Vendor Performance Lead, Healthcare Partnerships & Stars

Humana, Inc.; Austin (TX); Remote; USD 115,000 - 158,000; Full time

Benefits offered by this job

Bonus incentive plan

Remote work option

Travel occasionally

Job summary

Humana, Inc. is seeking a Program Lead, Enterprise Clinical Partnerships (ECP) Performance Management to drive value for members, providers, and Humana.

The role connects internal partners with external clinical vendors, translating complex data into actionable strategies and leading governance across a portfolio of programs. This remote position emphasizes Stars, HEDIS, and quality outcomes, with cross-functional collaboration across Quality, Analytics, Strategy, and Product teams.

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, HEDIS performance, and quality improvement methodologies.
• Proven ability to develop executive-level presentations and communicate complex findings.

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 Stars, HEDIS, quality metrics to identify opportunities and risks and drive improvement.
• Define improvement initiatives with measurable outcomes tied to quality and performance objectives.
• Facilitate governance meetings, QBRs, and vendor performance reviews.
• Translate performance challenges into structured analyses and actionable recommendations.
• Lead cross-functional initiatives to improve program performance and member outcomes.
• Develop executive-ready presentations and strategic recommendations for senior leadership.

Skills

Healthcare operations

Strategy

Performance management

Quality improvement

Vendor management

Program management

Executive communications

Education

Bachelor's Degree

Master's degree (nice to have)

Tools

PowerPoint

Excel

Job description

Humana, Inc. is seeking a Program Lead, Enterprise Clinical Partnerships (ECP) Performance Management to drive value for members, providers, and Humana.

The role connects internal partners with external clinical vendors, translating complex data into actionable strategies and leading governance across a portfolio of programs. This remote position emphasizes Stars, HEDIS, and quality outcomes, with cross-functional collaboration across Quality, Analytics, Strategy, and Product teams.