Skip to main content

Health Care Quality Management Project Manager

Primary Location: Phoenix, AZ
Additional Locations: AZ-Phoenix
This role is telework with standard business hours Monday-Friday required.

10-25% of travel is required.

Manages and influences health care quality projects and initiatives through design, development, and implementation to improve HEDIS rates and accomplish goals. These activities enable Aetna to improve health care quality products, services, and processes by partnering across business units to meet business needs and accomplish goals.

Fundamental Components:
Serves as the National Resource Manger to oversee the projects and activities of the Health Plan HEDIS Projects, which could include rate review, data oversight, regulatory requirements and reporting needs, etc.

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.

Educates and consults with unit business managers on quality improvement methods (e.g., work flow, data analysis, metrics).

Background Experience:
-2+ years of quality management with HEDIS experience is required
-3+ years Project Management experience preferred
-3+ years clinical and/or managed care experience preferred
-A minimum of an Associate's degree required
-Nursing degree is preferred

Required Skills:
Benefits Management - Maximizing Healthcare Quality, General Business - Communicating for Impact, Leadership - Collaborating for Results

Desired Skills:
Benefits Management - Shaping the Healthcare System, General Business - Applying Reasoned Judgment, General Business - Ensuring Project Discipline

Functional Skills:
Project Management - Communications Management, Project Management - Cross-functional project management, Project Management - Issue identification and analysis, Project Management - Project Manager, Quality Management - Quality Management

Technology Experience:
Desktop Tool - Microsoft Outlook, Desktop Tool - Microsoft Word, Desktop Tool - TE Microsoft Excel

Potential Telework Position:

Percent of Travel Required:
10 - 25%

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.


Jobs for you

Recently Viewed Jobs

You do not have any recently viewed jobs

Your Saved Jobs

You do not have any saved jobs

Sign up for Job Alerts

Join our Talent Community

At Aetna, we are pioneering a total approach to health and wellness and we need talented candidates like you to join our team. Become a member of our talent community to be the first to know about career initiatives that match your skills and interests as they become available, in addition to details on upcoming events, networking opportunities, and news about Aetna.

Join Our Talent Community

Sign up to receive information about job openings that are tailored to your skills and interests. Plus, get the latest career news from Aetna.