Aetna Sr. Project Manager /Quality Audit (Group Insurance) in Hartford, Connecticut
Req ID: 45444BR
Accountable for review and/or handling of quality for Group Insurance (Life, ADPL, and Disability). Performs quality audit for NBARS Organization.
Conduct standard quality reviews/audits to measure compliance with published policies, procedures, customer and regulatory guidelines (*)
Identify and distribute errors to business partners (*)
Subject matter expert on workflows, policies, systems requirements/enhancements daily operations and programs (*)
Perform root cause analysis and/or analyze data to identify and communicate trends in day-to- day work (e.g., quality of results, efficiencies of processes, etc.) (*)
Responsible to support targeted quality audit projects. Report results and make recommendations e.g., training needs, quality controls and procedures, etc (*)
May report and forecast inventory and business activity results
Recommend ideas for the development of quality control policies and procedures of own unit in the performance of specific job functions (*)
Administer business procedures ensuring compliance requirements are satisfied (*)
Strong knowledge of Group Insurance products experience is desired.
Experience in excel.
Proven communication skills both written and verbal
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
General Business/Applying Reasoned Judgment/MASTERY
General Business/Communicating for Impact/ADVANCED
Leadership/Collaborating for Results/ADVANCED
Leadership/Driving a Culture of Compliance/ADVANCED
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: Management