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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Manager, Health Care Quality Management

Primary Location: Richmond, Virginia
Additional Locations: VA-Richmond

This position has the opportunity to work from home part time but you must be able to commute to our Richmond VA office.

Accountable for health care quality projects and initiatives through direction setting and leadership. Assimilates information to proactively develop quality activities aligned with company strategies and values.

Fundamental Components:
Makes business decisions based on the results of research and data analysis. Has responsibility for decision making regarding the design, development, and implementation strategy of quality improvement projects, and initiatives. May manage a QM functional department including development and oversight of performance metrics and application of HR policies and procedures. Forms and leads cross functional teams to assist business units in integrating quality into their strategic and operational plans. Evaluates and prioritizes recommendations for quality improvement to senior management and/or customers. Partners with sales and marketing across all segments in their efforts to acquire and retain customers (e.g. responding to RFPs), quality presentations, request for measurement information. Develops and implements the infrastructure of the QM program and Patient Safety strategy. Develops, implements, and evaluates the organization’s policies and procedures to meet business needs. Directs/provides enhancements to business processes, policies and infrastructure to improve operational efficiency across the organization. Influences department business owners and leaders to reach solutions to meet the needs of Plan Sponsors, regulators and other customers while meeting departmental objectives. Performs strategic analysis of business performance data to address Plan Sponsor needs. In partnership with business owners, supports design /development of new or enhanced products and services. Translates knowledge of subject and business needs into clear strategic business plans. Serves as a technical, professional and/or business expert that may cross multiple business functions.

Background Experience:
6+ years progressive experience in operational quality management roles in the healthcare industry, regulatory environment and quality management.
6 years HEDIS experience is required
Demonstrated leadership ability.
Bachelor's degree, Nursing degree, or other comparable healthcare experience.

Telework Specification:
This position has the opportunity to work from home part time but you must be able to commute to our Richmond VA office.

Additional Job Information:
Understanding of trends and constituency expectations.

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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