Process Improvement Consultant IV

** Candidate can sit in any KP footprint including: WA, OR, CA, NV, CO, GA, NC, MD, DC, VA. Please note salary listed is for NCAL only, all other locations salary vary.

The Process Improvement Consultant IV leads the translation of complex Medicaid regulatory and operational requirements into scalable business processes and technology solutions across eight markets. Serving as a strategic liaison among business, clinical, compliance, quality, care management, informatics, and IT teams, this role drives solution design, requirements analysis, implementation planning, user acceptance testing, and post-production optimization to strengthen compliance, operational efficiency, and service delivery for more than 1.5 million Medicaid members.

The consultant also leads the evaluation and adoption of emerging technologies, including artificial intelligence and automation capabilities, identifying opportunities to enhance decision-making, streamline workflows, improve member and provider experiences, and support innovation across Medicaid operations.

Job Summary:

Delivers, executes, and sustains process improvement (PI) engagements including kaizen. Serves as a consultant to stakeholders and process owners to drive process improvements. Contributes to strategic planning and supports organizational alignment and prioritization of process improvement initiatives. Serves as an advocate for continuous improvement by keeping abreast of industry practices, standards, and benchmarks. Participates in and may lead change management activities associated with process improvement and performs data analyses to support process improvement initiatives.

Essential Responsibilities:

• 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.

• Delivers, executes, and sustains process improvement (PI) engagements including kaizen by leveraging the appropriate methods and tools to ensure the development of stakeholder capabilities for process change and improvement; applying data-driven PI principles, tools, and problem-solving methods including Lean/Six Sigma concepts and techniques; building high performance team capabilities to harness collective intelligence and take quick action to test ideas and achieve real time business results;
  
  developing and designing process architecture and recommendation documents, including presentations, process maps, supporting metrics, business requirements and related impact analyses; sharing accountability for realization of results with process owners; and presenting results and recommendations as appropriate.

• Serves as a consultant to stakeholders and process owners by providing consultation and trusted partnership to stakeholders and teams to drive process improvements; developing management systems to sustain process changes; developing stakeholder process improvement leadership competencies; providing training and guidance to stakeholders; and providing ongoing coaching to…