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Aetna Inc.

Mgr, Health Care QM

Aetna Inc. - Bucyrus, KS

Working At Aetna -- the Value To YouWhat does it mean to work at Aetna? A lot.  From programs and benefits that support your financial, physical and emotional health to opportunities to build your knowledge and expand your career, the company makes working here a valuable experience in many ways. POSITION SUMMARYManaging two Medicare Markets (KS/MO and OH) and six team members. Oversight of market rates, initiatives and team members. Oversight of HEDIS MRR (Healthcare Effectiveness Data and Information Set) Project and staff (including temporary employees) working the project. Fundamental ComponentsCandidate will be responsible for oversight of 2 Medicare markets (KS/MO and OH) to include the HEDIS MRR Project and all initiatives throughout the calendar year.BACKGROUND/EXPERIENCE Five years progressive experience in operational quality management roles in the healthcare industry, regulatory environment and quality management.Demonstrated leadership ability.EDUCATIONThe highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.LICENSES AND CERTIFICATIONSNursing/Registered Nurse is desiredFUNCTIONAL EXPERIENCESQuality Management/Quality Management/4-6 YearsManagement/Management - Medicare/1-3 YearsLeadership/Lead a business in different geographies or multiple markets/1-3 YearsTECHNOLOGY EXPERIENCESDesktop Tools/Microsoft Outlook/1-3 Years/End UserDesktop Tools/Microsoft PowerPoint/1-3 Years/End UserDesktop Tools/Microsoft SharePoint/1-3 Years/End UserREQUIRED SKILLSGeneral Business/Communicating for Impact/ADVANCEDLeadership/Driving Change/ADVANCEDLeadership/Engaging and Developing People/ADVANCEDDESIRED SKILLSGeneral Business/Applying Reasoned Judgment/MASTERYLeadership/Anticipating and Innovating/ADVANCEDLeadership/Driving a Culture of Compliance/MASTERYTelework SpecificationsAfter 6 months option to work 2 days a week at home/ 3 days in office ADDITIONAL JOB INFORMATIONOpportunity to work with a dynamic team in a fast paced rapidly changing quality environment.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 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

Job Requirements
How to apply Please use the \Apply~ link to apply to this position. If you cannot view this link, you can find this position on our website by visiting:, click on apply online, search openings, and enter 46874BR in the keyword field. Additional information on what its like to work for Aetna and more can also be found on our website.We value leadership, creativity and initiative. If you share those values and a commitment to excellence and innovation, consider a career with Aetna. Aetna does not permit the use of tobacco related products or drugs in the workplace.Aetna is an EO/AA Employer-Minorities/Women/Veterans/Disability. No search firms please.You will not be asked for personal information until you have been fully evaluated through Aetna's screening processes. Aetna will never ask applicants for money. If you want to verify the identity of someone who contacts you from Aetna, call 1-800-AETNAHR (1-800-238-6247).

12 days 7 hours ago

Aetna Inc.


Mgr, Health Care QM Aetna Inc. - Bucyrus, KS, United States


Location: Bucyrus, KS

Company Profile:
Aetna Inc. operates as a diversified health care benefits company in the United States. The company operates in three segments: Health Care, Group Insurance, and Large Case Pensions. The Health Care segment provides medical, pharmacy benefit management, dental, behavioral health, and vision plans on an insured basis, and an employer-funded or administrative basis. This segment also provides Medicare and Medicaid products and services, as well as other medical products, such as medical management and data analytics services, medical stop loss insurance, workers' compensation administrative services, and products that provide access to its provider networks in select markets. This segment offers its products and services to multi-site national, mid-sized, and small employers, as well as individual customers. The Group Insurance segment provides life insurance products comprising group term life insurance, voluntary spouse and dependent term life insurance, group universal life, and accidental death and dismemberment insurance; disability insurance products; and long-term care insurance products, which offer benefits to cover the cost of care in private home settings, adult day care, assisted living, or nursing facilities. This segment provides insurance products principally to employers that sponsor its products for the benefit of their employees and their employees’ dependents. The Large Case Pensions segment manages various retirement products, including pension and annuity products for tax-qualified pension plans. The company’s customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups, and expatriates. Aetna Inc. was founded in 1853 and is headquartered in Hartford, Connecticut.