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Humana

Manager, Network Performance

Humana

Manager of Network Performance at Humana driving provider performance and Stars ratings improvement. Leading a dedicated team focused on healthcare provider relations.

Posted 4/29/2026full-timeNorth Carolina, South Carolina, Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $94,900 - $130,500 per yearWebsite

About the role

Key responsibilities & impact
  • Lead a team of Network Performance Professionals dedicated to improving provider performance and enhancing Stars ratings
  • Build and maintain strong relationships with assigned physician groups, implementing strategies and tactics that elevate network performance
  • Ingest data from various sources, analyze it, and inform the team and leadership of learnings
  • Create data-supported, focused education to drive team tactics and improve performance
  • Articulate and model desired culture attributes, actively supporting team engagement, performance, well-being improvement plans, and team activities

Requirements

What you’ll need
  • 5+ years Medicare experience and understanding of value-based care model
  • Knowledge of HEDIS/Stars and CMS quality measures
  • 3+ years demonstrated capability with leading, coaching, and developing associates formally or informally (training, SME, etc.)
  • Proficiency in analyzing and interpreting healthcare data and trends
  • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint
  • Experience presenting to internal and external customers, including high-level leadership
  • Focus on process and quality improvement, with an understanding of metrics, trends, and the ability to identify gaps in care.

Benefits

Comp & perks
  • Medical Benefits
  • Dental Benefits
  • Vision Benefits
  • Health Savings Accounts
  • Flex Spending Accounts
  • Life Insurance
  • 401(k)
  • PTO including 9 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
  • And more

ATS Keywords

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Hard Skills & Tools
data analysishealthcare data interpretationquality improvementmetrics identificationHEDISCMS quality measuresvalue-based care modelMicrosoft OfficeExcelPowerPoint
Soft Skills
leadershipcoachingteam engagementrelationship buildingcommunicationtrainingperformance improvementstrategic thinkingpresentation skillsteam development