Director, Quality and Risk Adjustment – Humana
Illinois- Remote
$165,000 - $226,900 per year
Drive regional Stars and Risk Adjustment performance for Humana’s Medicare and Medicaid business. Lead strategy, data integrity, provider performance initiatives, and cross-functional alignment to improve Stars, RAF accuracy, CMS submission quality, and overall margin defense across a multi-state footprint. Partner directly with provider organizations to elevate performance in Humana’s contracted programs.
For people who: Want to lead Stars + MRA strategy inside one of the nation’s largest MA plans and influence quality, network performance, and revenue integrity at scale.