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Compliance Project Manager needed in Portland, OR!

This position is responsible for managing key projects as necessary for the successful management & operation of the compliance program for Kaiser Sunnyside Medical Center (KSMC), Westside Hospital, Ambulatory Surgery Centers (ASC), Procedure Rooms, Continuing Care Services (CCS) & Residential Treatment Facility (RTF). The Project Manager (PM) leads & provides expert technical leadership for highly visible, sensitive & multi-faceted projects. This position is responsible for setting strategic direction of projects & developing project plans. The PM provides high quality & cost effective project management, analytic support services & technical expertise for a broad array of issues. This is the second level job in a three level PM Ladder. At the second level, the PM is responsible for leading projects of complex scope where analysis of data requires an in-depth evaluation of various factors. Projects assigned are broad in scope and may involve multiple functional areas and/or span across service areas. This position will exercise judgment within generally defined practices/policies in selecting methods & techniques for obtaining results.Essential Functions:- Leads & provides expert tech. leadership to highly visible, sensitive & multi-faceted projects- Responsible for setting strategic direction & developing proj. plans- Provides high quality & cost effective PM, analytic support services & tech. expertise for a broad array of compliance issues- Leads projects of complex scope where analysis of data requires an in-depth eval. of various factors- Projects assigned are broad in scope & may involve multiple areas and/or span across service areas- Position will exercise judgment w/ generally defined practices/policies in selecting methods & techniques for obtaining results- Sets strategic direction of projects- Dev. Proj. plans which identify key issues, problems, approaches, performance metrics & resources required- Assists business owners to design processes to address identified problems- Est. team membership & negotiates time commitments & resource allocation- Provides staff leadership to multi-disciplinary teams, as well as manages work of outside consultants- Motivates team members & facilitates team meetings- Cultivates & reinforces appropriate group values, norms & behaviors- Provides guidance to team on performance & productivity- Designs research plans for data gathering & analysis- Actively participates in or may lead in analyzing data & develop recommendations & action plans- Accountable for the development of project documentation for senior leaders & other key stakeholders- Plans & facilitates meetings- Makes formal presentations to business dept. leaders & various senior level audiences- Est. procedures regarding implementation of project outcome- Assesses proj. impact on workforce. May include assisting business dept. leads in dev. training programs for impacted staff- Est. effective prof. business relationships with all levels of staff & management- Instructs & educates on all aspects of project- May include other duties & responsibilitiesQualifications: Basic Qualifications:- 5 years project management experience- Minimum of 3 years working in a health care and/or managed care setting, analyzing laws & regulations- Bachelor´s degree in Health Care, Business or related field, or 5 years experience in hospital operations or multifaceted health care systems & multi-provider setting in compliance, QA, or other similar field- Knowledge of federal & state laws, regulations & accreditation standards applicable to healthcare and hospitals- Ability to analyze & interpret state & federal laws, regulations & accreditation standards- Knowledge of managed care industry- Demonstrated ability to manage complex projects or multiple projects of moderate complexity- Demonstrated ability to oversee and motivate up to 25 cross-functional team members- Experience managing moderately large projects- Ability to use judgment to review recommendations to organizational problems and determine course of action- Strong proficiency in the use of current software, including spreadsheets, process mapping tools, project work plan tools, charts and graphs, and basic Microsoft applications- Ability to use advanced verbal and written communications methods to convey concepts to team members and stakeholders- Demonstrated ability to determine key business issues and develop appropriate action plans from multi-disciplinary perspectives- Demonstrated ability to conduct and interpret quantitative and qualitative analyses- Effective leadership, project management, and consulting skills- Experience with conducting audits/assessments and preparing and monitoring corrective action plans- Ability to prioritize multiple assignments in a changing environment- Excellent verbal and written communication skills- Effective interpersonal skills. Must be able to work in a Labor Management Partnership environment- Demonstrated ability to create/write accurate documentation- Excellent analytical and problem solving skills- Ability to interact well with all levels of personnel- Strong organization skills-detail oriented- Skills in negotiation and conflict resolution Preferred Qualifications:- Minimum of 5 years of progressive experience in project management in health care preferred- Minimum of 3 years working with federal or state health care laws, regulations & accreditation standards- Minimum of 3 years working in a regulatory or legal environment in health care/managed care industry, preferably in Compliance- Minimum of 3 years working in a clinical setting- Bachelor´s degree in Business Administration, Health Care Administration, or other related field- Project management certification (PMP)- Supervisory experience- Demonstrated knowledge of state & federal laws, regulations & accreditation standards applicable to hospitals, ASCs, Procedure Rooms, CCS & RTF- Knowledge of HIPAA, EMTALA & Medicare laws & regulations- Knowledge of federal & state fraud & abuse laws & regulations- Knowledge of Joint Commission Standards- Experience in working directly with state & federal regulatory agenciesSalary Range: $33.71 - $45.85

