Strategy Analyst V, Risk Adjustment- CDI Support

Open to candidates residing in any KP authorized state to include CA, OR, WA, CO, GA, VA, HI, MD & D.C.

Please Note:

Salary ranges are geographically based, and the posted range reflects the Northern CA region. Lower salary ranges will apply for other labor markets outside of NCAL.

Support Health Plan Risk Adjustment strategy through data analysis, performance monitoring, and business insights that drive operational excellence, compliance readiness, and program effectiveness. Analyze trends, identify risks and opportunities, evaluate process performance, and develop recommendations to improve risk capture accuracy, coding integrity, and regulatory compliance. Partner with operational, clinical, compliance, and leadership teams to support audit readiness, inform strategic decision-making, optimize program outcomes, and drive continuous improvement across Risk Adjustment initiatives.

Drives strategy development by defining complex business problems and opportunities and identifying, weighing, and selecting alternative approaches. Performs moderately to highly complex analysis and drives interpretation of market data and tests hypotheses using advanced knowledge of qualitative and quantitative analytical tools to drive towards insightful and actionable insights for the business. Drives the development and execution of complex projects and programs to drive deliverables and effective execution to ensure high-quality business outcomes.

Identifies opportunities to adapt processes to improve Return on Investment (ROI), service quality, and operations for cross-functional initiatives. Fosters strategic partnerships across organizational lines and establishes trusting relationships to better navigate the diverse and complex needs of key stakeholders.

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit.
  
  Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
• Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals.
  
  Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
• Analyzes and interprets market data by: developing and implementing a plan to address complex research questions and test hypotheses with advanced knowledge in one or more specialty areas of data collection and analysis; driving moderately or to highly complex quantitative and qualitative analyses and investigating alternative hypotheses; and driving interpretation of key findings, conclusions, and recommendations for the future for senior leadership.
• Facilitates process improvement efforts by: identifying opportunities to adapt processes to improve return on investment (ROI), operations, service quality, and results for cross-functional initiatives; utilizing advanced knowledge of business operations to drive the implementation of best practices across functions; and facilitating adoption of best practices and future innovations.
• Effectively manages projects and programs by: driving the development of complex project proposals, including establishing objectives, key stakeholders, milestones, and providing deep technical leadership across programs; driving progress on program deliverables in alignment with greater business strategy and key business outcomes across functions; refining existing methodologies, and identifying and implementing new methodologies to complete initiatives with little support; and driving the execution of project plan, and supporting high-quality outcomes.
• Proactively maintains open streams of communication by: fostering trusting relationships to better navigate the diverse and complex needs of stakeholders across the organizational landscape; identifying complex issues or risks to strategic program implementation and developing solutions to resolve them; fostering strategic partnerships across organizational lines to consult and influence the development and refinement of key priorities and strategy; and…