Remote Vendor Performance Lead - Stars & Quality

Humana; Helena (MT); Remote; USD 115,000 - 158,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) retirement plan

Paid time off

Job summary

Humana is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management to drive performance across Humana’s enterprise clinical vendor partnerships. You will oversee governance, scorecards, and executive reporting while translating data into actionable strategies that align with Stars, HEDIS, and member experience priorities.

The role requires leading cross-functional initiatives, presenting to senior leadership, and advancing value-based care objectives through analytics

Qualifications

• 7+ years in healthcare operations, strategy, performance management.
• 3+ years leading complex cross-functional initiatives.
• Experience using data to drive decisions and improvements.

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

Healthcare ops

Strategy

Performance management

Consulting

Quality improvement

Vendor management

Program management

Education

Bachelor's Degree

Tools

PowerPoint

Excel

Job description

Humana is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management to drive performance across Humana’s enterprise clinical vendor partnerships. You will oversee governance, scorecards, and executive reporting while translating data into actionable strategies that align with Stars, HEDIS, and member experience priorities.

The role requires leading cross-functional initiatives, presenting to senior leadership, and advancing value-based care objectives through analytics