Director, Business Capabilities

Quartz Health Solutions; Madison (WI); À distance; USD 153 000 - 191 000; Plein temps

Avantages offerts par ce poste

Health benefits

Competitive salary

Résumé du poste

Quartz Health Solutions is seeking a Director to lead the Business Capabilities discipline within Digital Technology. You will translate enterprise priorities into coordinated initiatives, align roadmaps with budgets, and oversee complex cross-functional programs.

Responsibilities include strategic leadership, governance, vendor management, and delivering measurable business value. A strong healthcare payer background and executive communication skills are essential.

Qualifications

• Bachelor’s degree with 10+ years in health insurance/payer operations or equivalent.
• Experience leading cross-functional initiatives and governance in a matrixed environment.
• Track record presenting to executives and influencing roadmap delivery.

Responsabilités

• Lead Business Capabilities strategy, roadmaps, and investment alignment.
• Translate enterprise priorities into measurable deliverables and outcomes.
• Provide governance oversight, portfolio prioritization, and performance reporting.
• Coach and develop the Business Capabilities team and ensure accountability.

Connaissances

Strategic leadership

Executive communication

Cross-functional collaboration

Budgeting & forecasting

Vendor management

Program & portfolio management

Healthcare payer operations knowledge

Epic/claims systems knowledge

Formation

Bachelor’s degree in business/health administration/IS/technology

10+ years in health insurance/payer operations

Outils

Budgeting tools

Forecasting & financial reporting systems

Description du poste

The Director, Business Capabilities will lead the strategy, operating model, and delivery oversight for the Digital Technology business capabilities. This role will translate enterprise priorities into coordinated, measurable outcomes by aligning business needs, technology delivery, portfolio priorities, capacity, and investment decisions. This position will provide strategic leadership and oversight to ensure the Business Capabilities team is aligned to organizational priorities, accountable for outcomes, and positioned to deliver measurable business value. The Director, Business Capabilities will serve as a senior connection point across business, technology, data, security, finance, operations, and external partners. This position will assist the Digital Technology leaders with budgeting, forecasting, financial visibility, governance, and portfolio decision-making, while providing oversight of strategic vendor relationships. The role will bring forward insights, risks, trade-offs, and recommendations to leaders and ensure approved work is translated into clear deliverables, dependencies, milestones, ownership, and outcomes.

Benefits

• Help drive Quartz alignment on Epic platform capabilities that add the most value to the organization
• Work as a collaborative leadership team to improve the lives of our customers
• Help mature the Business Capabilities concept within Quartz
• Starting salary is based upon skills and experience: $152, 800 - $191,000 plus robust benefits package

Responsibilities

Business Capability Strategy & Value Delivery

• Leads the Business Capabilities strategy and operating model, aligning capability priorities, roadmaps, resources, and outcomes with Quartz enterprise priorities and customer needs.
• Partners with business and Digital Technology leaders to translate strategies, opportunities, and operational challenges into actionable initiatives, clear deliverables, and measurable success criteria.
• Providers leadership oversight for complex cross-functional initiatives and business capability work, including scope, sequencing, dependencies, risks, and barriers.
• Leads or champions relevant capability committee and workgroups that influence Digital Technology priorities and deliverables, including regulatory and strategic initiatives.

Governance, Portfolio Prioritization, and Execution Oversight

• Assists Digital Technology leaders in operating and continuously improving governance, including intake, prioritization, demand and capacity planning, portfolio health, milestone visibility, decision tracking, and escalation.
• Providers transparent reporting on progress, dependencies, risks, resource constraints, decisions, and expected outcomes.
• Facilities decision-making by clarifying options, trade-offs, impacts, ownership, and required actions.
• Uses portfolio and performance insights to identify emerging issues, recommends corrective actions, and strengthens delivery practices.

People Leadership

• Leads the Business Capabilities team through hiring, coaching, and development.
• Establishes clear objectives, role expectations, operating rhythms, measures, and accountability.
• Acts as an escalation point for complex delivery, stakeholder, resource, or organizational issues and remove barriers to progress.
• Supports building a culture of collaboration, transparency, learning, and continuous improvement.

Financial Stewardship & Vendor Management

• Assists the Digital Technology leadership with annual planning, budgeting, forecasting, actuals monitoring, and financial reporting for business unit.
• Monitors relevant budget assumptions, vendor spend, resource constraints, and financial risks; prepare analysis and recommendations for leadership review.
• Tracks audit items, risk records, remediation actions, and controls; escalates issues and identifies control improvements.
• Supports vendor governance for business capability and Digital Technology partners, including performance expectations, service outcomes, issues escalation, risk management, and value realization.

Qualifications

• Bachelor’s degree in business, health administration, public health, information systems, technology or related field with 10+ years of experience in health insurance/payer operations, business capabilities, technology delivery, portfolio or program leadership or related field
• OR associate degree in business, health administration, public health, information systems, technology or related field with 13+ years of experience in health insurance/payer operations, business capabilities, technology delivery, portfolio or program leadership or related field
• OR high school equivalency with 16+ years of experience in health insurance/payer operations, business capabilities, technology delivery, portfolio or program leadership or related field
• Must have experience:
  • Leading cross-functional initiatives, managing people leaders or teams, supporting financial and resource planning, contributing to governance and prioritization, and managing third-party vendor relationships in a matrixed environment.
  • Presenting to executives to influence roadmap development and delivery strategy and interacts with strategic vendors and partners, including Epic and other platform providers
  • Overseeing core health-plan platforms (Epic, Facets, or similar claims platform systems)
  • Establishing expectations and accountability with technology vendors, consultants, or strategic partners
• Strong knowledge of Claims systems, Epic systems, or similar systems.
• Strong understanding of healthcare payer operations and the relationship between business capabilities, technology solutions, operational processes, and customer outcomes.
• Ability to translate enterprise strategy into capability roadmaps, portfolio priorities, governance decisions, and measurable delivery outcomes.
• Knowledge of portfolio, program, project, product, and delivery practices, including intake, prioritization, dependency management, capacity planning, risk management, and performance measurement.
• Working knowledge of budgeting, forecasting, actuals management, resource planning, vendor spend, and financial decision support.
• Demonstrated ability to lead managers and teams, set direction, establish accountability, coach talent, and create an inclusive, high-performing culture.
• Executive communication and presentation skills, with the ability to distill complex business and technology topics into concise recommendations and decisions.
• Strong analytical thinking, judgment, problem solving, and ability to navigate ambiguity and competing priorities.
• Ability to influence without direct authority and build effective partnerships across business, technology, finance, sourcing, legal, compliance, security, and external vendors.
• Ability to manage confidential information with integrity and discretion and support organizational change with clear communication.

Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.

We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. To support a safe work environment, all employment offers are contingent upon successful completion of a pre-employment criminal background check.

Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified person with disability.