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Executive Director Health Care Quality

Primary Location: Downers Grove, IL
Additional Locations: IL-Downers Grove
Provide executive leadership and develop enterprise-wide, results oriented quality strategy to drive improvements at the national, regional and market level. Responsible for the overall coordination, implementation, and monitoring of activities to yield quality driven, innovative, compliant, efficient, and cost-effective results.

Fundamental Components:
Sets the direction of the strategic business plan and translates into vision for staff/others. Ensures the implementation and ongoing execution of the Health Care Quality Management Program to support business, regulatory and accreditation requirements, and improve HEDIS Stars results. Foster a culture of quality using innovation, integration and information to support revenue and membership growth while achieving business goals. Establish strategic relationships with executive leadership throughout the organization to develop and remove barriers, if needed, to implement program strategies that meet business, regulatory and accreditation requirements. As a business leader, influences all stake holders, internal and external, to support key projects/programs to ensure positive outcomes that deliver on results. Build strong high performing leadership teams through training, stretch assignments, coaching, performance management and other development techniques. Maintains a working knowledge of legislative changes that may potentially affect quality and care management practices and standards.

Background Experience:
Multiple years proven leadership experience setting strategic direction and influencing change that resulted in quantifiable positive outcomes. Excellent verbal and written communication skills. Demonstrated negotiation skills. Proven track record managing complex projects and or programs that resulted in cost savings. Experience managing large budgets. Effective and advanced organizational, decision-making, and analytical skills required. Ability to communicate effectively with all levels of management. Ability to work in a fast paced environment. Thorough knowledge of NCQA and/or HEDIS management. Previous quality improvement and management experience in a managed care organization required. 8-10 years clinical/managed care/health care industry experience. Proficient computer skills and knowledge of Microsoft Word, Excel and Access. Proven ability to anticipate customer needs and requirements. Certified Professional in Health Quality (CPHQ) or other certification a plus. Masters degree preferred. Bachelor's degree or equivalent work experience.

Clinical Licensure:

Potential Telework Position:

Percent of Travel Required:
0 - 10%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position.

Candidate Privacy Information:
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.


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