Remote Vendor Performance Lead for Stars & Quality

Humana; Montpelier (VT); Remote; USD 115,000 - 158,000; Full time

Job summary

Humana is seeking a Program Lead, Enterprise Clinical Partnerships Performance Management, to oversee a portfolio of clinical partnerships and drive measurable value for members and providers.

You will translate data into strategy, develop performance frameworks, and lead governance and vendor reviews across Quality, Analytics, and Care Management. The role emphasizes Stars, HEDIS, and population health outcomes with a remote work model and travel as needed.

Qualifications

• 7+ years in healthcare operations, strategy, performance management, or related fields.
• 3+ years leading complex cross-functional initiatives.
• Experience using data and metrics to drive decisions and improvements.
• Knowledge of Medicare Advantage quality programs, Stars, and HEDIS.
• Ability to develop executive-level presentations for senior leadership.

Responsibilities

• Lead performance management activities across a portfolio of enterprise programs and vendors.
• Develop health scorecards, dashboards, executive reporting, and business reviews.
• Analyze quality, Stars, HEDIS, and population health metrics to identify opportunities and risks.
• Define improvement initiatives with internal/external stakeholders and measure outcomes.
• Facilitate vendor performance reviews, QBRs, and governance meetings.
• Identify partnerships to improve quality outcomes and member experience.
• Translate complex performance challenges into actionable analyses and solutions.
• Lead cross-functional initiatives to improve program performance and outcomes.
• Create executive-ready presentations and strategic recommendations for leadership.
• Monitor trends and risks across the portfolio and recommend strategic actions.
• Collaborate with Quality, Strategy, and Analytics teams to assess vendor contributions.

Skills

Healthcare operations

Strategy

Performance management

Quality improvement

Vendor management

Program management

Education

Bachelor's Degree

Master's degree

Tools

CoPilot

Claude

Job description

Humana is seeking a Program Lead, Enterprise Clinical Partnerships Performance Management, to oversee a portfolio of clinical partnerships and drive measurable value for members and providers.

You will translate data into strategy, develop performance frameworks, and lead governance and vendor reviews across Quality, Analytics, and Care Management. The role emphasizes Stars, HEDIS, and population health outcomes with a remote work model and travel as needed.