Process Improvement Consultant III

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 III provides technical and operational expertise for the design, implementation, and optimization of Medicaid processes and technology-enabled solutions. The role partners across business, clinical, compliance, informatics, and IT teams to translate regulatory and operational requirements into business requirements, future-state workflows, system configurations, testing strategies, and implementation plans. The consultant supports initiatives through discovery, solution design, intake, user acceptance testing, deployment, post-production stabilization, and continuous improvement to ensure solutions are scalable, compliant, and operationally effective across Medicaid markets.

The consultant also supports 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. Supports strategic planning and prioritization of process improvement initiatives. Serves as an advocate for continuous improvement by keeping abreast of industry practices, standards, and benchmarks. Participates in change management activities associated with process improvement and performs data analyses to support process improvement initiatives.

Essential Responsibilities:

• Pursues effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and members. Listens to, seeks, and addresses performance feedback; provides mentoring to team members. Pursues self-development; creates plans and takes action to capitalize on strengths and develop weaknesses; influences others through technical explanations and examples. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work;
  
  helps others adapt to new tasks and processes. Supports and responds to the needs of others to support a business outcome.

• Completes work assignments autonomously by applying up-to-date expertise in subject area to generate creative solutions; ensures all procedures and policies are followed; leverages an understanding of data and resources to support projects or initiatives. Collaborates cross-functionally to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports, identifies, and monitors priorities, deadlines, and expectations. Identifies, speaks up, and implements ways to address improvement opportunities for team.

• 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 achieve real time business results; developing process architecture and recommendation documents, including presentations, process maps, supporting metrics, business requirements and related impact analyses;
  
  and presenting results and recommendations as appropriate.

• Serves as a consultant to stakeholders and process owners by providing consultation to stakeholders and teams to drive process…