Vendor Performance Leader, Enterprise Clinical Partnerships

Humana, Inc.

Cheyenne (WY)

Remote

USD 115,000 - 158,000

Full time

5 days ago
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Job summary

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management.

The role drives strategic oversight, performance management, governance, and cross-functional collaboration with clinical vendors to deliver measurable value for members and Humana. You will lead performance improvement initiatives, develop executive insights, and translate data into actionable strategies while ensuring alignment with Stars, HEDIS, quality improvement, and member experience

Qualifications

  • Bachelor's degree required.
  • 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 Stars and HEDIS performance.
  • Experience evaluating quality metrics, care gaps, and population health outcomes.
  • Proven ability to develop executive-level presentations and communicate findings.
  • Experience developing performance scorecards, dashboards, governance processes, or operational reporting.
  • Advanced PowerPoint and Excel skills.
  • Exceptional written and verbal communication skills.

Responsibilities

  • Lead performance management across a portfolio of Enterprise Clinical Partnership programs and vendors.
  • Develop and maintain program health scorecards, dashboards, executive reporting, and business reviews.
  • Analyze clinical, operational, financial, enrollment, engagement metrics to identify opportunities and risks.
  • Partner with stakeholders to define improvement initiatives, action plans, and measurable outcomes.
  • Facilitate vendor performance reviews, QBRs, and governance meetings.
  • Identify opportunities to improve quality outcomes, care gaps, preventive care, and member experience.
  • Translate complex performance challenges into structured analyses and actionable recommendations.
  • Lead cross-functional initiatives to improve program performance, operational effectiveness, and outcomes.
  • Develop executive-ready presentations and strategic recommendations for senior leadership.
  • Identify trends and growth opportunities across the ECP portfolio.

Skills

Healthcare operations
Strategy development
Performance management
Quality improvement
Vendor management
Program management
Cross-functional leadership
Executive communication
PowerPoint
Excel

Education

Bachelor's Degree

Job description

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management.

The role drives strategic oversight, performance management, governance, and cross-functional collaboration with clinical vendors to deliver measurable value for members and Humana. You will lead performance improvement initiatives, develop executive insights, and translate data into actionable strategies while ensuring alignment with Stars, HEDIS, quality improvement, and member experience

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