Stars Vendor Performance Lead
About The Position
The Stars Vendor Performance Lead is responsible for driving the success of Humana’s Enterprise Clinical Partnerships portfolio through strategic oversight, performance management, operational governance, and cross-functional collaboration. The role connects internal business partners with external clinical vendors to ensure programs deliver measurable value for members, providers, and Humana. The position leads performance improvement initiatives, develops executive insights and recommendations, promotes stakeholder accountability, and advances performance management capabilities through data-driven decisions and operational excellence. It requires comfort working in ambiguity, influencing across a matrixed organization, and translating complex data into actionable strategies. Knowledge of Medicare Advantage quality performance, Stars, HEDIS measures, and population health outcomes is important to ensuring partnerships support enterprise quality goals and member outcomes. Working across Clinical Strategy, Quality, Market Operations, Analytics, Care Management, Product, Finance, Network, and Vendor Management, the Program Lead evaluates and improves specialty and clinical vendor partnerships. The role develops performance frameworks, facilitates governance, and provides recommendations to senior leadership while aligning vendor initiatives with Stars, HEDIS, quality improvement, and member experience priorities. This is a remote position with occasional travel to Humana offices for training or meetings. Scheduled hours are 40 per week. Home or hybrid employees must have internet service with at least 25 Mbps download and 10 Mbps upload, and work from a dedicated space that protects member PHI/HIPAA information.
Requirements
- Bachelor’s degree.
- At least 7 years of experience in healthcare operations, strategy, performance management, consulting, quality improvement, vendor management, and/or program management.
- At least 3 years of 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.
- Experience evaluating and interpreting quality performance metrics, care gap opportunities, and population health outcomes.
- Ability to develop executive-level presentations and communicate complex findings to senior leadership.
- Experience developing performance scorecards, dashboards, governance processes, or operational reporting frameworks.
- Advanced PowerPoint and Excel skills.
- Exceptional written and verbal communication skills.
Nice To Haves
- Experience with AI technology such as CoPilot or Claude.
- Experience with value-based care, population health, specialty care, or clinical vendor partnerships.
- Experience managing external vendor performance and contractual accountability.
- Knowledge of quality improvement, healthcare analytics, risk adjustment, care management operations, and population health management.
- Master’s degree in Business Administration, Healthcare Administration, Public Health, or a related field.
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, 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.
- Develop executive-ready presentations, business cases, and strategic recommendations for senior leadership.
- Identify trends, emerging risks, and growth opportunities across the Enterprise Clinical Partnerships portfolio and recommend strategic actions.
- Partner with Quality, Clinical Strategy, and Analytics teams to evaluate vendor contributions to enterprise quality goals and Medicare Advantage performance.
- Support implementation of new performance management capabilities, tools, processes, and reporting frameworks.
- Build strong relationships with vendors and internal stakeholders to drive accountability, collaboration, and continuous improvement.
- Drive consistency and best practices across enterprise clinical partnership performance management activities.
Benefits
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental and caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Bonus incentive plan based on company and/or individual performance
- Bi-weekly internet expense payment for eligible employees who live and work from home in California, Illinois, Montana, or South Dakota
- Telephone equipment for Home or Hybrid Home/Office employees
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What This Job Offers
Job Type
Full-time
Career Level
Senior
