth of the organization with respect to members, services, revenue and/or capabilities.<br/><br/>This leader reports to the Kaiser Foundation Health Plan and Hospitals Senior Vice President of Corporate Planning, and will work closely with the Senior Vice President of Corporate Development and Investments for the Permanente Federation and Medical Groups as well as with other key leaders throughout the organization to ensure that non-core growth is a key part of KP's portfolio. The VP is responsible for developing and maintaining a high functioning team that can identify, analyze and consummate complex, strategically important transactions. This responsibility includes engaging and collaborating with executives of functional areas and regions, along with members of their teams. He/she looks ahead with a 10 year horizon to ensure that Kaiser Permanente is prepared to accomplish its mission and deliver sustainable growth within a rapidly changing healthcare environment. <br/>Essential Funtions:<br/>    - Provide overall vision, direction and goals for the Business Development function.<br/>    - Recruit and develop a high performing team to support the function.<br/>    - Work with the Program Office Strategic Planning and Health Plan functions, and regional planning functions, to maintain a comprehensive, structured business intelligence database to support the identification and evaluation of opportunities<br/>    - Develop and implement annual and ongoing plans for the use of Business Development and related KP resources to identify, evaluate, prioritize, negotiate and close selected transactions<br/>    - Conduct and/or oversee all necessary economic assessment, financial valuation and other supporting analyses for specific opportunities that could exceed $1 billion in value an/or annual revenue.<br/>    - Build and sustain strong relationships with stakeholders including executive leadership, Health Plan, Finance, IT, Regional, other Program Office and Medical Group leaders, and industry peers.<br/>    - Develop a network of external contacts, sources and experts.<br/>    - Establish methodologies for project identification, evaluation, prioritization, selection, negotiation and execution of selected transactions.<br/>    - Ensure appropriate engagement of internal and external parties in the course of Business Development activities including legal, compliance, finance and other functions required to ensure successful transaction execution.<br/><br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Bachelor's degree required.<br/>- Extensive exposure to the health care industry including hospitals, physician organizations, health plans, and/or supporting businesses. Significant experience in the identification, development, negotiation and closure of a wide range of transactions including acquisitions, partnerships, joint ventures and contracts.<br/>- Fifteen or more years of progressive experience within healthcare related organizations including leadership/management, consulting, transaction, planning and/or project management experience.<br/>- Experience in managing complex, large-scale projects, negotiations and transactions.<br/>- Demonstrated ability to determine the key business issues and develop appropriate action plans from multidisciplinary perspectives.<br/>- Demonstrated ability in influencing Executive-level leaders.<br/>- Proven leadership skills in a matrix management environment that includes influencing, efficiency, collaboration, candor, and openness with a focus on results orientation.<br/>- Skilled in collaboration, conflict resolution, group interaction/dynamics, department management, project management, and facilitating large scale organizational transformation.<br/>- Exceptional interpersonal skills, especially specific to persuasion and negotiation.<br/>- Strong presentation skills, with experience presenting to Executive level leaders.<br/>- Successful experience in achieving results in a highly complex matrix organization.<br/>- Thorough knowledge of complex project management processes, tools, techniques and methodologies to lead large scale efforts.<br/>- Experience in all forms of health care business models.<br/>- Strong leadership skills; ability to recruit talent and develop teams; expert in performance management processes.<br/><br/>Preferred Qualifications:<br/>- Bachelor's degree, preferably in business, health or public administration, management or a related field, including substantive quantitative/analytical coursework.<br/>- Master's in business administration, accounting, finance or related field is preferred.<br/>- Experience running a significant part of a complex organization is preferred.<br/>]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3244878-vice-president-business-development-jobs]]></link>
<pubDate>Wed, 20 Feb 2013 14:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3244878-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Underwriter II (Oakland) - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>158425</span></p>Underwritings overarching function is to anticipate key business, marketplace and competitor dynamics in developing and implementing strategies to optimize business results which include retention and growth targets while mitigating risk. Primary focus is on establishing the appropriate rate and conditions of offering to achieve revenue, membership and margin goals. Additionally, processes and policies are managed to support optimal customer service while collaborating with Sales/Account Management partners to optimize business opportunities and effective solutions.<br/><br/>Essential Functions<br/>- Manage business processes and policies that support for all job levels particularly in areas of rate actions, benefit structure, customer engagements, etc.<br/>- Meets established department turn around goals by balancing deadlines.<br/>- Implement new and existing policies, procedures, and methodology.<br/>- Implement continuous quality improvement programs.<br/>- Strategize with internal customers on implications of decisions on business outcomes.<br/>- Position Underwriting is an integral partner in the creation of effective business solutions.