The job below is no longer available.
You might also like
in Scottsdale, AZ
$35est. per hour Bridgers & Paxton Consulting Engineers, Inc. • 1h ago9.8 mi Use left and right arrow keys to navigate- Abdo • 1h ago
5.6 mi Use left and right arrow keys to navigate - Shamrock Foods • 2d ago
3.9 mi Use left and right arrow keys to navigate 
$28est. per hour Sun Devil Auto • 16h agoUrgently hiring 9.3 mi Use left and right arrow keys to navigate
Quality Management (QM) Nurse Consultant - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Scottsdale, AZ Scottsdale, Arizona |
About this job
POSITION SUMMARY
This role will support the Health Plan's goal in assessing performance associated with HEDIS measures, accreditation activities and provider quality of care investigations.
Fundamental Components
This is an opportunity to improve healthcare outcomes through a dynamic interface with members and providers to assess compliance with HEDIS measures. This role will actively support plan accreditation activities through cross functional engagement, and general support with quality of care investigations.
Experience Required
* Minimum of 3 years of clinical experience
* Ability to interface with providers and their offices
* Ability to advocate member health
* Time management and prioritization
* Ability to facilitate meetings from an accreditation support perspective
* Comfortable with data analysis
Experience Preferred
* Quality Management experience
* Managed Care experience
* Registered Nurse (RN) preferred
* Microsoft Excel knowledge
Education
The minimum level of education preferred is a Bachelor's degree.
Functional Experience
Functional - Medical Management/Medical Management - Concurrent Review/1-3 Years
Functional - Medical Management/Medical Management - Disease management/1-3 Years
Functional - Medical Management/Medical Management - Quality Management/1-3 Years
Technology Experience
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/End User
Technical - Desktop Tools/Microsoft Visio/1-3 Years/End User
ADDITIONAL JOB INFORMATION
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 conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately. Employment Type Regular Career Band Description Professional
This role will support the Health Plan's goal in assessing performance associated with HEDIS measures, accreditation activities and provider quality of care investigations.
Fundamental Components
This is an opportunity to improve healthcare outcomes through a dynamic interface with members and providers to assess compliance with HEDIS measures. This role will actively support plan accreditation activities through cross functional engagement, and general support with quality of care investigations.
Experience Required
* Minimum of 3 years of clinical experience
* Ability to interface with providers and their offices
* Ability to advocate member health
* Time management and prioritization
* Ability to facilitate meetings from an accreditation support perspective
* Comfortable with data analysis
Experience Preferred
* Quality Management experience
* Managed Care experience
* Registered Nurse (RN) preferred
* Microsoft Excel knowledge
Education
The minimum level of education preferred is a Bachelor's degree.
Functional Experience
Functional - Medical Management/Medical Management - Concurrent Review/1-3 Years
Functional - Medical Management/Medical Management - Disease management/1-3 Years
Functional - Medical Management/Medical Management - Quality Management/1-3 Years
Technology Experience
Technical - Desktop Tools/Microsoft PowerPoint/1-3 Years/End User
Technical - Desktop Tools/Microsoft Outlook/1-3 Years/End User
Technical - Desktop Tools/Microsoft SharePoint/1-3 Years/End User
Technical - Desktop Tools/Microsoft Visio/1-3 Years/End User
ADDITIONAL JOB INFORMATION
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 conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately. Employment Type Regular Career Band Description Professional
Your Privacy Choices