Banking Operations Analyst (San Diego, CA) Job in San Diego, California US
Banking Operations Analyst (San Diego, CA)
No matter what your job title, the work you do at Kaiser Permanente supports the health and well-being of our members. All 8.7 million of them. That's because each of us-from our financial professionals and IT team members to our RNs and physicians on the front line of care-shares a commitment to providing the best possible care experience. With locations across the United States, we offer the opportunity to build a rewarding career in an environment that supports your success. Join us and put your beliefs into practice. This position is responsible for providing banking reconciliation management for Kaiser's self funding clients, ensuring customer satisfaction and compliance with contractual obligations, as well as alignment with HPA business strategies and goals. This includes the areas of; membership eligibility, group billing, claims adjudication, claim funding, stop-loss tracking and producer compensation. This position also supports National Accounts and Regional Marketing, Sales and Business Development (MSBD), National Case Installation and National Product Benefit Design by providing deep subject matter expertise and support on self-funding banking reconciliation on both a pre-sale and post implementation basis. Essential Functions: - Collaborates with or acts as Product Operations Manager to ensure a comprehensive product operations model exists for all key operational processes initiatives. - Reviews metrics and sees connections within the groups and other's roles; understands how action impacts relationships and the customers - Accountable for updating and developing procedural documents - Responsible for tracking and reporting on vendor relationships, including network management where applicable, may partner with vendor(s) to accomplish joint goals - Responsible for gathering, collating and analyzing vendor internal operational process metrics including variance analysis - Supports product operational leadership and regional or functional leaders for the delivery of key operational performance of a KP product, ensuring results meet or exceed those outlined in the product success measures - Identifies key actions necessary to remediate key problems/issues and make recommendations to management on steps necessary to improve operational processes - Accountable for remediation of simple to moderate issues/problems necessary to resolve operational issues. Accomplished through influence and negotiation with key cross-functional stakeholders, vendors and project/program owners - Supports assessment of product administrative enhancement opportunities Requirements