<br/>- Establish relationships with Sales/Account Management to enhance business potential with purchasers, brokers & consultants.<br/>- Develop solutions that increase credibility with customers & Sales/Account Management and external customers.<br/>- Acquire and exhibit knowledge of the external business environment to add value.<br/>- The Underwriting function impacts the financial results of the region and at this level significant loss could occur to a mid/ large set of groups or book of business that would dramatically impact the regions financials.<br/>- Also makes decisions on how the rates align to overall strategy and makes recommendations to internal stakeholders to provide a better benefit to the customers.<br/>- Majority of time determines rates on straightforward cases and begins to participate in the peer review process.<br/>- Uses systematic approaches to break down problems into tasks and to trace the implications of a situation in a step-by-step way.<br/>- Develops solutions to a variety of problems of moderate to complex scope and complexity using judgment within policy and practice guidelines.<br/>- Assesses information to identify the best solution from existing alternatives.<br/>- Customers, Brokers, Consultants and Internal Follows established policies and procedures.<br/>- Works under general supervision.<br/>- Exercises discretion in rating decisions.<br/>- Has some authority to make decisions on changing rates.<br/>- Participates in determining objectives of assignment.<br/>- Participates with peers, team, internal partners, supervisor or manager in problem solving.<br/>- Participates in QA process as both one whose work is reviewed and as a peer reviewer for team members.<br/>- Participates in case reviews with internal partners when appropriate.<br/>- May coach and act as a mentor to peers or less experienced or skilled staff.<br><br>Qualifications:<br><br>Basic Qualifications<br/>- Two (2) or more years in rating, underwriting, or a related field required.<br/>- Minimum of four (4) years experience in large group health underwriting required.<br/>- Three (3) to five (5) years of underwriting experience preferred.<br/>- Bachelor's degree in mathematics, statistics, business administration, or a related field or applicable related work experience preferred.<br/>- Excellent written and verbal communication skills.<br/>- Excellent problem-solving skills, particularly financial and statistical.<br/>- Ability to interpret client-specific data to analyze underlying causes of significant changes in demographics and utilization.<br/>- Strong understanding of trends in the insurance industry in California and the practices of competitive carriers.<br/>- Ability to adjust conflicting priorities to meet or exceed established department turnaround goals.]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3183934-underwriter-ii-(oakland)-jobs]]></link>
<pubDate>Tue, 12 Feb 2013 14:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3183934-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Internal Audit Undergrad Internship - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>169234</span></p>Department Description:<br/><br/>Internal Audit Services is a diverse and dynamic department of 90+ professionals. Our audits touch on many financial and operational processes within the organization, including areas like Procurement, Construction, Human Resources, Membership, Pharmacy, Optical Services, IT, and more. We also dedicate a portion of our time each year to investigations, management requests and Sarbanes Oxley (SOX) testing.<br/><br/>Project Summary:<br/><br/>Responsibilities will include conducting financial and operational audits, preparing workpapers to support audit procedures, and documenting business processes. Specific responsibilities may include:<br/><br/>    - Assist with the execution of an audit project and/or SOX testing.<br/>    - Use pre-established procedures, programs, assessment tools, and test scripts to perform assigned audit steps and/or SOX testing.<br/>    - Understand & document business systems/processes using narrative, inquiry, &/or flowcharting techniques.<br/>    - Prepare working papers documenting & supporting audit and/or SOX procedures & techniques conducted.<br/>Analyze findings, determine 'root causes', formulate opinions, & develop recommendations.<br/><br><br>Qualifications:<br><br><br/>Minimum Requirements:<br/>    - Current enrollment in junior or senior year of college pursuing a Bachelor's degree in Accounting, Finance, Business or Economics or related field; or enrollment pursuing an advanced degree in a similar field of study.<br/>    - Proficient in MS Office, especially Word and Excel.<br/>    - Strong verbal and written communication skills.<br/>    - 3.0 GPA.<br/><br/>Preferred Qualifications:<br/>    - Previous work experience either as a full time employee or summer intern.<br/>Completion of one or more courses in auditing or internal auditing.]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3231288-internal-audit-undergrad-internship-jobs]]></link>
<pubDate>Tue, 05 Feb 2013 14:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3231288-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>
<item>
<title><![CDATA[Vice President Information Management - (Oakland, California)]]></title>
