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.

• 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.

• 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

• 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.).

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 Hire Vue to enhance our hiring and decision‑making ability. Hire Vue 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  with instructions on how to add the information into your official…