Remote Vendor Performance Lead – Quality & Stars

Humana

Honolulu (HI)

Remote

USD 115,000 - 158,000

Full time

5 days ago

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Benefits offered by this job

Bonus incentive plan

Job summary

Humana, Inc. seeks a Program Lead for Enterprise Clinical Partnerships Performance Management to oversee a portfolio of clinical partnerships, drive performance through governance and analytics, and partner across internal teams to deliver measurable member and provider value.

The role emphasizes data-driven decisions, Stars, HEDIS, and population health outcomes. You will develop performance frameworks, dashboards, and executive insights, ensuring vendor initiatives align with quality and

Qualifications

Bachelor's degree required.
7+ years in healthcare operations, strategy or performance management.
3+ years leading cross-functional initiatives.
Experience using data/metrics to drive decisions.
Knowledge of Medicare Advantage, Stars, HEDIS and quality improvement.

Responsibilities

Lead performance management across enterprise clinical partnership programs and vendors.
Develop program health scorecards, dashboards, and executive reports.
Analyze Stars, HEDIS, quality metrics to identify opportunities and risks.
Define improvement initiatives and measurable outcomes with stakeholders.
Facilitate vendor reviews and governance meetings.
Translate performance challenges into actionable analyses and recommendations.
Develop executive-ready presentations and strategic recommendations.