Job Overview
Location
Remote Nationwide
Job Type
Full-time
Category
Operations
Date Posted
May 27, 2026
Full Job Description
📋 Description
- • Manage and execute all Stars, Clinical, and Pharmacy projects for the In-home Health and Well-being Assessment (IHWA) Team, ensuring alignment with clinical quality goals.
- • Continue delivery of existing Stars programs within the IHWA framework while identifying and prioritizing opportunities to enhance clinical value through collaboration with Stars, Clinical, and Pharmacy partners.
- • Monitor and lead oversight of in-home visit data collection processes to ensure real-time visibility, accuracy, and compliance with Stars requirements and organizational policies.
- • Oversee operational performance dashboards, proactively detecting anomalies, coordinating resolutions, and driving continuous improvement initiatives.
- • Lead incident response and root cause analysis for Stars-related data discrepancies, verifying member-level data integrity and implementing corrective actions.
- • Review and communicate program outcomes to stakeholders, translating complex data into actionable insights for clinical and operational teams.
- • Make independent decisions on moderately complex to complex technical approaches for project components, operating with minimal direction.
- • Provide consolidated budget tracking for Stars and Follow-Up teams, validating vendor invoicing and data files in coordination with Finance.
- • Work independently across multiple organizational stakeholders to align project execution with strategic objectives and compliance standards.
- • Maintain strict adherence to HIPAA and PHI protection protocols by working from a dedicated, interruption-free workspace.
- • Travel occasionally to Humana offices for training sessions or required meetings, despite the remote nature of the role.
- • Operate within a 40-hour weekly schedule with accountability for delivering high-quality work under tight deadlines and high-pressure conditions.
- • Apply advanced analytical skills using Microsoft Excel, Power BI, and SQL to evaluate metrics, identify care gaps, and track trends in clinical and program performance.
- • Exercise exceptional judgment and discretion in handling sensitive member data and making decisions that impact program outcomes and regulatory compliance.
🎯 Requirements
- • 5+ years' experience in Stars and HEDIS
- • 3+ years vendor or project management experience
- • Advanced skills using Microsoft Excel, Power BI, and SQL
- • Experience working independently with multiple stakeholders across the organization
- • Understanding of metrics, trends, and ability to identify gaps in care
- • Ability to work under tight deadlines, multitask, and deliver quality work under pressure
🏖️ Benefits
- • Medical, dental, and vision benefits
- • 401(k) retirement savings plan
- • Paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave
- • Short-term and long-term disability coverage
- • Life insurance
- • Bonus incentive plan based on company and/or individual performance
Skills & Technologies
See exactly how your profile matches this role — strengths, skill gaps, and what to do about them.
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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