Vendor Performance Lead: Stars & Quality Outcomes

Humana

Salem (OR)

Remote

USD 115,000 - 158,000

Full time

5 days ago
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Benefits offered by this job

Bonus incentive plan

Job summary

Humana, Inc. is seeking a Program Lead, Enterprise Clinical Partnerships Performance Management, to drive performance across vendor partnerships, using data-driven insights and governance to deliver value for members and providers.

The role connects internal teams with external clinical vendors to align with quality and population health goals. You will develop scorecards, executive briefs, and strategic recommendations, lead governance, and translate complex data into actionable plans while

Qualifications

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

Responsibilities

  • Lead performance management across Enterprise Clinical Partnership programs.
  • Develop health scorecards, dashboards, and executive reports.
  • Analyze Stars, HEDIS, and quality metrics to identify risks and opportunities.
  • Define improvement initiatives with measurable outcomes tied to quality.
  • Facilitate governance meetings and vendor performance reviews.
  • Develop presentations and strategic recommendations for senior leadership.

Skills

Executive-level presentations
Data-driven decisions
Cross-functional leadership
Performance metrics
PowerPoint & Excel
Written & verbal communication
Quality improvement
Population health outcomes

Education

Bachelor's Degree

Job description

Humana, Inc. is seeking a Program Lead, Enterprise Clinical Partnerships Performance Management, to drive performance across vendor partnerships, using data-driven insights and governance to deliver value for members and providers.

The role connects internal teams with external clinical vendors to align with quality and population health goals. You will develop scorecards, executive briefs, and strategic recommendations, lead governance, and translate complex data into actionable plans while

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