Stars Program Delivery Lead – Colon Cancer Screening

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The Stars Program Delivery Lead strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Location: Remote (If in driving distance to Louisville office, role will be hybrid)

Key Responsibilities

Apply in-depth and broad knowledge of HEDIS measures to develop strategy and implement comprehensive solutions to drive overall Stars performance:

• Accountability for performance and operational excellence of comprehensive programs to improve Star ratings
• Partner with multiple analytics teams to develop, prioritize, deliver, and measure solutions
• Proactively engage the right stakeholders to anticipate headwinds and identify gaps, looking ahead to anticipate pivots and action needed

Provide insights and identify new opportunities for improvement through data analysis of variable factors to determine course of action:

• Make recommendations based on reporting and monitoring by contract, region, provider and aggregate performance
• Cross-collaboration with performance management team to interpret and deliver key recommendations to achieve Stars goals

Conduct audits of all data collection and processes to ensure operational excellence across initiatives:

• Create standard operating procedures, document data collection, and establish processes for audit and quality control
• Identify gaps and new opportunities to improve performance

Support key functions with strategic and analytical thinking:

• Requires a general understanding of Stars operations and ability to effectively communicate the Stars story
• Knowledge of the technical specifications and codes within attributed value sets
• Detail oriented and willing to learn the more minute parts of HEDIS measures and gap closure processes
• Use problem solving skills to resolve issues and make decisions in a fast pace, complex, ever-changing environment
• Understand campaign development to provide insights for new concepts, technologies or processes
• Experience with market needs to provide insights to improve performance in key contracts and regions
• Understanding of or experience with clinical setting to advance provider first strategies

Use your skills to make an impact

Required Qualifications

• Bachelor's Degree or equivalent work experience
• 7 or more years of operations, program management, clinical and/or strategy experience
• 2+ Medicare Stars and HEDIS knowledge or experience
• Experience leading special projects and producing metrics, measurements and reports
• Proficiency in interpreting data trends and applying to operations
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• Comfortable working independently to accomplish components of a larger program
• Strong organizational and time management skills

Desired Qualifications

• Master's degree
• Colon Cancer Screening (COL) measure experience
• Clinical experience

Additional Information

• Internet Requirements: Minimum download speed of 25 Mbps and upload speed of 10 Mbps.
• Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
• Interview Process: We use HireVue to enhance our hiring and decision-making ability.
• Scheduled Weekly Hours: 40
• Pay Range: $115,200 - $158,400 per year (plus bonus incentive plan).
• Application Deadline: 05-29-2026

About Humana

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.