<description><![CDATA[<p class="jobLocation">Req Id:  <span>167393</span></p>This position will have responsibility for effectively and efficiently delivering the needs of the California regions, ROC regions and program for accurate and timely information management. This position will oversee Information Strategy and Management, Analytic Information Systems, Forecasting Reporting and Analysis, Management Accounting and Analysis, and Medicare Analysis Reporting and Submissions. In total, 190+ FTEs will report to this individual.<br/><br/>Essential Functions:<br/>- Develop and execute an over-arching information strategy for the California regions, ROC regions and program. Key components of this strategy include coordinating and aligning operational, clinical decision support, membership and financial information, establishing a rational approach for accessing data (access tools), developing consistent business rules and data input standards, improving quality and usability of end-user data and standardizing data warehouses and sources, processing and underlying decision support IT tools. Additionally a key component will be to coordinate with regional analytics functions to ensure timely and accurate operating support.<br/>- Oversee the delivery of accurate, timely and complete data and management information (operational, clinical decision support, management, membership and financial). As part of this role: ensure the source systems efficiently capture data, align financial, utilization, and membership reporting processes with facility practices, clarify and clearly establish data management accountabilities, develop and enforce consistent and appropriate business rules, align operational, financial, utilization and membership databases across departments, support the development of new reporting and information management tools, deliver analytic products that facilitate action-oriented decisions by PMG and KFH/HP leadership.<br/>- Enhance, support and maintain those data/information processes that deliver the following information and reports: provide membership and patient utilization information across the continuum of care, provide utilization performance and membership and hospital operations reporting and analysis, produce cost accounting and profit and loss information, provide analytic support to service Planning, submit regulatory data to state and federal agencies, including State Planning bodies, JCHAO, Medicare Part C, and Part D, calculates risk scores for all regions , provide analytic support to the LMP and workplace safety, deliver Medicare Part C and Part D submissions and modeling, work with State Regulatory agencies and other entities to integrate clinical and operational models and reporting<br/>- Developing and executing a consistent report access delivery strategy. As part of this strategy, evaluate existing access tools, such as Focus and the Data Warehouse, and align and rationalize resources, platforms and systems, where appropriate.<br/>- Partnering with regional leadership and medical group leadership to monitor utilization and associated operational action plans necessary to meet year-end operating targets and strengthen the overall performance of the organization.<br/>- Coordinate with information technology (KPIT) on information management and system development issues. Developing and maintaining key relationships with the appropriate strategic, operational and finance leaders in Permanente Medical Groups. Coordinating and fully supporting the Kaiser Permanente Sarbanes Oxley initiative directly in the work performed in the department, as well as in providing data and information to support SOX controls as needed.<br><br>Qualifications:<br><br>Basic Qualifications:<br/>- Bachelor's degree in Business Administration, Economics, Finance, Accounting, Public Health or other quantitative field.<br/>- Extensive experience (usually 10+ years) in the health care industry in data management/cost accounting/decision support. Substantial experience (usually 7+ years) as a Executive of health care data management and analytical staff.<br/>- Ten or more years of progressive management and leadership experience in financial planning and performance management, as well as the development and/or support of decision making and governance processes.<br/>- Significant travel to operating units to engage stakeholders is expected.<br/>- Substantial knowledge in one or more of the following: quantitative analysis, financial analysis, or information systems.<br/>- Significant knowledge in emerging technologies such cloud computing, complex data cube and analytical environments.<br/>- Proven ability to determine key business issues and facilitate/support the development of effective action plans from multi-disciplinary perspectives.<br/> o Including experience in understanding clinical data, working with clinicians to interpret the data for pursing the best course of treatment and hardwiring the outcomes into upstream systems.<br/>- Demonstrated ability to conduct and interpret quantitative and qualitative analyses with the ability to use the data to look forward to help impact trends and drive better business outcomes.<br/>- Capability to lead and influence senior executives around business issues.<br/>- Ability to communicate complex concepts to staff that may not have the same level of technical expertise.<br/>- Demonstrated ability to synthesize and translate complicated data and analyses into 'actionable' information from the end user/customer's perspective.<br/>- Must be able to work in a Labor/Management Partnership environment.<br/>- Demonstrated leadership capabilities, including but not limited to:<br/> o Excellent problem solver and strong communicator<br/> o Change management<br/> o Proven ability to manage a large number of diverse stakeholders and constituents<br/> o Prior experience managing large projects and competing priorities<br/> o Excellent interpersonal skills (negotiation, listening and communication skills) characterized by effective interactions and strong working relationships with a diverse range of internal and external constituents, stakeholders and audiences<br/> o Demonstrated political savvy - Able to operate in politically complex situations, and remain effective<br/>- Demonstrated ability to develop, lead and mentor professional staff. Overseas development and succession planning for future leaders within the Information Management function.<br/><br/>Preferred Qualifications:<br/>- Master's degree or extensive health care industry strongly preferred.]]></description>
<link><![CDATA[http://kpcareers.org/oakland/accounting,-finance,-and-actuarial-services/jobid3172472-vice-president-information-management-jobs]]></link>
<pubDate>Thu, 17 Jan 2013 14:00:00 GMT</pubDate>
<category><![CDATA[Accounting, Finance, and Actuarial Services]]></category>
<guid isPermaLink="false">3172472-Oakland-Accounting,-Finance,-and-Actuarial-Services</guid>
</item>

</channel>
</rss>
