Senior Director of Enterprise Innovation & Transformation, Emory Health Pla at Emory University

Atlanta, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Mar, 26

Salary

0.0

Posted On

21 Dec, 25

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Transformation Leadership, Program Management, Digital Transformation, Change Management, AI Adoption, Benefits Design, Healthcare Operations, Stakeholder Management, Journey Mapping, Data Analysis, Vendor Management, Agile Methodologies, Lean Six Sigma, User Research, Communication, Collaboration

Industry

Higher Education

Description

Discover Your Career at Emory University Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to the diversity and excellence of our academic community. Description Architect the Future of Healthcare Delivery Emory Health Plan seeks a visionary transformation leader to orchestrate enterprise-wide initiatives that will redefine how 63,000 members experience healthcare. As we scale from $800M to $1.3B over three years, you'll lead the strategic execution of high-impact programs spanning benefit design innovation, digital transformation, AI adoption, large-scale platform migrations, and revolutionary member and provider journey experiences. This is a hands-on leadership role for a builder who thrives at the intersection of strategy and execution. You'll be the catalyst connecting vision to reality, translating bold ideas into measurable outcomes while driving change across clinical, operational, and technology domains. What You'll Lead Strategic Initiative Portfolio Management Own end-to-end execution of 5-8 enterprise transformation initiatives simultaneously, from concept through sustainment Develop comprehensive transformation roadmap aligning benefit design, digital strategy, AI innovation, and operational excellence Lead quarterly transformation governance reviews with President and executive leadership on program health, ROI, and strategic pivots Establish rigorous program management discipline: milestones, dependencies, risk mitigation, resource allocation, and stakeholder communications Build business cases and secure funding for transformational investments ($5-15M annually) Drive post-implementation value capture ensuring initiatives deliver promised financial and experience outcomes Member & Provider Journey Transformation Architect comprehensive member journey framework spanning: enrollment, provider search, care access, treatment navigation, claims resolution, health improvement, and renewal Design and implement provider journey optimization covering: onboarding, network management, utilization management interaction, claims processing, quality reporting, and value-based care participation Map current-state experiences identifying friction points, inefficiencies, and experience gaps through ethnographic research, user interviews, and data analysis Create future-state journey visions incorporating digital-first touchpoints, AI-powered personalization, and seamless omnichannel experiences Deploy journey analytics measuring member and provider satisfaction, completion rates, time-to-resolution, and drop-off points Lead cross-functional squads (clinical, IT, operations, member services) to redesign and optimize critical touchpoints Establish continuous journey improvement methodology with regular testing, learning, and iteration Benefits Design & Innovation Partner with Benefits leadership to reimagine plan designs balancing affordability, access, quality, and member engagement Lead exploration and implementation of innovative benefit structures: value-based insurance design, personalized benefits, supplemental benefits, and consumerism strategies Design and launch pilot programs testing new benefits (mental health, fertility, musculoskeletal, continuous glucose monitoring, hospital-at-home) Evaluate market trends and competitive offerings identifying differentiation opportunities for Emory Build financial models quantifying impact of benefit design changes on utilization, cost, satisfaction, and health outcomes Conduct A/B testing and controlled experiments measuring member response to benefit innovations Scale successful pilots into full production with change management and member education campaigns Digital Transformation & Technology Enablement Drive digital-first strategy transforming member and provider interactions through modern platforms and experiences Lead or oversee major platform migrations: member portal redesign, mobile app enhancement, provider portal optimization, data warehouse modernization Champion adoption of emerging technologies: telehealth expansion, virtual care integration, remote patient monitoring, digital therapeutics Partner with IT on technology selection, vendor evaluation, implementation oversight, and user acceptance Define digital experience standards and metrics: mobile responsiveness, page load times, conversion rates, user satisfaction scores Establish digital product management discipline with agile methodologies, sprint planning, and continuous delivery Build digital literacy across organization through training, demos, and change advocacy AI & Advanced Analytics Adoption Lead enterprise AI strategy identifying high-value use cases: claims processing automation, prior authorization optimization, care gap identification, fraud detection, personalized outreach Partner with data science teams to develop, pilot, and scale AI/ML models improving operations and member experience Drive responsible AI governance ensuring fairness, transparency, explainability, and compliance with regulations Establish AI measurement framework tracking model performance, business impact, and ethical considerations Build AI literacy through education programs demystifying technology and building confidence in AI-assisted decisions Evaluate AI vendor solutions and build-vs-buy strategies for AI capabilities Monitor AI innovation landscape identifying emerging opportunities for competitive advantage Large-Scale Platform & Vendor Migrations Lead complex, mission-critical transitions: TPA migrations, PBM transitions, benefits administration platform upgrades, CRM implementations Develop comprehensive migration playbooks covering: requirements gathering, vendor selection, contract