Group Setup Specialist IV, Sold Plan Validation

Kaiser Permanente • Portland, OR

86d

About The Position

This position is responsible for reviewing group installation drafts to ensure accuracy in accordance with Sarbanes-Oxley (SOX) control narratives, providing data and information needed to perform internal and external audits, supporting internal and external audits that require the auditing of customer and contract data attributes against sources of truth, participating in SOX control narrative updates as needed, and resolving issues in group renewals and installations that implicate SOX controls. The role promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members, while building relationships with cross-functional/external stakeholders and customers. The position requires listening to, seeking, and addressing performance feedback, and proactively providing actionable feedback to others and to managers. It also involves pursuing self-development, creating and executing plans to capitalize on strengths and develop weaknesses, and leading by influencing others through technical explanations and examples.

Requirements

• Minimum one (1) year experience working with SOX internal controls.
• Minimum one (1) year of experience in a leadership role with or without direct reports.
• Minimum one (1) year of experience in health plan operations.
• Bachelor's degree in Business, Health Care Administration, Operations Research, Public Health Administration, Finance, or related field AND minimum three (3) years of experience in compliance, financial insurance, health care administration, or a directly related field.
• OR Minimum six (6) years of experience in compliance, financial insurance, health care administration, or a directly related field.

Responsibilities

• Promotes learning in others by providing and developing information, resources, advice, and expertise.
• 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 and creates plans to capitalize on strengths and develop weaknesses.
• Adopts new responsibilities and adapts to change.
• Facilitates team collaboration to support business outcomes.
• Completes work assignments autonomously and supports business-specific projects.
• Collaborates cross-functionally to achieve effective business decisions.
• Supports the development of work plans to meet business priorities and deadlines.
• Identifies and capitalizes on improvement opportunities across teams.
• Coordinates efforts across teams to translate purchase information into data attributes.
• Compiles and applies departmental data by analyzing and translating data for various audiences.
• Improves member satisfaction by analyzing nonstandard member feedback/issues.
• Prepares system for new member enrollment by entering and translating contractual information.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree