Remote Vendor Performance & Quality Lead

Humana; Columbus (OH); Remote; USD 115,000 - 158,000; Full time

Benefits offered by this job

Bonus incentive plan

Remote work options

Job summary

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management. The role drives strategic oversight, governance, and cross-functional collaboration across internal teams and external clinical vendors to deliver measurable value for members and providers.

The candidate will oversee performance initiatives, develop executive insights, and translate data into actionable strategies aligned with Stars, HEDIS, and population health goals.

Qualifications

• Bachelor's degree required; 7+ years in healthcare operations, strategy, perf. management or related fields.
• 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.
• Experience developing performance scorecards, dashboards, governance processes, or reporting frameworks.
• Advanced PowerPoint and Excel skills.
• Exceptional written and verbal communication skills.

Responsibilities

• Lead performance management across a portfolio of enterprise clinical partnership programs and vendors.
• Develop and maintain program health scorecards, dashboards, executive reporting and reviews.
• Analyze Stars, HEDIS, and quality metrics to identify opportunities and risks.
• Partner with stakeholders to define improvement initiatives with measurable outcomes.
• Facilitate vendor performance reviews and governance meetings.
• Identify opportunities to improve quality outcomes and member experience.
• Translate complex performance 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 and growth opportunities across the portfolio.
• Support implementation of new performance management capabilities and reporting.

Skills

Performance management

Cross-functional collaboration

Executive reporting

Data-driven decision making

Quality program knowledge

Advanced PowerPoint

Excel skills

Strong communication

Education

Bachelor's Degree

Master's degree in Business Administration / Healthcare Administration / Public Health

Tools

AI tools (CoPilot / Claude)

Job description

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management. The role drives strategic oversight, governance, and cross-functional collaboration across internal teams and external clinical vendors to deliver measurable value for members and providers.

The candidate will oversee performance initiatives, develop executive insights, and translate data into actionable strategies aligned with Stars, HEDIS, and population health goals.