Stars & Quality Vendor Performance Lead

Humana, Inc.; Phoenix (AZ); Remote; USD 115,000 - 158,000; Full time

Job summary

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management to drive measurement, governance, and data-driven improvements across a portfolio of clinical partnerships.

You will liaise with internal teams and external vendors to deliver measurable value for members and providers. You will develop performance frameworks, executive-ready analyses, and governance processes while ensuring alignment with Stars, HEDIS, quality improvement, and member experience

Qualifications

• 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, and HEDIS performance.
• Experience evaluating and interpreting quality performance metrics, care gaps, 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.

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 operations

Strategy

Performance management

Quality improvement

Vendor management

Program management

Data-driven decisions

Executive communications

PowerPoint

Excel

Written & verbal communication

Education

Bachelor's Degree

Tools

PowerPoint

Excel

Job description

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management to drive measurement, governance, and data-driven improvements across a portfolio of clinical partnerships.

You will liaise with internal teams and external vendors to deliver measurable value for members and providers. You will develop performance frameworks, executive-ready analyses, and governance processes while ensuring alignment with Stars, HEDIS, quality improvement, and member experience