Remote Vendor Performance Lead - Healthcare Quality & Stars

Humana; Dover (DE); A distancia; USD 115.000 - 158.000; Jornada completa

Descripción de la vacante

Humana, Inc. is seeking a Program Lead, Enterprise Clinical Partnerships (ECP) Performance Management, to drive the success of Humana’s portfolio of enterprise clinical partnerships through strategic oversight, governance, and cross-functional collaboration.

This role connects internal partners with external clinical vendors to deliver measurable value for members and providers. The role emphasizes data-driven decision making, performance improvement, and accountability across stakeholders, with

Formación

• Bachelor's Degree required.
• 7+ years in healthcare operations, strategy, or performance management.
• 3+ years leading complex cross-functional initiatives.
• Experience using data and performance metrics to drive decisions.
• Knowledge of Medicare Advantage quality programs, Stars and HEDIS.
• Proven ability to develop executive-level presentations.
• Advanced PowerPoint and Excel skills.
• Experience evaluating quality metrics and population health outcomes.

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.
• Partner with stakeholders to define improvement initiatives and measurable outcomes.
• Facilitate vendor performance reviews and governance meetings.
• Identify opportunities to improve quality outcomes and member experience.
• Translate complex challenges into structured analyses and actionable recommendations.
• Lead cross-functional initiatives to improve program performance and outcomes.

Conocimientos

Cross-functional leadership

Data-driven decision making

Stakeholder management

Executive presentation

Performance management

Educación

Bachelor's Degree

Herramientas

PowerPoint

Excel

Descripción del empleo

Humana, Inc. is seeking a Program Lead, Enterprise Clinical Partnerships (ECP) Performance Management, to drive the success of Humana’s portfolio of enterprise clinical partnerships through strategic oversight, governance, and cross-functional collaboration.

This role connects internal partners with external clinical vendors to deliver measurable value for members and providers. The role emphasizes data-driven decision making, performance improvement, and accountability across stakeholders, with