negotiation, implementation planning, testing protocols, cutover execution, and stabilization Establish program governance with executive steering, workstream leads, and integrated project teams Manage vendor relationships ensuring accountability to timelines, deliverables, and quality standards Mitigate migration risks through contingency planning, parallel operations, and robust testing strategies Drive organizational readiness through training programs, process redesigns, and change management Ensure seamless member and provider experience during transitions with proactive communications and support Change Management & Adoption Architect enterprise change management methodology tailored to health plan context and culture Assess organizational change readiness and develop strategies addressing resistance, building capability, and accelerating adoption Design multi-channel communication strategies engaging employees, members, providers, and partners throughout transformation Build change champion networks across departments creating grassroots advocacy and peer support Develop training programs and enablement materials supporting new processes, systems, and ways of working Measure adoption through utilization metrics, satisfaction surveys, and feedback mechanisms Embed continuous improvement culture celebrating wins, learning from setbacks, and iterating rapidly Partnership & Stakeholder Management Serve as strategic advisor to President on transformation priorities, resource allocation, and organizational capability building Partner with Clinical Operations on care delivery innovations, quality improvement, and population health initiatives Collaborate with Finance on ROI tracking, business case development, and investment prioritization Engage HR Benefits on member communications, plan design, and employee engagement Work with IT on technology strategy alignment, resource planning, and delivery excellence Build relationships with external partners: technology vendors, consultants, innovation collaborators Present transformation updates to governance committees and executive leadership with clarity and impact What You Bring Required Experience 8-10 years progressive experience leading transformation, innovation, or strategic initiatives in healthcare 5+ years hands-on program/project management experience delivering complex, enterprise-scale initiatives on-time and on-budget Direct experience with health plans, managed care organizations, integrated delivery systems, or large healthcare payers Proven track record leading digital transformation, technology implementations, or operational redesign programs Deep understanding of health plan operations including benefits design, claims processing, provider networks, member services, and regulatory environment Experience with member/patient journey mapping, service design, and experience optimization Success leading change management in complex, matrixed organizations with diverse stakeholders Technical & Domain Expertise Transformation methodologies: Lean, Six Sigma, Agile, Design Thinking, change management frameworks (Prosci, Kotter) Program management: PMP or equivalent, portfolio management tools (Smartsheet, Monday, Asana, JIRA), risk management, resource planning Member/provider journey design: Journey mapping, persona development, service blueprinting, user research, touchpoint optimization Digital platforms: Experience with member portals, mobile apps, CRM systems (Salesforce), benefits administration platforms, health IT systems AI & analytics: Understanding of AI/ML applications in healthcare, predictive modeling, automation technologies, responsible AI principles Benefits design: Knowledge of health insurance products, value-based benefit design, consumerism, wellness programs Data & measurement: Analytics tools (Tableau, Power BI), defining KPIs, A/B testing, ROI analysis, outcome measurement Healthcare regulations: HIPAA, ERISA, ACA, state insurance requirements, data privacy Education & Credentials Bachelor's degree in Healthcare Administration, Business, Engineering, or related field (required) MBA, MHA, MPH, or Master's degree (strongly preferred) PMP, PgMP, Lean Six Sigma Black Belt, Change Management certification (preferred) Leadership Capabilities Strategic executor: Translates vision into action with disciplined execution and relentless focus on outcomes Hands-on builder: Rolls up sleeves to solve problems, remove blockers, and drive progress personally when needed Influential communicator: Inspires stakeholders across all levels through compelling storytelling and data-driven narratives Change catalyst: Creates urgency, builds coalitions, and sustains momentum through organizational resistance Systems thinker: Sees interconnections, anticipates downstream impacts, and designs holistic solutions Collaborative partner: Builds trust and credibility quickly, navigates politics gracefully, and achieves results through others Innovative problem-solver: Challenges status quo, embraces experimentation, and learns from failures Results-driven: Obsessed with delivering measurable value and holding self and others accountable Key Performance Indicators Initiative delivery: All of the initiatives delivered on-time, on-budget, and achieving target outcomes Value realization: $10-20M in annual cost savings or revenue generation from transformation initiatives Member satisfaction: 10-15% improvement in member experience scores for transformed journeys Provider satisfaction: 15-20% improvement in provider experience metrics for redesigned interactions Digital adoption: 40-50% adoption rate for new digital channels within 12 months of launch AI impact: 3-5 AI use cases in production generating measurable operational or financial impact Change effectiveness: 75%+ of stakeholders report positive experience with transformation initiatives Migration success: Zero business disruption during major platform migrations with

Responsibilities

Lead enterprise-wide initiatives to redefine healthcare delivery for 63,000 members, focusing on benefit design innovation, digital transformation, and member journey experiences. Manage multiple transformation initiatives, ensuring alignment with strategic goals and delivering measurable outcomes.