Stars Vendor Performance Lead

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The Program Lead, Enterprise Clinical Partnerships (ECP) Performance Management, is responsible for driving the success of Humana's portfolio of enterprise clinical partnerships through strategic oversight, performance management, operational governance, and cross-functional collaboration. This role serves as a key connector between internal business partners and external clinical vendors to ensure programs deliver measurable value for members, providers, and Humana.

The Stars Vendor Performance Lead will lead performance improvement initiatives, develop executive insights and recommendations, drive accountability across stakeholders, and enhance Humana's performance management capabilities through data-driven decision-making and operational excellence. This individual must be comfortable operating in ambiguity, influencing across a highly matrixed organization, and translating complex data into actionable strategies. A strong understanding of Medicare Advantage quality performance, Stars, HEDIS measures, and population health outcomes is critical to ensuring clinical partnerships contribute to enterprise quality goals and member outcomes.

The Enterprise Clinical Partnerships Performance Management team is responsible for evaluating, monitoring, and improving the performance of Humana's specialty and clinical vendor partnerships. The Program Lead works across Clinical Strategy, Quality, Market Operations, Analytics, Care Management, Product, Finance, Network, and Vendor Management teams to drive outcomes, optimize performance, and support enterprise objectives.

This role combines strategic thinking, operational leadership, analytics, and stakeholder management to identify opportunities, solve complex business challenges, and advance Humana's value-based care strategy. The Program Lead develops performance frameworks, facilitates governance processes, and delivers actionable recommendations to senior leadership while ensuring vendor initiatives align with Stars, HEDIS, quality improvement, and member experience priorities.

In This Role You Will

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.

Develop executive-ready presentations, business cases, and strategic recommendations for senior leadership.

Identify trends, emerging risks, and growth opportunities across the ECP 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.