Vendor Performance Leader, Quality & Stars

Humana, Inc.

Lincoln (NE)

Remote

USD 115,000 - 158,000

Full time

5 days ago
Be an early applicant

Get a reply from this employer

Your resume and cover letter, tailored to exactly what they’re hiring for.

Get past ATS filters

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 a portfolio of clinical vendor partnerships and internal teams.

You will develop scorecards, oversee governance, and translate data into actionable strategies that improve Stars, HEDIS, and member outcomes. This remote, full-time role requires 7+ years in healthcare operations and a track record of cross-functional leadership, data-driven decision making, and

Qualifications

  • Bachelor's Degree in a relevant field.
  • 7+ years in healthcare operations, strategy or program management.
  • Experience with Medicare Advantage quality programs, Stars, and HEDIS.

Responsibilities

  • Lead performance management activities 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, Stars, HEDIS, and quality performance metrics.
  • Partner with stakeholders to define improvement initiatives with measurable outcomes tied to quality.
  • Facilitate vendor performance reviews, governance meetings, and quarterly business reviews.

Skills

Performance management
Cross-functional leadership
Data analysis
Executive communication
Quality improvement
Healthcare operations
Medicare Advantage

Education

Bachelor's Degree
Master's degree

Tools

PowerPoint
Excel

Job description

Humana, Inc. is seeking a Program Lead, Enterprise Clinical Partnerships Performance Management, to drive performance across a portfolio of clinical vendor partnerships and internal teams.

You will develop scorecards, oversee governance, and translate data into actionable strategies that improve Stars, HEDIS, and member outcomes. This remote, full-time role requires 7+ years in healthcare operations and a track record of cross-functional leadership, data-driven decision making, and

Get your free, confidential resume review.

or drag and drop your file here.

Similar jobs

Similar jobs worth comparing

Vendor Performance Lead: Stars & Quality Improvement
Vendor Performance Lead: Stars & Quality Improvement

Humana, Inc. • Atlanta (GA)

Remote
USD 115,000 - 158,000
Vendor Performance Lead: Stars & Quality Outcomes
Vendor Performance Lead: Stars & Quality Outcomes

Humana • Salem (OR)

Remote
USD 115,000 - 158,000
Bonus incentive plan
Remote Vendor Performance Lead – Quality & Stars
Remote Vendor Performance Lead – Quality & Stars

Humana • Honolulu (HI)

Remote
USD 115,000 - 158,000
Bonus incentive plan
Remote Vendor Performance Lead - Stars & Quality
Remote Vendor Performance Lead - Stars & Quality

Humana • Helena (MT)

Remote
USD 115,000 - 158,000
Medical benefits
Dental benefits
Vision benefits
+2
Vendor Performance Lead - Healthcare Quality & Stars
Vendor Performance Lead - Healthcare Quality & Stars

Humana • Boise (ID)

Remote
USD 115,000 - 158,000
Vendor Performance Lead, Healthcare Partnerships & Stars
Vendor Performance Lead, Healthcare Partnerships & Stars

Humana, Inc. • Austin (TX)

Remote
USD 115,000 - 158,000
Bonus incentive plan
Remote work option
Travel occasionally
Remote Vendor Performance Lead for Stars & Quality
Remote Vendor Performance Lead for Stars & Quality

Humana • Montpelier (VT)

Remote
USD 115,000 - 158,000
Remote Vendor Performance Lead for Stars & Quality
Remote Vendor Performance Lead for Stars & Quality

Humana • City of Albany (NY)

Remote
USD 115,000 - 158,000
Vendor Performance Leader, Enterprise Clinical Partnerships
Vendor Performance Leader, Enterprise Clinical Partnerships

Humana • Cheyenne (WY)

Remote
USD 115,000 - 158,000
Remote Stars & Quality Vendor Performance Lead
Remote Stars & Quality Vendor Performance Lead

Humana, Inc. • Trenton (NJ)

Remote
USD 115,000 - 158,000