(Assistant) VP, Provider Contracts & Network

at  Quartz

Overview:
Quartz is a provider-sponsored health plan that is dedicated to improving the health and well-being of our members. We are focused on innovation and making a positive impact on the communities we serve. Quartz is seeking a results-driven leader with demonstrated skill in developing mutually beneficial, innovative partnerships with health care delivery systems across our markets in Wisconsin, Illinois, Iowa, and Minnesota. Come Find your Spark at Quartz!
The VP, Provider Contracts and Network will provide leadership, vision, and strategies that drive positive results and financial performance across risk adjustable product lines (Medicare, ACA, Medicaid, D-SNP) through effective value based care and risk adjustment initiatives and operations. This role will focus on innovative programs designed to engage our network providers in care delivery innovation and transformation in support of the Quadruple Aim: Delivery of better care at a lower total medical cost, while enhancing member and provider satisfaction.

• Develop, influence, and implement innovative strategies to continually optimize Quartz’s risk adjustment performance and supplement the risk adjustment activities of provider sponsors systems and network providers
• Create and maintain risk adjustment performance KPIs and dashboards, regularly communicating progress and performance updates to executive leadership and other relevant stakeholders across the organization, provider systems, and network
• Proactively engage, collaborate, and maintain strong working relationships with key provider sponsor system stakeholders, including executive- and board-level leadership
• Lead teams responsible for the successful execution of provider engagement strategies, including the establishment and implementation of value based programs that optimize financial, quality, and compliant coding and care for proactive risk management
• Translate business vision and strategy into clear operational goals, objectives, and tactics that ensure the necessary infrastructure, skills, and competencies needs are available to achieve business objectives and overall success
• Add, consolidate, or eliminate vendors as necessary to continually optimize the collective performance, efficiency, and cost-effectiveness of Quartz’s risk adjustment efforts and solutions
• Identify and execute strategic growth opportunities for the portfolio of network providers across Quartz market