Stars Vendor Performance Lead

Humana, Inc.; City of Albany (NY); Remote; USD 115,000 - 158,000; Full time

Job summary

Humana, Inc. seeks a Program Lead for Enterprise Clinical Partnerships Performance Management to drive outcomes across vendor partnerships, governance, and data-driven improvements. You will develop executive insights and ensure programs meet quality and member experience priorities.

The role requires 7+ years in healthcare operations or strategy, expertise in Stars/HEDIS, and strong presentation skills. Travel is possible; remote work is supported.

Qualifications

• Bachelor's Degree in a related field.
• 7+ years in healthcare operations, strategy, performance management, or program management.
• 3+ years leading complex cross-functional initiatives.
• Experience using data and performance metrics to drive decisions.
• Knowledge of Medicare Advantage quality programs, Stars measures, and HEDIS.

Responsibilities

• Lead performance management activities across a portfolio of enterprise clinical partnership 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.
• Lead governance meetings and quarterly business reviews (QBRs).
• Identify opportunities to improve quality outcomes and member experience.
• Translate complex performance challenges into actionable analyses and recommendations.

Skills

Stakeholder management

Data-driven decision making

Healthcare operations

Executive communications

Advanced PowerPoint

Education

Bachelor's Degree

Tools

PowerPoint

Excel

Job description

Become a part of our caring community

The Program Lead, Enterprise Clinical Partnerships (ECP) Performance Management, is responsible for driving the success of Humana’s portfolio of enterprise clinical partnerships through strategic oversight, performance management, operational governance, and cross-functional collaboration. This role serves as a key connector between internal business partners and external clinical vendors to ensure programs deliver measurable value for members, providers, and Humana.

The Stars Vendor Performance Lead will lead performance improvement initiatives, develop executive insights and recommendations, drive accountability across stakeholders, and enhance Humana’s performance management capabilities through data-driven decision-making and operational excellence. This individual must be comfortable operating in ambiguity, influencing across a highly matrixed organization, and translating complex data into actionable strategies. A strong understanding of Medicare Advantage quality performance, Stars, HEDIS measures, and population health outcomes is critical to ensuring clinical partnerships contribute to enterprise quality goals and member outcomes.

The Enterprise Clinical Partnerships Performance Management team is responsible for evaluating, monitoring, and improving the performance of Humana’s specialty and clinical vendor partnerships. The Program Lead works across Clinical Strategy, Quality, Market Operations, Analytics, Care Management, Product, Finance, Network, and Vendor Management teams to drive outcomes, optimize performance, and support enterprise objectives.

This role combines strategic thinking, operational leadership, analytics, and stakeholder management to identify opportunities, solve complex business challenges, and advance Humana’s value-based care strategy. The Program Lead develops performance frameworks, facilitates governance processes, and delivers actionable recommendations to senior leadership while ensuring vendor initiatives align with Stars, HEDIS, quality improvement, and member experience priorities.

In This Role You Will

• 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.

Use your skills to make an impact

Role Essentials

• Bachelor's Degree
• 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

Role Desirables

• Experience with AI technology such as: CoPilot or Claude
• Experience with value-based care, population health, specialty care, or clinical vendor partnerships
• Experience managing external vendor performance and contractual accountability
• Knowledge of quality improvement, healthcare analytics, risk adjustment, care management operations, and population health management
• Master's degree in Business Administration, Healthcare Administration, Public Health, or related field

Additional Information

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

Satellite, cellular and microwave connection can be used only if approved by leadership.

Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for you.

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [e-mail] with instructions on how to add the information into your official application on Humana’s secure website.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$115,200 - $158,400 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 11-11-2026

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.