Job Overview
Location
Remote Alabama
Job Type
Full-time
Category
HR & Recruiting
Date Posted
May 20, 2026
Full Job Description
đź“‹ Description
- • As a Senior Network Performance Professional at Humana, you will help enhance provider performance and advance Humana's mission to deliver high-quality healthcare by working with providers to improve their STARs ratings and overall performance through strategic programs and relationship-building.
- • You will collaborate with providers to define and improve goals related to interoperability, quality-based arrangements, and risk adjustment strategies; serve as an expert on the Stars/Quality program by educating physician groups on HEDIS, patient safety, and patient experience; monitor provider performance data to identify improvement areas; act as a liaison for providers to access Humana resources; educate providers on reward programs and target metrics; resolve provider abrasion issues; and partner with internal teams to report on market performance and lead provider performance improvement programs.
- • You will join Humana Inc., a leading U.S. healthcare company dedicated to making it easier for millions to achieve their best health through insurance services and CenterWell healthcare services, with a focus on improving quality of life for people with Medicare and Medicaid, families, individuals, military personnel, and communities.
- • In this role, you will deepen your expertise in healthcare provider relations, quality improvement programs, and performance metrics; develop strategic influence over operational decisions; strengthen your ability to collaborate across departments; and gain experience driving measurable improvements in provider satisfaction and care outcomes.
🎯 Requirements
- • 5+ years of healthcare experience
- • 3+ years of experience with Medicare and/or managed care
- • Understanding of NCQA HEDIS measures, Patient Safety Measures, CMS Star Rating System and CAHPS/HOS survey system
- • Experience building relationships with physician groups and influencing execution of recommended strategy
- • Experience with focus on process and quality improvement
- • Proven organizational and prioritization skills and ability to collaborate with multiple departments
- • Must live in the state of Alabama
- • Must be able to work 8am-5pm
- • Willingness to travel a minimum of 10% within the region
🏖️ Benefits
- • Medical, dental and vision benefits
- • 401(k) retirement savings plan
- • Time off including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave
- • Short-term and long-term disability, life insurance
- • Bonus incentive plan based on company and/or individual performance
- • Telephone equipment provided for home office setup
- • Bi-weekly internet expense payment for eligible states (not Alabama-specific but noted in policy)
Skills & Technologies
About Humana Inc.
Humana Inc. is a for-profit health and well-being company headquartered in Louisville, Kentucky. Founded in 1961, it provides health insurance, Medicare Advantage plans, Medicaid services, pharmacy benefit management, and clinical care through primary care centers. Serving millions of members across the United States, Humana focuses on integrated care delivery, home health, and wellness programs aimed at improving health outcomes and reducing costs for individuals, employers, and government partners.
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