Manager, Network Performance

Humana

. Lead and develop a team of provider-facing associates .

Posted 9/30/2026full-timeRemote • United StatesMid-LevelSenior💰 $94,900 - $130,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in CMS Stars, HEDIS, and value-based care models while leading teams to drive performance improvement and optimize provider relations. Proficient in analyzing healthcare data to inform strategic initiatives and enhance team effectiveness.

Highest-signal resume keywords

CMS Stars ExpertiseHEDIS KnowledgeValue-Based Care ModelsHealthcare Data AnalysisTeam Leadership and Development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Performance ImprovementQuality-Focused Healthcare DeliveryProvider Performance ImprovementMedicare Risk AdjustmentData AnalysisStrategic ExecutionKPI AlignmentOKR ManagementHealthcare Data InterpretationMentoring and Coaching

Soft Skills

CollaborationCommunicationEngagementProfessional DevelopmentLeadership

Industry Keywords

PayerHealthcareProvider RelationsManaged CareMedicaidQuality ImprovementInteroperabilityHealth SolutionsPHI/HIPAA ComplianceProgressive Experience

About the role

Key responsibilities & impact

Lead and develop a team of provider-facing associates
Serve as subject matter expert on CMS Stars, HEDIS, CAHPS, and HOS
Oversee external discussions with provider partners to drive performance improvement, workflow optimization, and outcome monitoring
Collaborate across Provider Engagement, Stars, MRA, Interoperability, Clinical, Provider Contracting, Leadership, and other business partners
Align team priorities and execution with enterprise, regional, and departmental KPIs and OKRs
Lead cross-functional meetings and strategic initiatives
Analyze data, identify insights and opportunities, and communicate findings to leadership and the team
Develop data-driven education and resources to support team performance
Oversee daily operations and strategic execution for direct reports
Monitor and report team and initiative performance results
Foster a culture of engagement, well-being, and professional development

Requirements

What you’ll need

3-5 years progressive experience in the payer, healthcare, provider relations, quality improvement or related space
Demonstrated success driving performance in complex healthcare environments
Prior Medicare experience
Strong understanding of value-based care models, provider performance improvement, and quality-focused healthcare delivery
Knowledge of HEDIS/Stars, Interoperability, and Medicare Risk Adjustment
Ability to analyze and interpret healthcare data, identify trends and opportunities, and translate insights into actionable strategies
Experience leading, coaching, mentoring, or developing associates
Must be able to work during 8-5pm EST/CST
Must live within Alabama, Louisiana, Mississippi, or Tennessee
Bachelor’s degree in business, finance, healthcare, or related field, or equivalent experience (preferred)
Management experience, leading and developing others (preferred)
Progressive experience in the health solutions industry (preferred)
Prior managed care or Medicaid experience (preferred)
Minimum home internet speed of 25 Mbps download and 10 Mbps upload
Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information

Benefits

Comp & perks

Bonus incentive plan based upon company and/or individual performance
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Personal wellness and smart healthcare decision support
Remote/work at home arrangement
Occasional travel to Humana offices for training or meetings