Remote Vendor Performance & Quality Lead

Humana; Hartford (CT); Remote; USD 115,000 - 158,000; Full time

Job summary

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management. You will oversee performance across vendor partnerships, drive data-informed decisions, and partner with Quality, Analytics, and Clinical Strategy teams to achieve enterprise goals and improve member outcomes.

The role emphasizes governance, executive-level reporting, and strategic action to strengthen value-based care initiatives within a large health plan.

Qualifications

• Bachelor's degree required; 7+ years in healthcare ops/strategy/perf mgmt.
• 3+ years leading cross-functional initiatives.
• Experience using data and performance metrics to drive decisions.
• Knowledge of Medicare Advantage, Stars, and HEDIS.
• Strong exec presentations and governance experience.
• Advanced PowerPoint and Excel skills.
• Excellent written and verbal communication.

Responsibilities

• Lead performance management across a portfolio of enterprise programs and vendors.
• Develop and maintain program health scorecards, dashboards, and executive reporting.
• Analyze Stars, HEDIS, quality metrics to identify opportunities and risks.
• Define improvement initiatives with measurable outcomes.
• Facilitate vendor performance reviews, QBRs, and governance meetings.
• Identify opportunities to improve quality outcomes and population health.
• Translate complex performance challenges into structured analyses and actions.
• Lead cross-functional initiatives to boost program performance and member outcomes.
• Develop executive-ready presentations and business cases for senior leadership.
• Identify trends and growth opportunities across the ECP portfolio.

Skills

Healthcare ops

Strategy

Performance Mgmt

Quality improvement

Vendor management

Program management

Cross-functional

Data-driven decisions

Medicare Advantage

Stars measures

HEDIS

Population health

Executive presentations

Dashboards

Education

Bachelor's Degree

Tools

Excel

PowerPoint

Job description

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management. You will oversee performance across vendor partnerships, drive data-informed decisions, and partner with Quality, Analytics, and Clinical Strategy teams to achieve enterprise goals and improve member outcomes.

The role emphasizes governance, executive-level reporting, and strategic action to strengthen value-based care initiatives within a large health plan.