Managerial Consultant IV, Prospective Medicare Risk Adjustment

Remote from CA. OR, WA, CO, GA, VA, MD, HI, Washington D.C.

The Prospective Risk Adjustment Operations team is seeking a Managerial Consultant for the market engagement team to advance initiatives that enhance prospective risk adjustment performance. This role involves cross‑functional collaboration to analyze data, identify opportunities, and implement solutions that improve operational effectiveness. Additionally, the Managerial Consultant will contribute to special projects and high‑impact efforts shaping the program’s future, with a particular focus on supporting work across KP markets.

Serves as a consultant to ensure the alignment, buy‑in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across one or more functional tracks or work streams. Drives business strategy, organizational alignment, and prioritization of business initiatives. Leads the work of project/program team members by requesting and coordinating internal and/or external resources. Leads the development and implementation of business initiatives, systems, and/or processes to a desired future state.

Manages complex, cross‑functional projects/programs, and proactively monitors and identifies client, project, program, and/or business risks. Designs and leads change management plans associated with business initiatives. Drives assessment of strategic performance metrics to support business initiatives. Supports vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures.

• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross‑functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self‑development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations.
  
  Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
• Completes work assignments autonomously and supports business‑specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross‑functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high‑priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines;
  
  identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
• Serves as a consultant to ensure the alignment, buy‑in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across one or more functional tracks or work streams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and executive management; working with stakeholders to develop goals and set the prioritization of deliverables;
  
  developing a menu of solutions for ambiguous requests; discussing involvement of business processes (e.g. change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating tough issues to stakeholders while maintaining an independent perspective; and making formal presentations and…