Remote Network Performance Manager – Medicare Stars

Humana Inc

Alabama

Hybrid

USD 95,000 - 131,000

Full time

44 hours ago
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Benefits offered by this job

Medical benefits
Dental benefits
Vision benefits
401(k) plan
Paid time off

Job summary

Humana Inc. is seeking a Manager of Network Performance to lead a provider-facing team focused on improving quality and operational measures, including Medicare Stars.

You will collaborate with Provider Engagement, Stars, MRA, Interoperability, and other partners to align priorities with KPIs and drive data-driven improvements. The role emphasizes strong analytics, strategic oversight, and a commitment to staff development while operating in a remote setup within Alabama, Louisiana, Mississippi,

Qualifications

  • Experience driving performance in complex healthcare environments.
  • Strong ability to analyze trends and translate insights into action.
  • Proven leadership and mentoring of associates.

Responsibilities

  • Lead and develop a provider-facing team.
  • Serve as SME on CMS Stars, HEDIS, CAHPS, HOS.
  • Collaborate with internal partners to drive performance improvement.
  • Analyze data and communicate findings to leadership.
  • Monitor and report initiative performance and KPIs.

Skills

CMS Stars
HEDIS
CAHPS
HOS
Provider performance
Data analysis
Team leadership
Strategic planning

Education

Bachelor’s degree in business, finance, healthcare, or related field

Job description

Humana Inc. is seeking a Manager of Network Performance to lead a provider-facing team focused on improving quality and operational measures, including Medicare Stars.

You will collaborate with Provider Engagement, Stars, MRA, Interoperability, and other partners to align priorities with KPIs and drive data-driven improvements. The role emphasizes strong analytics, strategic oversight, and a commitment to staff development while operating in a remote setup within Alabama, Louisiana, Mississippi,

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