Remote Vendor Performance & Quality Lead

Humana, Inc.; United States; Remote; USD 115,000 - 158,000; Full time

Benefits offered by this job

Bonus incentive plan

Medical, dental & vision benefits

401(k) plan

Job summary

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships (ECP) Performance Management to drive the success of a portfolio of clinical partnerships.

You will oversee performance management, governance, and cross-functional collaboration to deliver measurable value for members, providers, and Humana. You will translate complex data into actionable strategies, develop executive insights, and lead vendor performance reviews and governance meetings, ensuring Stars and HEDIS

Qualifications

• Bachelor's Degree required.
• 7+ years in healthcare operations, strategy or program management.
• 3+ years leading cross-functional initiatives.
• Experience using data and performance metrics to drive decisions.
• Knowledge of Medicare Advantage, Stars and HEDIS.
• Executive-level presentation and communication skills.
• Experience developing scorecards, dashboards, governance or reporting.
• Advanced PowerPoint and Excel skills.

Responsibilities

• Lead performance management across Enterprise Clinical Partnerships (ECP) programs and vendors.
• Develop scorecards, dashboards, executive reporting and business reviews.
• Analyze Stars, HEDIS, quality, and population health metrics to identify opportunities.
• Partner with stakeholders to define improvement initiatives and measurable outcomes.
• Facilitate vendor performance reviews, QBRs, and governance meetings.
• Lead cross-functional initiatives to improve program performance and outcomes.
• Develop executive-ready presentations and strategic recommendations.

Skills

Healthcare operations

Performance management

Strategy

Vendor management

Program management

Data-driven decision making

Executive communication

Education

Bachelor's Degree

MBA or related field

Tools

PowerPoint

Excel

Job description

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships (ECP) Performance Management to drive the success of a portfolio of clinical partnerships.

You will oversee performance management, governance, and cross-functional collaboration to deliver measurable value for members, providers, and Humana. You will translate complex data into actionable strategies, develop executive insights, and lead vendor performance reviews and governance meetings, ensuring Stars and HEDIS