Aetna Sr. Director - Behavioral Healthcare Quality Management in Blue Bell, Pennsylvania
Req ID: 49906BR
Senior Director leading Behavioral Health Quality Management and Accreditation activities. Support initiatives related to business development, provider quality, health systems and regulatory compliance.
Candidate will lead the BH Quality organization and accreditation efforts. Approximately 20% of the candidate's time will focus on supporting strategic initiatives with health systems, provider organizations and program development.
8-10 years clinical/managed care/health care industry experience.
Previous quality improvement and management experience in a managed care organization required.
Thorough knowledge of NCQA and/or HEDIS management.
Multiple years proven leadership experience setting strategic direction and influencing change that resulted in quantifiable positive outcomes.
Proven track record managing complex projects and or programs that resulted in cost savings.
Experience managing large budgets.
Demonstrated negotiation skills.
Strong decision-making, analytical and organizational skills.
Demonstrated verbal/written communication and computer skills.
Ability to work in a fast paced environment.
Proven ability to satisfy customer needs and develop alternatives to resolve issues.
Ability to communicate effectively with all levels of management.
The highest level of education desired for candidates in this position is a Master's degree.
LICENSES AND CERTIFICATIONS
Healthcare Management/Certified Professional in HealthCare Quality is desired
Mental Health/National Association for Social Workers is desired
Nursing/Registered Nurse is desired
Functional - Quality Management/FE NCQA accreditation/4-6 Years
Functional - Quality Management/Quality Management/4-6 Years
Technical - Aetna Applications//4-6 Years/
Full-Time Telework (WAH)
ADDITIONAL JOB INFORMATION
Opportunity to play a key role in transforming behavioral health care
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