Stars Population Health Measure Optimization Lead

• Analyze member-level Stars, demographic, engagement, program, and operational data to identify performance drivers, emerging trends, and opportunities within priority populations.
• Develop code, reports, dashboards, and repeatable analytical capabilities that support population strategy, initiative performance monitoring, and executive decision-making.
• Create clear data visualizations, executive summaries, and strategic narratives for immediate colleagues, enterprise partners, and senior leadership.
• Collate and manipulate data from multiple sources, including Oracle, SQL, Excel, and enterprise reporting environments, while documenting available data, dependencies, quality considerations, and gaps.
• Build population definitions, segmentation approaches, baselines, targets, and measurement frameworks for unpaneled members, new members, Pragmatic Planner segments, multi-gap members, and Annual Preventive Visit performance.
• Conduct Stars performance and demographic analyses across relevant perspectives such as geography, contract, product, measure, member segment, intervention, and channel.
• Own deep, holistic operational reporting for priority initiatives and provide regular executive-level rollups that clarify performance, risks, opportunities, and recommended actions.
• Measure initiative effectiveness and member outcomes, identify what is and is not working, and recommend strategy adjustments based on evidence.
• Monitor performance of critical populations within existing programs and assess how outreach and engagement efforts can be better coordinated to reduce unnecessary touchpoints and improve effectiveness.
• Use forecasting, scenario analysis, and predictive techniques, where appropriate, to estimate opportunity, prioritize focus areas, and support resource allocation decisions.
• Become a subject matter expert in member-level Stars measure specifications and the underlying data used to identify performance drivers and improvement opportunities.
• Partner with strategy, clinical, operations, technology, member-facing, provider-facing, and analytics teams to improve data accessibility and embed population insights into enterprise tools and routines.
• Provide independent, data-supported recommendations and influence cross-functional partners to create shared accountability for Stars Population Health priorities and results.
• Support the design and evaluation of targeted, longitudinal strategies for hard-to-reach populations, balancing optimization of existing programs with selective innovation.

• Advanced analytical thinking and data interpretation
• Business intelligence and data visualization
• Population segmentation and opportunity sizing
• Performance measurement and outcomes evaluation
• Strategic storytelling and executive communication
• Cross-functional influence and relationship management
• Independent judgment and strategic decision-making
• Prioritization and execution in a fast-moving environment

Use your skills to make an impact

• Bachelor's degree and 8 or more years of technical, analytics, business intelligence, or equivalent experience
• Experience analyzing complex data to solve a wide variety of business problems and shape strategic direction
• Advanced experience working with large, complex data sets in a large organization
• Proficiency in SQL and Microsoft Office applications, including Excel and PowerPoint
• Experience developing data visualizations and business intelligence solutions, including Power BI or a comparable platform
• Advanced understanding of healthcare-related data and the ability to connect analytic findings to business and member outcomes
• Demonstrated ability to evaluate data, develop a clear point of view, tell a compelling story, and make actionable recommendations
• Ability to lead through influence, build trust across partner teams, and confidently present to senior and executive leadership
• Strong written and verbal communication skills, with the ability to tailor technical information to the audience
• Ability to manage multiple priorities, accelerate work, and deliver under tight deadlines

• Advanced degree in a quantitative, business, public health, or related discipline
• Advanced proficiency in SQL, SAS, Python, or other analytical programming and data systems
• Expertise in data mining, forecasting, simulation, predictive modeling, experimentation, or causal evaluation
• Experience creating analytics solutions in healthcare, managed care, or Medicare Advantage
• Knowledge of Medicare Stars measures, HEDIS, preventive care, member engagement, and/or quality improvement
• Experience developing population segmentation, program measurement, and executive reporting for complex initiatives
• Agile, product management, or project management certification

Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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.