Aetna Health Care QM Project Manager -- NCQA in Hartford, Connecticut

Req ID: 41966BR

POSITION SUMMARY

Accountable for health care quality projects and initiatives through direction setting and leadership. Assimilates information to proactively develop quality activities aligned with company and business partner strategies and values. Links the quality management activities to business goals. Proactively builds strong teams and business relationships, both internally and externally. Serves as a resource and subject matter expert (SME) on aspects of the quality program to develop and influence business strategies to support business partners while promoting consistency with company business processes.

Fundamental Components:

Serve as a project management resource to assist the QM accreditation team in readiness tracking and documentation preparation for NCQA surveys.

Serve as a project management resource for the QM accreditation team in the development of materials and tools required to support accreditation.

Respond to quality related requests by state or federal agencies.

Collaborate with NQOC coordinator to gather materials that require presentation at Board of Directors meetings for approval.

Evaluate complex data and information sets (e.g. accreditation, regulatory and Marketplace standards and regulations.)

Serve as a resource to help promote understanding of the unique aspects of Marketplace products and the reporting requirements.

Participate in cross functional teams to assist with various QM projects as needed.

Translate knowledge of subject and business needs into clear strategic project plans. Serve as a technical, professional and/or business expert that may cross multiple business functions.

Translate and deliver business information to internal and external constituents via formal presentations and/or written communications.

BACKGROUND/EXPERIENCE desired:

Project management and leadership experience.

5 to 7 years progressive experience in operational quality management roles in the healthcare industry, quality management or regulatory environment. Demonstrated project management and leadership experience as well as the ability to forge relationships. Proficient with Microsoft Office applications, SharePoint and QuickBase. NCQA experience desired.

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

LICENSES AND CERTIFICATIONS

Quality Management/Aetna Process Improvement (API) Foundational Certification is desired

Quality Management/National Association Healthcare Quality, NAHQ is desired

Project Management/Six Sigma Trained is desired

FUNCTIONAL EXPERIENCES

Functional - Quality Management/Quality Management/4-6 Years

Functional - Project Management/Cross-functional project management/4-6 Years

Functional - Quality Management/FE NCQA accreditation/4-6 Years

Functional - Project Management/Issue identification and analysis/4-6 Years

Functional - Project Management/Intra-department project management/4-6 Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools/Adobe Acrobat Suite v5/1-3 Years/End User

Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/Power User

Technical - Desktop Tools/TE Microsoft Excel/4-6 Years/End User

REQUIRED SKILLS

General Business/Communicating for Impact/ADVANCED

Leadership/Driving a Culture of Compliance/MASTERY

Leadership/Collaborating for Results/MASTERY

DESIRED SKILLS

Leadership/Anticipating and Innovating/ADVANCED

Service/Working Across Boundaries/MASTERY

General Business/Turning Data into Information/MASTERY

Telework Specifications:

Internal employees currently WAH will be considered for telework.

External candidates/hire would be office based upon office availability

Open for all locations.

ADDITIONAL JOB INFORMATION

Candidate will join team of highly motivated health care professionals who are dedicated to improving the quality of health care and services provided to our members and other external customers. Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come. We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence. Together we will empower people to live healthier lives. Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities. We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Quality Management