Program Lead, Stars Enterprise Activation - Insurance Ops

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The Program Lead, Stars Enterprise Activation (SEA), drives enterprise alignment and execution of Stars improvement initiatives across the Insurance Operations segment. This role partners closely with analytics, operations, compliance, and clinical teams to implement strategies that improve Stars performance, data quality, and member experience. The Program Lead provides operational oversight, manages cross-functional program delivery, and ensures consistent execution of Stars priorities across Clinical Strategy and the Claims Processing Organization.

The Program Delivery Lead develops and executes cross-functional programs in partnership with Insurance Operations. This includes identifying quality/Stars opportunities, developing strategy, program execution, and delivering measurable results. This role is highly visible, partnering with a Principal within Stars Enterprise Activation and working alongside senior leadership.

Key Responsibilities :

• Program Delivery & Execution: Manage the delivery of Stars-related projects within Stars Enterprise Activation, ensuring milestones, timelines, and budgets are met.

• Operational Coordination: Serve as a critical liaison between the principal and functional teams, translating strategic priorities into actionable plans.

• Risk & Issue Management: Identify delivery risks early, implement mitigation strategies, and escalate issues as needed.

• Governance & Reporting: Maintain program dashboards, track KPIs, and provide regular status updates to leadership.

• Cross-Functional Integration: Coordinate with enterprise partners including analytics, quality, compliance, legal, IT, and operational teams to embed Stars strategies into workflows.

• Continuous Improvement: Drive process enhancements to improve efficiency and increase Stars performance outcomes.

• Stars Data Application Identify Stars data opportunities and work across stakeholders to improve data accuracy and compliance.

Use your skills to make an impact

Role Essentials

• Bachelor's degree

• 7+ years in program and/or project management within healthcare or insurance operations

• Minimum 2 years working with CMS Stars programs

• Experience with HEDIS data and analysis

• Prior experience coordinating large-scale, multi-department initiatives

• Strong analytical, communication, and relationship building skills

• Demonstrated ability to articulate ideas effectively in both written and oral forms

• Excellent Microsoft Office suite skillset; particularly in PPT and Excel

Role Desirables

• Master's degree in business administration or related field.

• PMP and/or Six Sigma certification.

• Experience managing and connecting large data sets (SQL, Python, SAS, etc.)

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 your schedule.

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.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

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.

$115,200 - $158,400 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 03-12-2026

About us

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our