Clinical Innovation Performance Management Lead

Humana
•$115,200 - $158,400•Remote

About The Position

The Clinical Innovation Performance Management Lead owns recurring reporting and supports the performance review cycle for Clinical Innovation. The role collects and validates performance inputs, maintains dashboards and scorecards, analyzes variances, tracks value realization against established targets, and drives review actions through closure. It applies established measurement standards and governance processes to provide reliable reporting and timely insights for leadership decisions across Clinical, Pharmacy, Stars, Medicare Risk Adjustment (MRA), Operations, Finance, Analytics, and regional teams. The Lead supports day-to-day execution of the performance management process, from collecting and validating performance inputs through reporting, review preparation, and follow-through. Working within established frameworks, methodologies, targets, and escalation pathways, the role identifies gaps and recommends practical process improvements. It manages weekly and monthly reporting timelines, investigates risks and variances, reconciles value-tracking updates, prepares leadership review materials, and tracks corrective actions to closure. The role partners with Finance, Analytics, Clinical Innovation Delivery teams, and Regional partners to resolve reporting discrepancies, apply consistent definitions, and secure complete, timely updates from accountable owners. Success requires strong analytical ability, attention to detail, collaboration, and the ability to translate complex operational and financial information into actionable insights. The Lead exercises independent judgment to investigate variances, resolve reporting issues, and identify matters for escalation, while supporting transparency, accountability, and disciplined follow-through across the Clinical Innovation portfolio. This is a remote position with occasional travel to Humana offices for training or meetings based on business need. Employees working from home or a hybrid home/office arrangement must have internet service with at least 25 Mbps download and 10 Mbps upload speed and a dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information. Humana provides appropriate telephone equipment. California, Illinois, Montana, and South Dakota home-based employees receive a bi-weekly payment for internet expense. The position is scheduled for 40 hours per week.

Requirements

  • Bachelor's degree.
  • At least 7 years of experience in healthcare operations, performance improvement, business operations, analytics, finance, consulting, and/or program management.
  • Experience supporting performance reporting, dashboards, scorecards, or value realization programs.
  • Ability to coordinate multiple priorities, communicate clearly across teams, and build strong relationships with business stakeholders.
  • Ability to articulate ideas effectively in written and oral forms.
  • Ability to work effectively in a matrixed environment.
  • Proficiency with reporting, presentation, and data-analysis tools.
  • Willingness to travel based on business need.

Nice To Haves

  • MBA, MHA, MPH, or another relevant advanced degree, or equivalent experience.
  • Experience supporting executive performance reviews or governance forums.
  • Experience in healthcare analytics, medical cost management, Stars, MRA, Clinical Operations, Pharmacy, or related functions.

Responsibilities

  • Own recurring performance reporting and monitoring across Clinical Innovation products, levers, and initiatives, delivering dashboards, scorecards, and reporting packages on time.
  • Support recurring financial and business planning processes, including financial reviews, five-year planning, and leadership forums.
  • Track expected, committed, implemented, and realized value across the Clinical Innovation portfolio using established methodologies and targets.
  • Align performance reporting with Finance and Analytics, enterprise five-year planning, and financial updates; partner with accountable teams to reconcile and resolve discrepancies.
  • Prepare analyses and concise summaries of variances, risks, and action status, including recommendations for operational follow-through and clearly identified leadership decision needs.
  • Maintain decision, action, and issue logs with accountable owners and due dates; drive follow-up through closure and escalate overdue or unresolved items.
  • Partner with Clinical, Pharmacy, Stars, MRA, Operations, Finance, Analytics, and Regional teams to deliver recurring reporting and review cycles.
  • Apply established reporting practices consistently across teams and recommend improvements to reporting quality, timeliness, and workflow.

Benefits

  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off, company holidays, and personal holidays.
  • Paid parental and caregiver leave.
  • Short-term and long-term disability benefits.
  • Life insurance.
  • Bonus incentive plan based on company and/or individual performance.
  • Bi-weekly internet expense payment for home-based employees who live and work in California, Illinois, Montana, or South Dakota.
  • Telephone equipment appropriate to the position's business requirements.
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