D-SNP Program ManagerPrimary Location: Richmond, Virginia
Additional Locations: AZ-Phoenix, CO-Denver, CT-Hartford, DC-Washington, FL-Jacksonville, FL-Plantation, MO-Kansas City, PA-Blue Bell, UT-Salt Lake City, VA-Fairfax, VA-Richmond, VA-Roanoke Apply
Position will be responsible for the oversight and management of HEDIS for D-SNP (Dual Eligible Special Needs Plan). Will require project management/coordination with the National Quality Management Team and the Medicaid Team and involve working with and understanding multiple systems and processes.
Subject Matter Expert (SME) on D-SNP HEDIS Measures
Subject Matter Expert (SME) on D-SNP regulations/requirements related to HEDIS/Quality Improvement
Project Management/Coordination of Project Work between NQM HEDIS and Medicaid Teams
Attend/Facilitate Key D-SNP Meetings
Prepare/Present D-SNP Materials
Work In/Competently Navigate Key Systems
Proven track record in meeting project milestones and negotiating for resources.
Proven negotiation skills.
Experience includes development and management of various projects and or program.
Proven project management skills.
The highest level of education desired for candidates in this position is a Associate's degree or equivalent experience.
Functional - Project Management/Cross-functional project management/1-3 Years
Functional - Quality Management/Quality Management/1-3 Years
Technical - Desktop Tools/Microsoft Word/1-3 Years/
Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/
General Business/Applying Reasoned Judgment/MASTERY
General Business/Demonstrating Business and Industry Acumen/ADVANCED
Leadership/Developing and Executing Strategy/ADVANCED
Leadership/Anticipating and Innovating/ADVANCED
There is flexibility in location of position - could include combination of in office and telework.
ADDITIONAL JOB INFORMATION
Opportunity to join an expanding business area of Aetna and work across business units to develop best in class processes and help drive health care improvement for our D-SNP membership.
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 candidates'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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