Kaiser Permanente · 6 hours ago
Project Manager IV, Medicare Benefits
Oakland, CA
Full-time
Onsite
Senior Level
5+ years expKaiser Permanente is seeking a Project Manager IV to support the Plan Benefit Package process, ensuring timely and compliant Medicare filings. The role involves managing large-scale projects from initiation to close-out, leading project teams, and ensuring stakeholder alignment and effective communication throughout the project lifecycle.
Health CareHospitalMental HealthNon ProfitPersonal Health
Responsibilities
Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; 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; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome
Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions
Manages large-scale projects from initiation to close-out. Develops, analyzes, and manages moderately complex project plans which include scope identification and management, schedule, inter-dependencies, and resource forecast. Manages and monitors project financials for large projects. Monitors overall project performance (e.g., on time, on budget, within scope, and with quality) against plan, ensuring measurement of business benefits and outcomes, and makes adjustments as needed. Manages project activities related to organizational change management (e.g., development and execution of user adoption, implementation, and training plans) as defined by the project. Drives allocation of resources, establishes schedules, and task assignments to ensure established project management practices are in place
Leads the work of project team members. Requests and coordinates internal and/ or external resources based on the alignment of team member skills and project demands. Promotes project vision and objectives with project team. Delivers performance feedback to team members supervisors
Proactively monitors and identifies project risks, issues, and trigger events by developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate
Monitors adherence of project activities to policies and procedures by ensuring project plans and team members follow KP, departmental, and/or business line policies and procedures
Ensures the alignment, buy-in, and coordination of diverse project stakeholders by building rapport with stakeholder teams, third party vendors, and senior management; and clarifying accountability and authority across stakeholders. Identifies and works closely with stakeholders, ensuring all appropriate stakeholders are represented and included. Provides insight to key stakeholders and project sponsors by developing project goals, setting the prioritization of deliverables, discussing involvement of business processes (e.g. project change management, communication) and facilitating decisions necessary for project delivery. Communicates tough issues to stakeholders while maintaining an independent opinion, providing recommendations, delivering presentations, and providing reports to various senior audiences
Assists with reviews of vendor performance levels and ensures service level agreements are met. Partners with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate. Assists with contract negotiations with vendors and reviews project invoices submitted by vendors for accuracy
Qualification
Required
Minimum one (1) years experience in a leadership role with or without direct reports
Bachelors degree from an accredited college or university and minimum five (5) years experience in project management or a directly related field OR Minimum eight (8) years experience in project management or a directly related field
Knowledge, Skills, and Abilities (KSAs): Negotiation; Applied Data Analysis; Financial Acumen; Conflict Resolution; Managing Diverse Relationships; Product Development Life Cycle; Project Management Tools; Risk Assessment; Quality Assurance Process; Service Focus
Preferred
Three (3) years of experience working with pharmacy and benefits operations
Three (3) years of experience working with Medicare
Three (3) years of experience working in shared services consulting
Two (2) years health plan administration experience
Two (2) years experience working with collaboration software (e.g., Sharepoint, MS Teams, etc.)
Two (2) years experience implementing large or complex projects
Four (4) years experience in business analysis
Two (2) years experience working in a matrixed organization
Company
Kaiser Permanente
Kaiser Permanente is a health organization that offers disease prevention, mental healthcare, and chronic disease management services.
10001+ employees
H1B Sponsorship
Kaiser Permanente has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (1)
Funding
Current Stage
Late StageTotal Funding
$7.48M2018-07-17Grant· $0.08M
2014-08-05Grant· $7.4M
Leadership Team
Gregory Adams
Chair and Chief Executive Officer
James L. Robinson III
Senior Vice President/Area Manager
Recent News
2026-01-23
2026-01-23
2026-01-21
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