Contract Information Management Analyst V

Kaiser Permanente; Honolulu (HI); On-site; USD 100,000 - 140,000; Full time

Job summary

KAISER in Honolulu, HI seeks a Contract Information Management Analyst V to lead data abstraction, review complex provider data and contract configurations, and mentor teams. You will analyze contract terms, update configurations, and support operational readiness across systems.

Role requires advanced data analysis skills, leadership experience, and collaboration with internal/external partners to improve contract accuracy and provider satisfaction. On-site position in Honolulu.

Qualifications

• Six years of experience with provider data or provider contracting.
• Two years in a role requiring high-volume data entry.
• Four years of experience in data analysis.
• Minimum three years in a leadership role (with or without direct reports).
• Bachelor's degree in a related field and extensive healthcare data analysis or nine years of related experience.

Responsibilities

• Lead data abstraction and reconciliation of complex provider and contract data.
• Oversee documentation of contract terms, configurations, and rates.
• Mentor others on provider and contract configuration spreadsheets.
• Perform advanced analyses to identify trends and improvements.
• Collaborate with stakeholders to ensure contract interpretation and readiness.
• Guide corrective actions from contract performance assessments.

Skills

Ambiguity management

Attention to detail

Business knowledge

Communication

Critical thinking

Cross-group collaboration

Decision making

Dependability

Diversity & inclusion

Drives results

Facilitation skills

Health care industry

Influencing others

Integrity

Learning agility

Organizational savvy

Problem solving

Teamwork

Topic-specific communication

Education

Bachelor's degree in Business Administration, Health Care, Information Systems, Human Resources, Operations Research, Public Health Administration, or related field

Tools

Applied data analysis

Data integration

Contract management

Data entry

Health care reimbursement

Provider data systems/processes

Provider portals support

Quality assurance process

Trend analysis

Health records

Medical terminology

Operations management

Job description

Job Summary:

In addition to the responsibilities listed below, this position is also responsible for driving contract data organization and abstraction by identifying and capturing key complex data, reconciling challenging discrepancies, and leading the audit process for corrections of contractor and contract data to aid downstream contracting processes; leading the review of provider demographic and contract configuration updates and contract rules, rates, and term updates for complex contracts to ensure accurate integration in the appropriate systems of record; mentoring others to create and/or update the provider and contract configuration spreadsheets; conducting advanced analyses of provider and contract data to develop recommendations for improvement initiatives; and guiding the implementation of process improvement initiatives to aid providers and business goals; and collaborating with internal and external partners to develop network strategies and implement improved access to care. This role is also responsible for contributing to provider satisfaction by leveraging advanced knowledge of provider and contracting data to support contract managers on issues that arise from contract configuration/interpretation and/or related to referral, claims/disputes, billing, payment, reimbursement, directories, and other operational issues; leveraging innovative processes to ensure provider requests for information, questions, and problems are identified, documented, and addressed in a timely manner; validating and/or conducting advanced analyses on provider and contract data to identify trends and support provider compliance; documenting and reporting provider activities and/or coordinating with alternate stakeholders to ensure compliance with contract terms and conditions; reviewing complex provider and contract data to ensure compliance with state and federal regulations as well as KP policies and procedures; and leading the collaboration with all stakeholders as needed to ensure proper contract interpretation and operational readiness and guiding corrective actions as identified through contract performance.

Essential Responsibilities:

• 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 learn 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.

• Contributes to data abstraction by: identifying and capturing key standard to complex administrative and clinical data elements, such as patient data; reviewing medical records to identify standard to complex the data required for secondary use; leading the review of standard and complex requirements to ensure that changes are integrated correctly (e.g., metric changes); leading the review of information from a variety of diverse electronic health records and uploading for use and reduction of abstraction needs; and transferring data as needed for challenging data transfers.

• Manages overall data process and maintenance by: leading processes for entering, maintaining, and reconciling data; leading the review and verification of information to ensure accuracy; and responding to, clarifying, and directing team to respond to standard to complex requests for data from various departments to support business processes.

• Supports or leverages data processing by: conducting challenging and advanced data uploads, such as for messy data; ensuring the verification, organization, and maintaining of data records for a variety of data; and leading the reconciliation of complex discrepancies between data sources and escalating issues to a supervisor/manager and coordinating with other departments across the company as needed.

• Ensures completion of corresponding data reports by: developing or using reporting data and metrics for internal and expert reports, and providing recommendations for improvements; and resolving complex reporting issues as needed.

Knowledge, Skills and Abilities: (Core)

• Ambiguity/Uncertainty Management

• Attention to Detail

• Business Knowledge

• Communication

• Critical Thinking

• Cross-Group Collaboration

• Decision Making

• Dependability

• Diversity, Equity, and Inclusion Support

• Drives Results

• Facilitation Skills

• Health Care Industry

• Influencing Others

• Integrity

• Learning Agility

• Organizational Savvy

• Problem Solving

• Short- and Long-term Learning & Recall

• Teamwork

• Topic-Specific Communication

Knowledge, Skills and Abilities: (Functional)

• Applied Data Analysis

• Business Relationship Management

• Compliance Management

• Consulting

• Contract Management

• Data Entry

• Data Integration

• Health Care Reimbursement

• Provider Data Systems/Processes

• Provider Portals Support

• Quality Assurance Process

• Trend Analysis

• Health Records

• Medical Terminology

• Operations Management

Minimum Qualifications:

• Six (6) year of experience working with provider data or in provider contracting or related experience.

• Two (2) years of experience working in a role requiring high volume data entry.

• Four (4) years of experience in data analysis.

• Minimum three (3) years of experience in a leadership role with or without direct reports.

• Bachelors degree in Business Administration, Health Care, Information Systems, Human Resources, Operations Research, Public Health Administration, or related field AND Minimum six (6) years of experience in health care data analysis, relational database management, business process improvement, training delivery, clinical research or directly related field, OR Minimum nine (9) years of experience in health care data analysis, relational database management, business process improvement, training delivery, clinical research or a directly related field.

Preferred Qualifications:

• Registered Health Information Credentials, Administrator.

• Master's Degree, or equivalent, or higher in Business Administration, Health Care, Information Systems, Human Resources, Operations Research, Public Health Administration or related field.

COMPANY: KAISER

TITLE: Contract Information Management Analyst V

LOCATION: Honolulu, Hawaii

REQNUMBER: 1435929

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.