DIME analysts maintain the Kaiser Permanente Northwest Region’s data marts and production reports. The department’s Report Analyst III analyst plays a critical role the process, allowing experienced analysts to use his or her skills to influence the reporting strategy for a specific operational area of Kaiser Permanente. Will work collaboratively with business partners and other analysts to design and build the production reports necessary to answer the key business questions and achieve strategic goals. This involves defining business problems, creating report specifications, designing new reports, and using business intelligence systems to build reports. Analyze need, develop or streamline computer programs, and automate data collection and dissemination to ensure efficient, provision of timely, actionable and accurate executive, management and operational level information.Essential Functions:- Work closely with a variety of business units to understand and document the questions they seek to understand; propose reports that seek to answer the question and enable action to be taken by the business; and document reporting requirements- Responsible for the assessing new reporting needs to ensure non-redundant, reliable, accurate, and accurate information is provided- Conduct and continuously improve an ongoing program to ensure reliability, validity and integrity of the data used in management reporting and analysis- Write programs to routinely audit database reliability and validity.- Contribute to the maintenance of thorough and accurate documentation for end-user information- Streamline production of management reports by writing or substantially revising programs developed to extract and produce necessary information- Edit, test, and put the programs into efficient production mode- Develops tracking tools to log errors, requests for modifications, reporting schedule and other related activities associated with regularly scheduled reporting- Ensure that copies of programming code are kept updated in shared directory- Business systems analyst duties, e.g., help define business rules applicable to the development and/or use of the applicationBasic Qualifications:- Five years reporting or analytical experience- Bachelor’s degree- Working knowledge of SQL and database design- Thorough knowledge of Business Information tools such as Cognos, SAS or Business Objects- Expertise in multiple business units (service delivery, insurance, finance)- Excellent problem-solving, communication and time management skillsPreferred Qualifications:- Additional years of work experience as a report analyst- KPNW working experience- Specific and broad knowledge of KPNW operations, KP applications, and KP HealthConnect, including Hyperspace, Clarity and Chronicles- Familiarity with healthcare/insurance business

Great Opportunity!

The Proposal Management Team (PMT) supports Kaiser Permanente Northwest through the development and presentation of information designed to attract, sell, and retain large group accounts. The goals are to research and manage information to produce accurate, effective, and consistent responses to internal and external requests for proposals and information; achieve excellence in our presentation of Kaiser Permanente´s unique areas of competence, value, and quality of care; collaborate with others in the organization to develop and communicate Kaiser Permanente´s key messages; and educate and train staff about the importance of providing our customers with reliable information about Kaiser Permanente and its program and systems.Essential Functions:- Manage, develop, and submit KPNW´s responses to Requests for Proposals (RFPs), Requests for Information (RFIs), Requests for Renewal (RFRs), surveys, and other documents and/or projects as assigned- Timely & effective maintenance and improvement of departmental information resources- Participates in researching appropriate information as well as maintaining, updating, and improving informational resources used by the team and other personnel within the organization- Effectively collaborate & cooperate with other members of the Proposal Management Team as well as appropriate contact persons in functional areas throughout KP to research, collect, and share information for use in producing effective and accurate responses to RFPs, RFIs, RFRs, and other projects produced by the team- This position may be responsible, as assigned by the Supervisor, for maintenance of the GeoAccess database and production of GeoAccess reports upon request by National Accounts, Sales and Account Management personnel, other KP personnel, brokers, consultants, and/or groups- Effectively & efficiently manage an assigned workload, as well as demonstrate and act upon the ability to independently analyze assigned projects, take initiative to solve problems, develop process improvements, and lead implementation of projects & improvements within established guidelines of the PMT- Collaborate with various local, regional & national personnel to coordinate the project and ensure that all appropriate documents and/or files are complete, accurate, and submitted in a timely, efficient, complete, and consistent manner- Ensure that information is communicated effectively & accurately to meet the needs of the organization´s internal and external customers and is in accordance with current state and federal legislation and/or regulations- Analyze trends in the marketplace as reflected in RFPs and RFIs and determine appropriate methods to respond to the external customer to meet those changing needs- Other duties as assignedBasic Qualifications:- Minimum of 1 year experience with health plan administration, health care or insurance marketing or health care financial data analysis- Bachelor´s degree or equivalent experience in an associated discipline dealing with health plan administration, health care or insurance marketing, or health care financial data analysis- Must demonstrate the ability and initiative to look at existing systems and information used by the PMT and make suggestions for proposed improvements and/or solutions- Basic understanding of the health care industry- Advanced capabilities in use of Internet and desktop computer applications including but not limited to the Microsoft Windows suite of software products (i.e. Word, Excel, PowerPoint)- Exceptional organizational and time/task management skills- Excellent interpersonal skills and ability to collaborate and cooperate with internal and external customers- Excellent skills in mathematics, oral and written communications, English, and grammar- Proven analytical and problem solving skills- Must demonstrate the ability and willingness to work effectively as part of a flexible and cohesive team- Must be a focused self-starter with proven ability to organize, manage, and prioritize substantial workloads during peak work periods and utilize less active work periods effectively- Must possess the ability to work effectively and collaboratively under limited general supervision and within established procedures and standardsPreferred Qualifications:- Minimum of 3 years experience in an associated discipline dealing with health plan administration, marketing or analysis OR minimum of 2 years´ experience within KP- Demonstrated understanding of the health care industry, health care trends, competition, and member information needs- Working knowledge of insurance industry and how KP interacts with the broker/consultant community and group purchasers- Working knowledge and understanding of KP contracts, benefits, policies, and procedures- Basic knowledge of federal, state, and local regulatory requirements affecting Health Plan activities- Proven ability to effectively research and analyze information for use in production of RFPs, RFIs, and other projects- Demonstrated experience in organization of systems and procedures

