Vendor Performance & Quality Lead

Humana, Inc.; Salt Lake City (UT); Remote; USD 115,000 - 158,000; Full time

Job summary

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management to drive success across a portfolio of vendor partnerships.

This role emphasizes strategic oversight, governance, and data-driven decision making to deliver measurable value for members, providers, and Humana. The ideal candidate has 7+ years in healthcare operations and program management, with deep knowledge of Medicare Advantage quality programs, Stars, and HEDIS.

Qualifications

• 7+ years of experience in healthcare operations, strategy, performance management, quality improvement, vendor management and/or program management.
• Experience leading complex cross-functional initiatives.
• Experience using data and performance metrics to drive business decisions and improvement initiatives.
• Knowledge of Medicare Advantage quality programs, Stars measures, HEDIS performance, and quality improvement methodologies.

Responsibilities

• Lead performance management activities across a portfolio of Enterprise Clinical Partnership programs and vendors.
• Develop and maintain program health scorecards, performance dashboards, executive reporting, and business reviews.
• Analyze clinical, operational, financial, enrollment, engagement, Stars, HEDIS, and quality performance metrics to identify opportunities and risks.
• Partner with internal and external stakeholders to define improvement initiatives, action plans, and measurable outcomes tied to quality and performance objectives.
• Facilitate vendor performance reviews, quarterly business reviews (QBRs), and governance meetings.
• Identify opportunities for partnerships to improve quality outcomes, care gap closure, preventive care compliance, medication adherence, member experience, and population health performance.
• Translate complex performance challenges into structured analyses, actionable recommendations, and operational solutions.
• Lead cross-functional initiatives that improve program performance, operational effectiveness, member outcomes, and quality results.

Skills

Healthcare operations

Strategy

Performance management

Vendor management

Program management

Data-driven decision making

Executive communication

Education

Bachelor's Degree

Tools

PowerPoint

Excel

Job description

Humana, Inc. is seeking a Program Lead for Enterprise Clinical Partnerships Performance Management to drive success across a portfolio of vendor partnerships.

This role emphasizes strategic oversight, governance, and data-driven decision making to deliver measurable value for members, providers, and Humana. The ideal candidate has 7+ years in healthcare operations and program management, with deep knowledge of Medicare Advantage quality programs, Stars, and HEDIS.