Compliance Consultant IV - Contract Management

kp; Atlanta (GA); Hybrid; USD 95,000 - 130,000; Full time

Job summary

Kaiser Permanente is seeking an experienced Compliance Consultant IV to collaborate on contract management and regulatory compliance initiatives. The role involves partnering with cross-functional stakeholders to assess risks, conduct investigations, and deliver actionable insights while driving process improvements and detailed reporting.

Residency is required in the primary location state (Georgia) with on-site work and occasional travel to customer sites.

Qualifications

• Bachelor's degree required in a related field.
• Experience in compliance, health care operations, audit, finance, regulatory or public policy development, investigations, information security, or insurance/health plan governance is valued.

Responsibilities

• Develops compliance reports by evaluating data, audit information, and risks to inform management and drive corrective action.
• Conducts and coordinates compliance investigations with stakeholders and documents findings.
• Assists with project management and coordination of compliance plans within cross-functional initiatives.
• Monitors regulatory changes and analyzes impact to support implementation of changes.
• Collaborates with internal/external stakeholders to implement compliance efforts and adherence to standards.

Education

Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business or related field

Job description

Seeking experienced Compliance Consultant IV to collaborate on contract management and compliance initiatives. Partner with cross-functional stakeholders to ensure regulatory adherence, assess risks, and support investigations while delivering clear, actionable insights. Contribute to process improvements, develop detailed compliance reports, and support strategic projects that align with business priorities. This role values strong relationship-building, adaptability, and continuous learning to foster collaboration, strengthen team performance, and effectively navigate evolving regulatory requirements and organizational goals.

Note: Work location is on-site with the flexibility to work remotely, the primary location will be in-office for meetings, per Kaiser Permanente's Authorized States Policy. Employees may be required to travel to a Kaiser Permanente or customer site. Residency is required in the primary location state: 9 Piedmont Center, 3495 Piedmont Rd., NE, Atlanta, Georgia 30305

Job Summary:

This individual contributor is primarily responsible for conducting company compliance activities in collaboration with internal and external stakeholders. Responsibilities include developing compliance reports, conducting compliance investigations, coordinating implementation of compliance efforts, and assisting with regulatory compliance through monitoring regulatory changes. This individual contributor also assists with and supports management of projects including assisting in development and coordination of plans and coordinating with stakeholders.

Essential Responsibilities:

• Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback.
• Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities.
• Conducts company compliance activities by collaborating with internal and external stakeholders; applying established regulations and standards to compliance efforts; providing insight and recommendations for the design, development, and execution of strategic compliance initiatives; and documenting compliance activities.
• Develops compliance reports by evaluating and summarizing compliance data, audit information, and potential risks and remedies; reporting to management on key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations); and developing draft presentations to convey key findings.
• Conducts compliance investigations by collecting and analyzing quantitative and qualitative data; conducting interviews as appropriate; researching key business issues; identifying potential action steps; and providing input for the creation of corrective action plans for substantiated allegations.
• Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
• Assists with ensuring regulatory compliance by monitoring regulatory changes; conducting analysis on regulatory impacts; and supporting the implementation of designated changes.
• Coordinates the implementation of compliance efforts by identifying compliance requirements; assessing the current state of compliance to identify gaps and corrective actions; creating or revising moderately complex compliance standards, policies and procedures, and training; and monitoring ongoing compliance adherence.

Minimum Qualifications:

• Bachelors degree in Health Care Administration, Clinical, Law, Public Health, Business or related field and Minimum six (6) years experience in compliance, health care operations (quality, risk, etc.), audit, finance, regulatory or public policy development, investigations, information security, or insurance/health plan governance or a directly related field. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.