Stars Program Delivery Lead

Become a part of our caring community
 

The Stars Population Health Strategy Lead is responsible for developing strategies and executing initiatives to improve health outcomes for defined populations. This role will design evidence-based programs, coordinate care management, and collaborate with internal and external stakeholders to address health disparities, optimize resource utilization, and advance quality initiatives. A broad range of skills including strategic thinking, data interpretation, and program management will be required.

Health Quality and Stars (HQS) is an organization that is responsible for improving health outcomes and advancing the care experience of our members and provider partners through quality solutions. HQS is committed to caring for our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS).

The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures covering preventive care screenings, health condition management, health outcomes, patient experience, and plan operations.

The Stars Population Health Strategy Lead is responsible for developing strategies and executing initiatives to improve health outcomes for defined populations. This role will design evidence-based programs, coordinate care management, and collaborate with internal and external stakeholders to address health disparities, optimize resource utilization, and advance quality initiatives.

Key Responsibilities

• Design and implement population health initiatives that address health risks, disparities, and gaps in care
• Analyze data and population metrics to identify trends and opportunities for improvement
• Measure the effectiveness of programs and adjust strategy as needed to achieve targeted outcomes
• Build and maximize relationships with key stakeholders in member- and provider-facing roles in order to improve our performance among the target populations
• Responsible for initiative performance monitoring and development of deep, holistic operational reporting, with regular executive summary roll-up to Stars leadership

Key Competencies:

• Operational strategy development, prioritization, and execution
• Influence and strategic decision making
• Program management
• Adaptability in fast moving/changing environment
• Analytical thinking and data interpretation

Use your skills to make an impact
 

Required Qualifications

• 8+ years of strategy development and implementation
• Proficiency in evaluating complex data, using that data to tell a story, and presenting it clearly
• Ability to interpret and leverage data and analytics to improve strategy and make recommendations
• Experience in strategy consulting, business strategy, clinical and/or operations areas
• Strong presentation skills
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• Effective facilitator and influencer

Preferred Qualifications

• Master's Degree in Public Health, Business Administration or a related field
• Knowledge and experience in health care environment/managed care and/or Medicare Stars
• Agile or product management certification a plus
• Strong analytics background

Additional Information

This role is not eligible for work visa sponsorship.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$115,200 - $158,400 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 09-22-2026

About us
 

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 – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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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. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.