Aetna Hlthcre QM Sr. Consultant in Tampa, Florida

Req ID: 50272BR

POSITION SUMMARY

Conducts oversight auditing for Credentialing delegates for compliance with Aetna, NCQA, state and federal mandates.

Fundamental Components:

Candidate is responsible for the oversight auditing of delegated credentialing functions. Must be familiar with NCQA standards, state and federal mandates.

BACKGROUND/EXPERIENCE desired:

3 - 5 years experience credentialing in compliance with NCQA

EDUCATION

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

FUNCTIONAL EXPERIENCES

Functional - Quality Management/FE NCQA accreditation/4-6 Years

Telework Specifications:

Any work location can be assigned as this is a WAH position

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.

Job Function: Quality Management