Remote Vendor Performance Lead, Healthcare Partnerships

Humana, Inc.; San Juan (PR); Remote; USD 115,000 - 158,000; Full time

Job summary

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management. You will drive performance across a portfolio of clinical vendor partnerships, develop scorecards and dashboards, and translate data into actionable strategies for senior leadership.

The role emphasizes data-driven decision making, governance, and cross-functional collaboration to improve member outcomes, quality, and population health, with remote work and occasional travel as needed.

Qualifications

• Bachelor's Degree in healthcare, business, or related field.
• 7+ years in healthcare operations, strategy, performance management or quality improvement.
• 3+ years leading cross-functional initiatives.
• Experience using data to drive business decisions.
• Knowledge of Medicare Advantage, Stars, HEDIS, quality improvement.
• Experience evaluating quality metrics and population health outcomes.
• Proven ability to present to senior leadership at executive level.
• Experience developing scorecards, dashboards, or governance processes.
• Advanced PowerPoint and Excel skills; strong written/verbal communication.

Responsibilities

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

Skills

Leadership

Data-driven decisions

Communication skills

PowerPoint expertise

Excel (advanced)

Healthcare operations

Stakeholder management

Vendor management

Education

Bachelor's Degree

Master's degree (preferred)

Tools

PowerPoint

Excel

HireVue

Job description

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management. You will drive performance across a portfolio of clinical vendor partnerships, develop scorecards and dashboards, and translate data into actionable strategies for senior leadership.

The role emphasizes data-driven decision making, governance, and cross-functional collaboration to improve member outcomes, quality, and population health, with remote work and occasional travel as needed.