Clinical Innovation Performance Management Lead

Humana, Inc.

United States

Remote

USD 115,000 - 158,000

Full time

30 hours ago
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Benefits offered by this job

Medical, dental & vision benefits
401(k) retirement plan
Paid time off & holidays
Parental leave

Job summary

Humana is seeking aClinical Innovation Performance Management Lead to own recurring performance reporting and support the performance review cycle across Clinical Innovation and related portfolios. The role partners with Finance, Analytics, and regional teams to deliver timely insights and governance across leaders.

The ideal candidate has extensive experience in healthcare operations, analytics, and program management, with strong stakeholder relations and proficiency in reporting tools.

Qualifications

  • Bachelor's degree required.
  • 7+ years in healthcare operations, performance improvement, business operations, analytics, finance, consulting or program management.
  • Experience supporting performance reporting, dashboards, scorecards, or value realization programs.
  • Ability to coordinate multiple priorities and communicate clearly across teams with stakeholders.
  • Ability to articulate ideas effectively in writing and speech; work well in a matrixed environment.
  • Proficiency with reporting, presentation and data-analysis tools.

Responsibilities

  • Own recurring performance reporting across Clinical Innovation products and initiatives; ensure timely dashboards and reporting packages.
  • Support financial and business planning processes, including 5-year planning and leadership reviews.
  • Maintain value-tracking across the portfolio using established methodologies and targets.
  • Align reporting with Finance and Analytics; reconcile discrepancies with accountable teams.
  • Prepare analyses and summaries of variances, risks, and action status; drive follow-through and escalation.
  • Log and track decisions, actions, and issues with due dates; ensure closure.

Skills

Healthcare analytics
Performance reporting
Stakeholder management
Data analysis tools

Education

Bachelor's degree
MBA, MHA, MPH or related advanced degree

Tools

Reporting tools
Dashboards

Job description

Become a part of our caring community The Clinical Innovation Performance Management Lead owns the recurring reporting and supports the performance review cycle for Clinical Innovation. This role is accountable for collecting and validating performance inputs, maintaining dashboards and scorecards, analyzing variances, tracking value realization against established targets, and driving review actions through closure. The Lead applies established measurement standards and governance processes to deliver reliable reporting and timely insights for leadership decisions across Clinical, Pharmacy, Stars, Medicare Risk Adjustment (MRA), Operations, Finance, and regional teams. The Performance Management Lead is a key contributor supporting day-to-day execution of the Clinical Innovation performance management process, from performance input collection and validation through reporting, review preparation, and follow-through. The role operates within established performance frameworks, measurement methodologies, targets, and escalation pathways, surfacing gaps and recommending practical process improvements.

Key responsibilities include managing weekly and monthly reporting timelines, maintaining performance dashboards, investigating risks and variances, reconciling value-tracking updates, preparing leadership review materials, and tracking corrective actions to closure.

The Lead partners closely with Finance, Analytics, Clinical Innovation Delivery teams, and Regional partners to resolve reporting discrepancies, apply consistent definitions, and ensure accountable owners provide complete and timely updates.

Success in this role requires strong analytical capabilities, attention to detail, collaboration skills, and the ability to translate complex operational and financial information into actionable insights. The successful candidate exercises independent judgment in investigating variances, resolving reporting issues, and identifying matters requiring escalation, while creating transparency, accountability, and disciplined follow-through across the Clinical Innovation portfolio.

Responsibilities:
  • Performance Monitoring and Reporting Own recurring performance reporting and monitoring across Clinical Innovation products, levers, and initiatives, including timely delivery of dashboards, scorecards, and reporting packages.
  • Support recurring financial and business planning processes, including financial reviews, 5-year planning, and other leadership forums.
  • Value Realization and Financial Performance Maintain the recurring tracking of expected, committed, implemented, and realized value across the Clinical Innovation portfolio using established methodologies and targets.
  • Ensure performance reporting aligns with Finance and Analytics, enterprise 5-year planning, and financial updates, partnering with accountable teams to reconcile and resolve discrepancies.
  • Governance and Performance Reviews Prepare analyses and concise summaries of variances, risks, and action status, with recommendations for operational follow-through and clearly identified leadership decision needs.
  • Maintain decision, action, and issue logs with accountable owners and due dates; drive follow-up through closure and escalation overdue or unresolved items.
  • Cross-Functional Partnership Partner with Clinical, Pharmacy, Stars, MRA, Operations, Finance, Analytics, and Regional teams to deliver the recurring reporting and review cycle.
  • Ensure established reporting practices are applied consistently across teams and recommend improvements to reporting quality, timeliness, and workflow.
  • Use your skills to make an impact
Required Qualifications
  • Bachelor's degree
  • 7 or more years of experience in healthcare operations, performance improvement, business operations, analytics, finance, consulting and/or program management
  • Experience supporting performance reporting, dashboards, scorecards, or value realization programs.
  • Demonstrated ability to coordinate multiple priorities, communicate clearly across teams, and build strong relationships with business stakeholders.
  • Demonstrated ability to articulate ideas effectively in both written and oral forms
  • Demonstrated ability to work effectively in a matrixed environment.
  • Proficiency with reporting, presentation, and data-analysis tools.
Preferred Qualifications
  • MBA, MHA, MPH, or other relevant advanced degree, or equivalent experience.
  • Experience supporting executive performance reviews or governance forums.
  • Experience in healthcare analytics, medical cost management, Stars, MRA, Clinical Operations, Pharmacy, or related functions.
Additional Information

Willing to travel based on business need To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for you. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours 40 Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 11-10-2026

About us

Humana, Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.

It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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