CenterWell Pharmacy, Inc. is seeking an Associate Director, Network Performance to oversee the performance and reliability of our healthcare network infrastructure. In this operations leadership role, you will lead a team that monitors network metrics, analyzes performance data, and implements strategies to optimize network speed, stability, and security.
What You'll Do
- Diagnose performance gaps using advanced analytics, identify root-cause drivers, and implement targeted interventions to improve quality scores, coding accuracy, and compliance.
- Translate complex organizational priorities into clear, actionable direction for your team, ensuring alignment and strong execution.
- Serve as a subject matter expert on the CMS Stars program, HEDIS, CAHPS, and HOS.
- Lead cross-functional efforts to improve provider engagement, optimize workflows, and elevate overall network performance.
- Partner with senior leadership to develop, refine, and execute strategic initiatives that strengthen provider performance and enhance operational efficiency.
- Convert complex data into practical insights and provide coaching to enable teams to solve problems effectively and deliver sustainable improvements.
- Collaborate with cross-functional teams to design and deploy network solutions, ensure compliance with industry standards, and drive continuous improvement initiatives.
What We're Looking For
- 5 or more years of experience impacting Stars Quality through direct provider interaction.
- 3 or more years of leadership experience (e.g., as a subject matter expert or mentor).
- 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.
Nice to Have
- 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.
Technical Stack
- MS Excel (VLOOKUP, pivot tables, conditional logic, data-cleaning)
Team & Environment
You will lead a team that monitors network metrics and analyzes performance data. The role could involve leading multiple managers or highly specialized professional associates.
Benefits & Compensation
- Salary range: $115,200 - $158,400 per year.
- 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.
Work Mode
This is a remote position. Candidates must reside in TN, AL, MS, LA, or SW VA.
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.
