Stars Program Delivery Lead - HEDIS

Stars Program Delivery Lead - HEDIS at Humana in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first 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 which is a combination of in office and work at home) 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: + Ability to make recommendations based on reporting and monitoring by contract, region, provider and aggregate performance, identifying where things are going well and why, as well as where things need to improve and how + 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 with limited guidance and direction + 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 ins To view full details and how to apply, please login or create a Job Seeker account

Created: 2026-02-02