Strategist, Provider Contracts & Reimbursement

Quartz; Madison (WI); On-site; USD 78,000 - 98,500; Full time

Benefits offered by this job

Excellent benefits and total rewards

Career advancement opportunities

Diversity and inclusion culture

Job summary

Quartz is seeking a healthcare reimbursement expert to join as a Provider Contracting Strategist. You will advise at enterprise levels using a financial, data-driven approach to determine contractual terms that balance financial performance and high-quality patient care.

Responsibilities include evaluating contracts, performing financial analysis, drafting and negotiating provider agreements, and guiding networks based on clinical and financial alignment.

Qualifications

• Bachelor’s degree with 2 years experience in provider reimbursement or related field using financial analysis.
• Associate’s degree with 5 years experience in provider reimbursement or related field using financial analysis.
• High School equivalency with 8 years experience in provider reimbursement or related field using financial analysis.
• Provider reimbursement across a variety of providers including academic medical centers and hospitals.
• Thorough understanding of fully insured and commercial payment methodologies.
• Advanced analytical capabilities using Excel, BO or similar tools to support data-driven recommendations.

Responsibilities

• Evaluate and assess provider network contracts for new and existing agreements.
• Identify outliers and opportunities for improvement in contracts.
• Perform financial analysis, fee schedule generation, and analytics per internal models.
• Assist drafting, reviewing and negotiating a wide range of provider contracts including value-based deals.
• Design provider networks based on clinical information, quality of care, and financial alignment.
• Advise stakeholders on contractual rights, risks and opportunities, ensuring policy compliance.

Skills

Financial analysis

Reimbursement expertise

Cross-functional influence

Analytical mindset

Education

Bachelor’s degree

Associate’s degree

High School equivalency

Tools

Excel

Business Objects

Job description

Quartz is seeking a healthcare reimbursement expert to join as a Provider Contracting Strategist. You will advise at enterprise levels using a financial, data-driven approach to determine contractual terms that balance financial performance and high-quality patient care.

Responsibilities include evaluating contracts, performing financial analysis, drafting and negotiating provider agreements, and guiding networks based on clinical and financial alignment.