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Health Care QM Project Manager

Primary Location: Richmond, VA
Additional Locations: VA-Richmond
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Description:
Manages and influences health care quality projects and initiatives through design, development, and implementation. 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 (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:
Project management and leadership experience.
5 years clinical and/or managed care experience in the healthcare industry and quality management.
DNSP experience required (Dual Special Needs Program)

EDUCATION
Bachelor's degree, Nursing degree, or other comparable healthcare experience.

LICENSE
RN required must be active and unrestricted

Additional Job Information:
Experience with Medicare or DSNP lines of business desired.

Required Skills:
General Business - Ensuring Project Discipline, Leadership - Driving Change, Leadership - Engaging and Developing People

Desired Skills:
General Business - Consulting for Solutions, General Business - Turning Data into Information, Leadership - Anticipating and Innovating

Functional Skills:
Quality Management - Quality Management

Education:
Nursing - Registered Nurse

Potential Telework Position:
Yes

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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