Aetna Director, Health Care Quality Management in Blue Bell, Pennsylvania

Req ID: 50741BR


Responsible for setting the strategic direction and oversight of the NQM Clinical Operational Excellence - Clinical Performance Team. Leads quality efforts across the clinical enterprise and is a champion for continuous process improvement. This position will work closely with the Business Integrity Team to promote a culture of compliance and excellence.

Fundamental Components:

The Director Healthcare QM will provide leadership to a team of Managers, Audit, and Training & Quality Clinicians to drive quality and performance excellence.


5 to 7 years clinical and/or managed care experience in the healthcare industry and quality management. Previous experience that reflects a proven track record or proficiency in the competencies noted. Previous experience managing staff Demonstrated ability to plan, organize, and execute multiple functional business objectives. Demonstrated verbal/written communication and computer skills. Ability to work in a fast paced environment.


The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.


Nursing/Registered Nurse is desired

Project Management / Six Sigma is desired


Functional - Medical Management/Medical Management - Case Management/4-6 Years

Functional - Management/Management - Quality/4-6 Years

Functional - Nursing/Quality Management/4-6 Years

Functional - Leadership/Lead a complex or multifunctional organization/4-6 Years


Technical - Desktop Tools/Microsoft Outlook/4-6 Years/End User

Technical - Desktop Tools/Microsoft PowerPoint/4-6 Years/End User

Technical - Aetna Applications/Aetna Total clinical View/4-6 Years/End User


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.

Job Function: Quality Management