Stars-Driven Vendor Performance Lead

Humana; Carson City (NV); A distancia; USD 115.000 - 158.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Bonus eligibility

Travel flexibility

Descripción de la vacante

Humana, Inc. is seeking a Program Lead, ECP Performance Management, to drive value from enterprise clinical partnerships through strategic oversight, governance, and data-driven decision making.

This role bridges internal teams and external clinical vendors to enable measurable improvements in member outcomes and quality metrics. You will develop performance frameworks, dashboards, and executive insights while guiding cross-functional initiatives across Quality, Analytics, Care Management and

Formación

• Bachelor's Degree required.
• 7+ years of experience in healthcare operations, strategy, performance management, consulting, quality improvement, vendor management and/or program management.
• 3+ years of experience leading complex cross-functional initiatives.
• Experience using data and performance metrics to drive business decisions and improvement initiatives.
• 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.

Responsabilidades

• 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.

Conocimientos

Stakeholder management

Data analytics

Performance management

Executive presentations

PowerPoint skills

Excel skills

Communication skills

Healthcare operations

Educación

Bachelor's Degree

Descripción del empleo

Humana, Inc. is seeking a Program Lead, ECP Performance Management, to drive value from enterprise clinical partnerships through strategic oversight, governance, and data-driven decision making.

This role bridges internal teams and external clinical vendors to enable measurable improvements in member outcomes and quality metrics. You will develop performance frameworks, dashboards, and executive insights while guiding cross-functional initiatives across Quality, Analytics, Care Management and