Vendor Performance Lead: Stars & Quality Improvement

Humana, Inc.

Atlanta (GA)

Remote

USD 115,000 - 158,000

Full time

5 days ago
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Job summary

Humana, Inc. seeks a Program Lead for Enterprise Clinical Partnerships Performance Management to drive value across vendor partnerships and clinical programs.

You will oversee performance frameworks, governance, and analytics to support enterprise quality goals and member outcomes. The role emphasizes data-driven decision-making, executive communications, and cross-functional collaboration with Quality, Strategy, Analytics, and Care Management teams to improve Stars, HEDIS, and population health

Qualifications

  • Bachelor's Degree required.
  • 7+ years of healthcare operations, strategy, performance management, consulting, quality improvement, vendor management and/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, HEDIS, and quality improvement.
  • Ability to develop executive-level presentations and communicate complex findings.
  • Experience developing performance scorecards, dashboards, governance processes, or reporting frameworks.
  • Advanced PowerPoint and Excel skills.
  • Exceptional written and verbal communication skills.

Responsibilities

  • Lead performance management activities across a portfolio of ECP programs and vendors.
  • Develop and maintain program health scorecards, dashboards, executive reporting, and business reviews.
  • Analyze Stars, HEDIS, quality metrics to identify opportunities and risks.
  • Define improvement initiatives with stakeholders and measurable outcomes.
  • Facilitate vendor performance reviews and governance meetings.
  • Identify opportunities to improve quality outcomes and member experience.
  • Translate complex performance challenges into structured analyses and actionable 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 ECP portfolio.

Skills

Data-driven decision making
Executive communications
Performance management
PowerPoint proficiency
Excel proficiency

Education

Bachelor's Degree
Master's degree (preferred)

Tools

PowerPoint
Excel

Job description

Humana, Inc. seeks a Program Lead for Enterprise Clinical Partnerships Performance Management to drive value across vendor partnerships and clinical programs.

You will oversee performance frameworks, governance, and analytics to support enterprise quality goals and member outcomes. The role emphasizes data-driven decision-making, executive communications, and cross-functional collaboration with Quality, Strategy, Analytics, and Care Management teams to improve Stars, HEDIS, and population health

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