Job Overview
Company:
Location:
Base Pay:
 $71,730 - $80,000 /Year
Other Pay:
Employee Type:
 Full-Time
Industry:
 Insurance
Manages Others:
 Yes
Job Type:
 Insurance
Req'd Education:
 4 Year Degree
Req'd Experience:
 At least 5 year(s)
Req'd Travel:
 Negligible
Relocation Covered:
 No
Reference ID:
27745002_308141834
 
  
Contact:
Not Available
Phone:
Not Available
Email:
Send Email Now
Fax:
Not Available
 

company overview

Aetna is one of the nation’s leading diversified health care benefits companies, serving members with information and resources to help them make better informed decisions about their health care.

Aetna offers a broad range of traditional and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life, long-term care and disability plans and medical management capabilities. Our customers include employer groups, individuals, college students, part-time and hourly workers, health plans and government-sponsored plans.

Visit our Website
Manager, Quality Management    
Report It

job description

ABOUT OUR COMPANY
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.


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 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.
Responsible for the day-to-day oversight of the Aetna Better Health Quality Management Program and coordinating methods to improve quality of patient care, which includes oversight of subcontractor quality improvement activities. Responsible for quality management activities including monitoring and auditing performance and health care delivery system. Will assist the Contract Compliance Officer in overseeing operational activities significant to providing health care services that improve member health status and health outcomes.

ADDITIONAL JOB INFORMATION

This position will be based in Philadelphia, PA after training and orientation to take place in the Blue Bell, PA offices.
We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with our company.


job Requirements

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

LICENSES AND CERTIFICATIONS
  • Registered Nurse (RN) is required

    FUNCTIONAL WORK EXPERIENCES
  • Quality Management: Quality Management

    REQUIRED SKILLS
  • Analyze healthcare data for trends
  • Apply state and federal legislation and regulations
  • Build strong work teams comprised of both local and remote workers
  • Conduct unit staff meetings
  • Conduct focused examination of conditions requiring correction, and develop a precise definition of the problem
  • Improving Constituent-Focused Processes

    We value leadership, creativity and initiative.  If you share those values and a commitment to excellence and innovation, consider a career with Aetna.

    We conduct pre-employment drug and background testing.
    Aetna does not permit the use of tobacco related products or drugs in the workplace. No agencies, please.
     
    Aetna is an Equal Opportunity/Affirmative Action Employer. M/F/D/V

    Aetna is committed to maintaining an environment in which all employees are treated equitably and given the opportunity within the context of the business to achieve their potential. Aetna's Affirmative Action responsibilities extend to women, minorities, persons with disabilities and veterans. Company policy also provides for equal opportunity for qualified individuals regardless of race, color, sex, national origin, religion, age, disability, veteran status, sexual orientation, gender identity or marital status.

    •  

      Report It   


    CareerBuilder.com's Advice

    For your privacy and protection , when applying to a job online:
    Never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction.   Learn More >>

    By applying to a job using CareerBuilder.com you are agreeing to comply with and be subject to the CareerBuilder.com Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.

    Register