Remote Vendor Performance Lead for Stars & Quality

Humana, Inc.; City of Albany (NY); A distancia; USD 115.000 - 158.000; Jornada completa

Descripción de la vacante

Humana, Inc. seeks a Program Lead for Enterprise Clinical Partnerships Performance Management to drive outcomes across vendor partnerships, governance, and data-driven improvements. You will develop executive insights and ensure programs meet quality and member experience priorities.

The role requires 7+ years in healthcare operations or strategy, expertise in Stars/HEDIS, and strong presentation skills. Travel is possible; remote work is supported.

Formación

• Bachelor's Degree in a related field.
• 7+ years in healthcare operations, strategy, performance management, or program management.
• 3+ years leading complex cross-functional initiatives.
• Experience using data and performance metrics to drive decisions.
• Knowledge of Medicare Advantage quality programs, Stars measures, and HEDIS.

Responsabilidades

• Lead performance management activities across a portfolio of enterprise clinical partnership programs and vendors.
• Develop and maintain program health scorecards, dashboards, and executive reporting.
• Analyze Stars, HEDIS, quality metrics to identify opportunities and risks.
• Define improvement initiatives with measurable outcomes.
• Lead governance meetings and quarterly business reviews (QBRs).
• Identify opportunities to improve quality outcomes and member experience.
• Translate complex performance challenges into actionable analyses and recommendations.

Conocimientos

Stakeholder management

Data-driven decision making

Healthcare operations

Executive communications

Advanced PowerPoint

Educación

Bachelor's Degree

Herramientas

PowerPoint

Excel

Descripción del empleo

Humana, Inc. seeks a Program Lead for Enterprise Clinical Partnerships Performance Management to drive outcomes across vendor partnerships, governance, and data-driven improvements. You will develop executive insights and ensure programs meet quality and member experience priorities.

The role requires 7+ years in healthcare operations or strategy, expertise in Stars/HEDIS, and strong presentation skills. Travel is possible; remote work is supported.