Remote Stars Vendor Performance Lead

Humana, Inc.; Madison (WI); A distancia; USD 115.000 - 158.000; Jornada completa

Descripción de la vacante

Humana, Inc. is seeking a Program Lead, ECP Performance Management, to drive performance across Humana’s enterprise clinical partnerships.

This role partners with clinical vendors and internal teams to deliver measurable value for members and providers, focusing on Stars, HEDIS, quality improvement, and population health outcomes. You will develop performance frameworks, governance processes, and executive-ready presentations while translating complex data into actionable strategies.

Formación

• Bachelor's Degree required.
• 7+ years in healthcare operations, strategy, performance management, consulting, quality improvement, vendor management or program management.
• 3+ years of experience leading complex cross-functional initiatives.
• Experience using data and performance metrics to drive decisions and improvements.
• Knowledge of Medicare Advantage quality programs, Stars, HEDIS and quality improvement methodologies.
• Experience evaluating quality metrics, care gaps and population health outcomes.
• Strong ability to develop executive presentations and communicate findings to senior leadership.
• Experience creating performance scorecards, dashboards, governance processes or operational reporting frameworks.
• Advanced PowerPoint and Excel skills.
• Excellent written and verbal communication skills.

Responsabilidades

• Lead performance management activities across a portfolio of Enterprise Clinical Partnership programs and vendors.
• Develop and maintain program health scorecards, dashboards, executive reporting and business reviews.
• Analyze clinical, operational, financial, enrollment and quality metrics to identify opportunities and risks.
• Define improvement initiatives with stakeholders and measurable outcomes.
• Facilitate vendor performance reviews, QBRs and governance meetings.
• Identify opportunities to improve quality outcomes and member experience through cross-functional initiatives.

Conocimientos

Healthcare operations

Strategy

Performance management

Quality improvement

Vendor management

Program management

PowerPoint

Excel

Educación

Bachelor's Degree

Herramientas

PowerPoint

Excel

Descripción del empleo

Humana, Inc. is seeking a Program Lead, ECP Performance Management, to drive performance across Humana’s enterprise clinical partnerships.

This role partners with clinical vendors and internal teams to deliver measurable value for members and providers, focusing on Stars, HEDIS, quality improvement, and population health outcomes. You will develop performance frameworks, governance processes, and executive-ready presentations while translating complex data into actionable strategies.