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Health Care QM Project Manager -- HEDIS Initiatives

Primary Location: Urbandale, IA
Additional Locations: CT-Hartford, FL-Jacksonville, FL-Miami, GA-Atlanta, IA-Urbandale, KS-Wichita, MA-Boston, MO-Kansas City, NC-Charlotte, OH-New Albany, TX-Houston, TX-San Antonio
Overall supports the drive of HEDIS measure improvement strategy including initiative consolidation, execution, and oversight and includes:
•Developing actionable member and provider initiatives
•Partnering with local markets and have a deeper understanding of their unique needs
* Data analytics review
•Owning projects including reviewing effectiveness, performing cost analysis and making added recommendations and creating/delivering presentations

Fundamental Components:
Serves as the (Regional/National) Project Leader to oversee all aspects of project implementation including budget development and supervision of staff participants (e.g., HEDIS/Accreditation) May seek funding from external sources. Prioritizes and makes recommendations for the design, development, and implementation strategy of quality improvement projects, and initiatives. Designs the data collection methodology, metrics, and data elements needed to measure outcomes of QI projects. Translates and delivers business information to internal and external constituents via formal presentations and/or written communications. Develops documentation templates and systems to support QM projects and initiatives. Forms and leads cross functional workgroups to design and implement QI initiatives. May have supervisory responsibilities. Supports sales and marketing in their efforts to acquire and retain customers (e.g., responding to RFPs, quality presentations, request for measurement information). Educates and consults with unit business managers on quality improvement methods (e.g., work flow, data analysis, metrics).

Background Experience:
Remote position/Seeking candidate East or Mid-West area

Project management and leadership experience. 1-3 years project management experience, taking projects from idea stage through implementation required. 1-3 years of communication creation and design preferred. 3 to 5 years HEDIS knowledge and experience preferred. 5 to 7 years clinical and/or managed care experience in the healthcare industry and quality management preferred.

Required Skills:
Leadership - Anticipating and Innovating, Leadership - Collaborating for Results, Leadership - Developing and Executing Strategy

Desired Skills:
General Business - Ensuring Project Discipline, Leadership - Driving Change, Leadership - Driving Strategic and Organizational Agility

Functional Skills:
Project Management - Communications Management, Project Management - Cost Management, Project Management - Evaluating success/lessons learned, Project Management - Issue identification and analysis, Project Management - Project Manager

Technology Experience:
Desktop Tool - Microsoft PowerPoint, Desktop Tool - Microsoft SharePoint, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel

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. Click here to review the benefits associated with this 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.

Click To Review Our Benefits (PDF)


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