Remote Vendor Performance Lead - Stars & Quality

Humana, Inc.; Frankfort (KY); Remote; USD 115,000 - 158,000; Full time

Job summary

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management to drive strategic oversight, performance management, and governance across a portfolio of clinical vendor partnerships.

You will translate complex data into actionable strategies that improve member outcomes and quality results. The role requires deep knowledge of Medicare Advantage quality programs and population health, with the ability to influence across a matrixed organization, develop

Qualifications

• Bachelor's degree required.
• 7+ years in healthcare operations, strategy, performance management, consulting, quality improvement, vendor management and/or program management.
• 3+ years leading complex cross-functional initiatives.
• Experience using data and performance metrics to drive business decisions.
• Knowledge of Medicare Advantage quality programs, Stars measures, HEDIS performance, and quality improvement methodologies.
• Experience evaluating and interpreting quality performance metrics, care gap opportunities, and population health outcomes.
• Proven ability to develop executive-level presentations and communicate complex findings to senior leadership.
• Experience developing performance scorecards, dashboards, governance processes, or operational reporting frameworks.
• Advanced PowerPoint and Excel skills.
• Exceptional written and verbal communication skills.

Responsibilities

• Lead performance management activities across a portfolio of Enterprise Clinical Partnership programs and vendors.
• Develop and maintain program health scorecards, performance dashboards, executive reporting, and business reviews.
• Analyze clinical, operational, financial, enrollment, engagement, Stars, HEDIS, and quality performance metrics to identify opportunities and risks.
• Partner with internal and external stakeholders to define improvement initiatives, action plans, and measurable outcomes tied to quality and performance objectives.
• Facilitate vendor performance reviews, quarterly business reviews (QBRs), and governance meetings.
• Identify opportunities for partnerships to improve quality outcomes, care gap closure, preventive care compliance, medication adherence, member experience, and population health performance.
• Translate complex performance challenges into structured analyses, actionable recommendations, and operational solutions.
• Lead cross-functional initiatives that improve program performance, operational effectiveness, member outcomes, and quality results.
• Develop executive-ready presentations, business cases, and strategic recommendations for senior leadership.
• Identify trends, emerging risks, and growth opportunities across the ECP portfolio and recommend strategic actions.
• Partner with Quality, Clinical Strategy, and Analytics teams to evaluate vendor contributions to enterprise quality goals and Medicare Advantage performance.
• Support implementation of new performance management capabilities, tools, processes, and reporting frameworks.
• Foster strong relationships with vendors and internal stakeholders to drive accountability, collaboration, and continuous improvement.
• Drive consistency and best practices across enterprise clinical partnership performance management activities.

Skills

Data-driven decisions

Executive communication

Cross-functional leadership

Performance management

Quality improvement

Education

Bachelor's Degree

Tools

PowerPoint

Excel

Job description

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management to drive strategic oversight, performance management, and governance across a portfolio of clinical vendor partnerships.

You will translate complex data into actionable strategies that improve member outcomes and quality results. The role requires deep knowledge of Medicare Advantage quality programs and population health, with the ability to influence across a matrixed organization, develop