Vendor Performance Lead - Healthcare Quality & Stars

Humana; Boise (ID); Remote; USD 115,000 - 158,000; Full time

Job summary

Humana, Inc. seeks a Program Lead for Enterprise Clinical Partnerships Performance Management. This role drives performance across vendor partnerships, builds health scorecards and dashboards, and delivers senior-level recommendations based on Medicare Advantage quality metrics.

You will lead governance forums, translate data into actionable strategies, and partner across Clinical Strategy, Quality, Analytics and Vendor Management to improve member outcomes and value delivery.

Qualifications

• Bachelor's degree and 7+ years in healthcare operations, strategy, performance management, or related fields.
• 3+ years leading complex cross-functional initiatives.
• Experience using data and metrics to drive business decisions and improvements.
• Knowledge of Medicare Advantage quality programs, Stars and HEDIS.
• Proven ability to develop executive-level presentations and dashboards.

Responsibilities

• Lead performance management activities across a portfolio of enterprise clinical partnership programs.
• Develop and maintain program health scorecards, dashboards, executive reporting, and business reviews.
• Analyze Stars, HEDIS, quality metrics to identify opportunities and risks.
• Partner with stakeholders to define improvement initiatives with measurable outcomes.
• Facilitate vendor performance reviews and governance meetings.
• Identify opportunities to improve quality outcomes and member experience.
• Translate complex performance challenges into actionable analyses and solutions.
• Lead cross-functional initiatives to improve program performance and outcomes.
• Develop executive-ready presentations and strategic recommendations.
• Identify trends and growth opportunities across the portfolio and advise actions.
• Collaborate with Quality, Clinical Strategy, Analytics to evaluate vendor contributions.
• Support implementation of new frameworks and reporting tools.
• Foster strong vendor and internal relationships to drive accountability and continuous improvement.

Skills

Healthcare operations

Performance management

Cross-functional leadership

Executive presentations

PowerPoint

Excel

Data-driven decision making

Education

Bachelor's Degree

Job description

Humana, Inc. seeks a Program Lead for Enterprise Clinical Partnerships Performance Management. This role drives performance across vendor partnerships, builds health scorecards and dashboards, and delivers senior-level recommendations based on Medicare Advantage quality metrics.

You will lead governance forums, translate data into actionable strategies, and partner across Clinical Strategy, Quality, Analytics and Vendor Management to improve member outcomes and value delivery.