Director, Enterprise Activation Provider Performance Strategy

Become a part of our caring community The Director, Enterprise Activation Provider Performance Strategy is responsible for leading Enterprise Activation's provider performance infrastructure, including provider strategy, provider programs, reporting and dashboard capabilities, provider technology solutions, connectivity initiatives, data quality, and performance governance. This leader develops and optimizes the tools, programs, insights, and operational capabilities that support providers, markets, and enterprise partners in improving Medicare Stars performance and health outcomes. The role serves as the enterprise owner for provider-facing capabilities—including reporting, performance frameworks, provider optimization programs, and technology-enabled solutions—and works closely with PCP Enablement and Market Consultation teams to ensure enterprise capabilities are effectively deployed and utilized. This role focuses on building and optimizing provider performance capabilities, while complementary Enterprise Activation teams drive provider adoption, engagement, and market execution. Primary Enterprise Stars Focus: Provider Performance Strategy Provider Programs & Incentives Provider Reporting & Dashboards Compass & Availity Roadmaps Provider Technology & Connectivity NSP Strategy & Performance Data Quality & Performance Integrity Performance Management Frameworks Vendor Strategy & Optimization Reporting Governance & Prioritization Performance Infrastructure & Capability Development The role serves as the enterprise owner for provider-facing capabilities—including reporting, performance frameworks, provider optimization programs, and technology-enabled solutions—and works closely with PCP Enablement and Market Consultation teams to ensure enterprise capabilities are effectively deployed and utilized. This role focuses on building and optimizing provider performance capabilities, while complementary Enterprise Activation teams drive provider adoption, engagement, and market execution. Primary Enterprise Stars Focus: Provider Performance Strategy Provider Programs & Incentives Provider Reporting & Dashboards Compass & Availity Roadmaps Provider Technology & Connectivity NSP Strategy & Performance Data Quality & Performance Integrity Performance Management Frameworks Vendor Strategy & Optimization Reporting Governance & Prioritization Performance Infrastructure & Capability Development The Director, Enterprise Activation Provider Performance Strategy serves as the enterprise Stars leader responsible for Stars Market/provider performance strategy, provider-focused Stars optimization programs, provider reporting capabilities, technology enablement, data connectivity, performance governance, and provider ecosystem effectiveness to drive Stars performance. This leader develops and advances the provider-facing systems, tools, reporting, technologies, and programs that enable providers to improve quality performance, close care gaps, enhance member outcomes, and drive Medicare Stars results. The role partners closely with enterprise teams including Markets, Provider Enablement, Clinical, Digital, Analytics, Operations, IT, and external provider organizations to ensure enterprise provider strategies are aligned, scalable, and outcome-focused. The Director is responsible for creating a comprehensive provider performance ecosystem that integrates reporting, technology, incentives, data, workflow solutions, and provider programs into a cohesive strategy that advances enterprise quality, Stars performance and experience. Key Responsibilities Stars Provider Performance Business Systems Strategy Lead the Stars strategy, governance, and optimization of enterprise provider reporting, dashboards, provider facing feature functionality, action-planning capabilities, reporting rules, and performance management tools to ensure provider and market-facing insights are actionable, scalable, intuitive, and aligned to workflow. Stars Provider Technology & Connectivity Strategy Lead enterprise Stars provider technology and connectivity strategy across Compass, Availity, POCA, provider data feeds, supplemental data submission, interoperability, and emerging workflow solutions by defining business requirements, improving usability, and partnering with Digital and IT to advance provider access to actionable performance information. Stars Provider Programs & Vendor Performance Optimization Lead governance, performance management, capability assessment, ROI/value realization, and optimization of provider-focused Stars programs and strategic vendor relationships, including Vatica, Stellar, Counterpart Health, Optum, and future provider-facing engagement and quality improvement solutions. Stars Provider Ecosystem Strategy & Activation Develop enterprise-wide Stars provider engagement, segmentation, activation, and optimization strategies that align reporting, incentives, programs, technology, Markets, Stars, and Provider organizations to improve quality performance, remove adoption barriers, and drive coordinated execution. Travel is up 20% Use your skills to make an impact Role Essentials Bachelor's degree 8+ years of progressively responsible leadership experience in Medicare Advantage, provider performance, quality improvement, population health, healthcare analytics, provider engagement, or 5 years of experience at a top tier consulting firm 3+ years working experience in Medicare Advantage Stars, HEDIS, quality measurement, and provider performance improvement. Experience developing provider reporting, performance management, or provider engagement and experience strategies. Demonstrated experience analyzing provider quality and performance data across Medicare Advantage, Stars, HEDIS, value-based care, or related healthcare programs Experience leading enterprise-wide initiatives across multiple business functions. Strong strategic planning, business analysis, and program management skills. Experience managing complex stakeholder relationships across business and technology organizations. Role Desirables Experience supporting provider groups, value-based care arrangements, and National Strategic Providers. Experience with provider-facing technology platforms and digital provider solutions. Experience managing strategic vendor relationships and provider-facing solutions. Experience with healthcare interoperability, APIs, FHIR, HL7, and healthcare data exchange models. Additional Information 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. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for you. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana’s secure website. 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. $150,000 - $206,300 per year This 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: 09-01-2026 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. ​ 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.