Remote Stars & Quality Vendor Performance Lead

Humana, Inc.; Trenton (NJ); A distancia; USD 115.000 - 158.000; Jornada completa

Descripción de la vacante

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management to drive strategic oversight, governance, and cross-functional collaboration with internal teams and external vendors.

The role focuses on delivering measurable value for members, providers, and Humana through data-driven decision making and operational excellence. The position emphasizes Stars, HEDIS, quality improvement, and member experience priorities, with responsibilities spanning governance,

Formación

• Bachelor's degree required.
• 7+ years in healthcare ops, strategy, or program management.
• 3+ years leading complex cross-functional initiatives.
• Experience using data and performance metrics to drive decisions.
• Knowledge of Medicare Advantage, Stars, HEDIS.
• Experience interpreting quality metrics and population health outcomes.
• Proven ability to present to senior leadership.
• Experience developing performance scorecards, dashboards, or governance frameworks.
• Advanced PowerPoint and Excel skills.
• Excellent written and verbal communication.

Responsabilidades

• Lead performance management across a portfolio of ECP programs and vendors.
• Develop and maintain program health scorecards and executive dashboards.
• Analyze Stars, HEDIS, quality metrics to identify opportunities and risks.
• Define improvement initiatives with measurable outcomes.
• Facilitate vendor performance reviews and governance meetings.
• Identify opportunities to improve quality outcomes and member experience.
• Translate complex challenges into actionable analyses and solutions.
• Lead cross-functional initiatives to improve program performance.
• Develop executive-ready presentations and strategic recommendations.
• Identify trends and growth opportunities across the ECP portfolio.

Conocimientos

Healthcare operations

Strategy

Performance management

Quality improvement

Vendor management

Executive presentations

Dashboards

PowerPoint

Excel

Data analysis

Educación

Bachelor's Degree

Master's degree

Herramientas

PowerPoint

Excel

Descripción del empleo

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management to drive strategic oversight, governance, and cross-functional collaboration with internal teams and external vendors.

The role focuses on delivering measurable value for members, providers, and Humana through data-driven decision making and operational excellence. The position emphasizes Stars, HEDIS, quality improvement, and member experience priorities, with responsibilities spanning governance,