To provide business process improvement, project management support to MSBD in achieving its performance targets. The scope of projects will include analysis of root causes leading to recommending and implementing solutions resulting in the creation of processes to increase MSBD departmental efficiencies and effectiveness.Essential Functions:- Plan, organize & control multiple responsibilities & resources to achieve project objectives- Recognize & anticipate scope issues & communicate to client and team- Manages projects with limited oversight, using standard project management methodologies- Establishes processes & creates effective project mgmt tools to help guide project efforts & to achieve desired project outcomes- Anticipate project issues, assess alternatives, and take appropriate measures to resolve in a professional, tactful manner- Communicate engagement status, progress & impact to line of business management- Identify operational & strategic implications in structuring work & results- Generate new perspectives, frameworks or innovations that enable problem resolution- Direct & execute creative analytic approaches- Involve experts in problem-solving- Develop modifications or innovations to address limitations of existing approaches to a problem and/or situation- Base all recommendations & decisions on fact-based analysis- Translate client expectations into practical, implemental project objectives, which aim to provide integrated total solutions- Think through how one project or recommendation may impact or interfere w/ others- Build follow-up mechanism/maintenance plan into project deliverables to ensure that changes to be implemented will be sustainable- Identify barriers to change- Accept & manage ambiguity/complexity in projects, and effectively guide teams in dealing w/ change barriers & project constraints- Prepare budget & achieve desired outcome with allocated resources- Review, define, and monitor work plan and issues- Communicate complex information to team members and client, accurately & effectively- Manage complex client relations, guiding sponsors, clients/stakeholders towards project priorities that incorporate root cause issues- Successfully build, direct and maintain motivated, empowered & diverse project teams- Effectively lead large project teams and/or high-priority efforts to high-quality results- Enable team members to develop realistic goals & define methods to support their achievement- Conduct effective staff review sessions & perform constructive evaluations within an appropriate time frame- Match staff development needs & goals w/development & training opportunities- Develop overall engagement work plan & ensure that assigned tasks/responsibilities are accomplished in a timely manner- Analyze the training needs of the organization & identify relevant training material/courses to address these needs- Develop realistic plans for subordinates & balance individual development needs w/ the needs of the organization- Build effective networks of internal/external subject matter expert contacts- Other duties as assignedQualifications:Basic Qualifications:- Minimum of 5 years project management experience- Masters degree or equivalent experience in health care, business administration, or related field- Project management certification within one year of hire date- Supervise up to 25 team members- Manage complex projects or multiple projects of moderate complexity- Manage PMO budget, and / or manage moderately large projects- Use some judgment to review recommendations to organizational problems and determine course of action- Use advanced verbal and written communications methods to convey concepts to team members and clientsPreferred Qualifications:- Minimum of 1 year experience leading or managing people on projects- Six sigma black certification- Proven leadership skills in project management and consulting, including the following attributes: efficient, collaborative, candid, open and results-oriented- Strong proficiency in the use of current software, including spreadsheets, process mapping tools, project work plan tools, charts and graphs, and basic Microsoft applications- Intermediate to advanced knowledge of analytic techniques pertinent to planning, finance, management engineering and medical economics. This includes forecasting, sensitivity analysis, financial analysis such as NPV, decision analysis, cost-benefit/effectiveness and other economic analysis, and multi-variant statistical analysis- Basic understanding of advanced analytic techniques such as dynamic modeling/simulation advanced operations research techniques- Develop and execute fact-based, data-driven methodologies to help clients address strategic issues- Perform simple to difficult analyses to help clients address strategic issues and achieve performance targets- Conduct, interpret and present quantitative/qualitative analysis- Determine the key business issues and develop appropriate action plans from multi-disciplinary perspectives- Manage against multiple competing priorities of management customers and business process.- Ability to design and deliver formal training programs to staff and customers on advanced consulting and analytical tools and techniques- Experience in management and business consulting- Establish clear performance contracts and project budgets- Manage multiple large/strategic projects to achieve expected outcomes, on time, within budget- Facilitate teams or groups of key stakeholders from all levels and segments of the organization, build teams, and resolve conflict- Solve complex problems- Influence strategic change in an organization- Be assertive, objective and be able to confront clients with difficult issues- Strong interpersonal and communication skills (1:1, peer, multi-disciplinary group, presentations, written)