In addition to the responsibilities listed below, this technical/functional leadership position is also responsible for providing high-quality analytical and methodological consulting and expertise to evaluate the efficacy/effectiveness and safety of clinical interventions and new medical technologies of strategic importance to the organization. This includes leading rigorous systematic or rapid evidence reviews, meta-analyses, cost-effectiveness and other analyses to answer high-impact clinical questions; critically evaluating the research methods and statistical findings of health outcome studies retrieved from systematic searches of the medical literature; and using established frameworks and tools to evaluate, grade, summarize and present findings on the quality of the evidence to senior level audiences.

This position is also responsible for educating key stakeholders, providing expert level consultation on evidence-based methods, presenting findings of evidence assessments, and driving consensus for the development of clinical recommendations and evidence statements to support decision making for diverse stakeholders (e.g., executive regional clinical leaders, quality improvement, care management, business consulting, resource utilization, member services, benefit policy development, administrative and operations staff). This includes identifying, evaluating, and informing senior leaders of clinical interventions to improve clinical and operational quality, efficiency, and affordability of health care. This also includes identifying relevant information from industry, health plan, regulatory, government, and other sources to inform decision making related to clinical guidelines, medical technologies, and evidence-based implementation strategies.

• 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 learns 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.
• Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive successful initiatives and projects within care delivery or clinical settings across one or more technical areas or workstreams by making significant contributions and/or providing leadership to high visibility projects to identify and resolve issues of strategic importance to the organization; identifying and ensuring representation and inclusion of appropriate stakeholders and team members; building rapport and partnerships with stakeholder teams, third party vendors, and senior management to produce results that are outcome driven; working with stakeholders to set the strategic direction of initiatives, develop goals and set the prioritization of deliverables; discussing involvement of key processes (e.g. quality management, project change management, communication) and facilitating decisions necessary for the delivery of initiatives; communicating tough issues to stakeholders while maintaining an independent perspective; providing expertise and recommendations; developing written materials for senior executives and other key clients; and making formal presentations and providing reports to various senior level audiences.
• Develops requirements, or leads a team of consultants in the development of requirements, for complex or specialized clinical, process, or system solutions across one or more technical area(s) by partnering with stakeholders and cross-functional teams as appropriate; leveraging multiple requirements gathering methodologies to identify clinical, functional, and non-functional requirements; leading and overseeing the development and documentation of comprehensive case studies to assess the costs, benefits, and ROI of proposed solutions; collaborating in the development of results-driven action plans; and leading team members in the development process as appropriate.
• Provides expertise and drives the development and implementation of clinical initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact clinical operations across multiple technical areas; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to senior management and clinical stakeholders on how to integrate solutions and deliverables with current systems and processes across regions or technical areas; and identifying and validating value gaps and opportunities for process enhancements or efficiencies.
• Develops clinical or care delivery strategy and ensures organizational alignment and prioritization of clinical initiatives by developing and determining goals and priorities with management team sponsors; defining, developing, and evaluating performance metrics, standards, and methods to establish success; partnering with senior stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing complex initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives.
• Serves as a lead advocate of continuous learning and professional development by keeping abreast of industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, and speaking events; leading the ongoing enhancement and innovation of clinical consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy ;providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results.
• Manages complex, highly visible projects or project components by coordinating and partnering with clinical leadership and key stakeholders; assembling teams based on project needs and team member strengths; consulting in the development, analysis, and management of project plans, including proposed project structure, approach and work plan; negotiating time commitments and resources; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or clinical initiative risks, issues, and trigger events; developing mitigation plans and strategies; resolving or escalating risks or issues as appropriate; and providing leadership to project teams, as well as managing the work of outside consultants when needed.
• Leads change management activities associated with care delivery or clinical initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with senior management, project champions, and clinical owners to communicate and align improvement initiatives with strategic objectives; determining appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change.
• Performs or partners with analysts on complex data analyses to drive care delivery or clinical initiatives by identifying appropriate data analysis tools and approach to assess performance; designing analytic plans and determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting analyses and performing experimental tests to evaluate the effectiveness of clinical solutions; identifying and alleviating risks through data-driven analysis; and preparing and sharing data/analysis summaries and incorporating into action plans as appropriate.
• Participates in vendor management as required by reviewing vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement, Legal, and/or clinical leadership teams to develop service level and/or scope of work agreements as appropriate.
• Monitors compliance of work activities by ensuring project plans and team members adhere to KP, departmental, and/or clinical policies and procedures.