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The Associate Director, Network Performance is a Healthcare operations leader with deep expertise in quality improvement across diverse provider networks. Skilled in diagnosing performance gaps using advanced analytics, identifying root-cause drivers, and implementing targeted interventions that improve quality scores, coding accuracy, and compliance with regulatory and organizational standards. Adept at understanding the broader organizational strategy and translating complex priorities into clear, actionable direction for a team of associates, ensuring alignment, consistency, and strong execution.
The Associate Director, Network Performance serves as expert to a team on CMS Stars program, HEDIS, CAHPS, HOS. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s) and could lead multiple managers or highly specialized professional associates. The Associate Director, Network Performance is responsible for overseeing the performance and reliability of the organization's network infrastructure. This role involves leading a team that monitors network metrics, analyzes performance data, and implements strategies to optimize network speed, stability, and security. The Associate Director collaborates with cross-functional teams to design and deploy network solutions, ensures compliance with industry standards, and drives continuous improvement initiatives. Strong leadership, technical expertise, and problem-solving skills are essential to succeed in this position.
Key contributions
- Partners closely with senior leadership to develop, refine, and execute strategic initiatives that strengthen provider performance, enhance operational efficiency, and advance enterprise goals.
- Leads cross-functional efforts that improve provider engagement, optimize workflows, and elevate overall network performance.
- Demonstrates strong communication and influencing skills to align stakeholders, build provider trust, and drive adoption of performance improvement-strategies across matrixed teams.
- Converts complex data into practical insights and provides coaching that enables teams to solve problems effectively and deliver sustainable improvements that support enterprise performance and member outcomes.
Use your skills to make an impact
Required Qualifications
- 5 or more years of experience impacting Stars Quality through provider interaction
- 3 or more years of leadership experience (SME or mentor, etc.)
- Strong analytical and problem-solving skills
- Experience partnering with leadership on strategic initiatives
- Excellent communication skills and proven ability to influence others
Must live within the region (TN, AL, MS, LA, SW VA)
Ability to travel as needed
Preferred Qualifications
- Bachelor's Degree
- Advanced working knowledge of MS Excel including VLOOKUP, pivot tables, conditional logic, and data-cleaning techniques
- Proven relationship building skills with ability to act as a liaison between corporate, market professionals, and providers in the field
- Solid understanding of the Stars quality landscape within Humana
Additional Information
This role is "remote/work at home", however, you must live within the region (TN, AL, MS, LA, or SW VA) to be considered for this opportunity.
Work at Home 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.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
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.
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.