Vendor Performance & Quality Improvement Lead

Humana, Inc.

Denver (CO)

Remote

USD 115,000 - 158,000

Full time

5 days ago

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Benefits offered by this job

401(k) retirement plan

Paid time off

Wellness programs

Job summary

Humana, Inc. is seeking a Program Lead, Enterprise Clinical Partnerships Performance Management. This remote role drives performance across a portfolio of clinical partnerships, translating data into actionable insights and executive-ready recommendations.

You will collaborate with internal teams and external vendors to deliver measurable value for members and providers. Responsibilities include leading governance, developing dashboards, and guiding quality improvement initiatives aligned with

Qualifications

7+ years in healthcare operations, strategy, performance management, or related fields.
3+ years leading cross-functional initiatives.
Experience using data to drive decisions and improvements.
Knowledge of Medicare Advantage quality programs, Stars, and HEDIS.

Responsibilities

Lead performance management across Enterprise Clinical Partnership programs and vendors.
Develop program health scorecards, dashboards, and executive reporting.
Analyze clinical, operational, financial, enrollment, and quality metrics to identify opportunities and risks.
Partner with stakeholders to define improvement initiatives with measurable outcomes.
Facilitate governance meetings and quarterly business reviews with vendors and internal teams.
Translate complex performance challenges into actionable analyses and recommendations.
Deliver executive-ready presentations and strategic recommendations.