Director, Business Capabilities

Quartz • Madison, WI

21h • Remote

About The Position

The Director, Business Capabilities leads the strategy, operating model, and delivery oversight for Digital Technology business capabilities. The role translates enterprise priorities into coordinated, measurable outcomes by aligning business needs, technology delivery, portfolio priorities, capacity, and investment decisions. It provides strategic leadership and oversight so the Business Capabilities team remains aligned with organizational priorities, accountable for outcomes, and focused on measurable business value.

The Director serves as a senior connection point across business, technology, data, security, finance, operations, and external partners. The role supports Digital Technology leaders with budgeting, forecasting, financial visibility, governance, and portfolio decision-making, and oversees strategic vendor relationships. It brings insights, risks, trade-offs, and recommendations to leaders and ensures approved work is translated into clear deliverables, dependencies, milestones, ownership, and outcomes.

The position leads the Business Capabilities team, including hiring, coaching, and development; supports financial planning and vendor governance; and oversees complex cross-functional initiatives. The job posting describes work-from-home requirements, including access to high-speed, non-satellite internet. Hardware and equipment will be provided by the company. Employment offers are contingent on successfully completing a pre-employment criminal background check.

Requirements

• Bachelor’s degree in business, health administration, public health, information systems, technology, or a related field and 10+ years of relevant experience; or an associate degree in one of these fields and 13+ years of relevant experience; or high school equivalency and 16+ years of relevant experience.
• 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.
• Experience presenting to executives to influence roadmap development and delivery strategy and interacting with strategic vendors and partners, including Epic and other platform providers.
• Experience overseeing core health-plan platforms, such as Epic, Facets, or similar claims platform systems.
• Experience 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, including the ability to distill complex business and technology topics into concise recommendations and decisions.
• Strong analytical thinking, judgment, problem-solving skills, 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.
• Must have access to high-speed, non-satellite internet to successfully work from home; company-provided hardware and equipment are available.

Responsibilities

• Lead the Business Capabilities strategy and operating model, aligning capability priorities, roadmaps, resources, and outcomes with enterprise priorities and customer needs.
• Partner with business and Digital Technology leaders to translate strategies, opportunities, and operational challenges into actionable initiatives, clear deliverables, and measurable success criteria.
• Provide leadership oversight for complex cross-functional initiatives and business capability work, including scope, sequencing, dependencies, risks, and barriers.
• Lead or champion capability committees and workgroups that influence Digital Technology priorities and deliverables, including regulatory and strategic initiatives.
• Assist Digital Technology leaders in operating and continuously improving governance for intake, prioritization, demand and capacity planning, portfolio health, milestone visibility, decision tracking, and escalation.
• Provide transparent reporting on progress, dependencies, risks, resource constraints, decisions, and expected outcomes.
• Facilitate decision-making by clarifying options, trade-offs, impacts, ownership, and required actions.
• Use portfolio and performance insights to identify emerging issues, recommend corrective actions, and strengthen delivery practices.
• Lead the Business Capabilities team through hiring, coaching, and development; establish objectives, role expectations, operating rhythms, measures, and accountability.
• Act as an escalation point for complex delivery, stakeholder, resource, or organizational issues and remove barriers to progress.
• Support a culture of collaboration, transparency, learning, and continuous improvement.
• Assist Digital Technology leadership with annual planning, budgeting, forecasting, actuals monitoring, and financial reporting for the business unit.
• Monitor budget assumptions, vendor spend, resource constraints, and financial risks; prepare analysis and recommendations for leadership review.
• Track audit items, risk records, remediation actions, and controls; escalate issues and identify control improvements.
• Support vendor governance for business capability and Digital Technology partners, including performance expectations, service outcomes, issue escalation, risk management, and value realization.
• Present to executives to influence roadmap development and delivery strategy, and interact with strategic vendors and partners, including Epic and other platform providers.
• Oversee core health-plan platforms, such as Epic, Facets, or similar claims platform systems.

Benefits

• Robust benefits package
• Excellent benefit and compensation package
• Opportunity for career advancement
• Professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships
• Company-provided hardware and equipment

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: High school or GED