Director, Enterprise Innovation & Transformation...

This is a hands-on role for a builder who is ready to lead programs end-to-end, influence cross-functional teams, and translate strategy into measurable outcomes. You will work closely with, and develop toward, senior leadership, gaining exposure to executive-level decision-making as we scale from $800M to $1.3B over three years.

What You'll Lead

Strategic Initiative Portfolio Management

• Manage and execute 3-5 enterprise transformation initiatives simultaneously, from planning through sustainment

• Support development of a transformation roadmap spanning benefit design, digital strategy, AI innovation, and operational excellence

• Prepare and present program status updates for leadership governance reviews, covering milestones, risks, and ROI

• Apply rigorous program management discipline: milestone tracking, dependency management, risk mitigation, and stakeholder communications

• Build business cases and support investment requests for transformation initiatives

• Track post-implementation results, ensuring initiatives deliver on their committed financial and experience targets

Member & Provider Journey Transformation

• Support design of member journey improvements across enrollment, provider search, care access, claims resolution, and renewal

• Contribute to provider experience optimization covering onboarding, utilization management, claims processing, and quality reporting

• Conduct current-state research - interviews, data analysis, and process observation - to identify friction and experience gaps

• Help develop future-state journey designs incorporating digital-first touchpoints and omnichannel experiences

• Track journey performance metrics: satisfaction scores, completion rates, time-to-resolution, and drop-off points

• Coordinate cross-functional teams across clinical, IT, operations, and member services to improve critical touchpoints

Benefits Design & Innovation

• Partner with Benefits leadership to evaluate and evolve plan designs that balance affordability, access, quality, and engagement

• Support exploration of innovative benefit structures: value-based insurance design, supplemental benefits, and consumerism strategies

• Assist with design and launch of benefit pilot programs across areas such as mental health, fertility, and musculoskeletal care

• Research market trends and competitive benefit offerings to inform differentiation strategies

• Build and maintain financial models quantifying the impact of benefit design changes on utilization, cost, and satisfaction

• Support A/B testing and measurement of member response to benefit innovations

• Assist in scaling successful pilots into production with change management and member education support

Digital Transformation & Technology Enablement

• Contribute to digital-first strategy execution, helping transform member and provider interactions through modern platforms

• Support platform migrations and enhancements: member portal, mobile app, provider portal, and data modernization

• Assist with evaluation and adoption of emerging technologies: telehealth, virtual care, remote monitoring, and digital therapeutics

• Partner with IT on technology selection, vendor evaluation, implementation tracking, and user acceptance testing

• Help define digital experience standards and metrics including adoption rates, usability scores, and completion rates

• Support agile product management practices: sprint planning, backlog management, and continuous delivery

AI & Advanced Analytics Adoption

• Support enterprise AI strategy by identifying and prioritizing high-value use cases: claims automation, care gap identification, personalized outreach

• Coordinate with data science teams on piloting and scaling AI/ML models that improve operations and member experience

• Help ensure responsible AI practices: fairness audits, transparency requirements, and compliance with applicable regulations

• Track AI model performance and business impact through defined measurement frameworks

• Support AI literacy efforts - building awareness and confidence in AI-assisted decisions across the organization

• Assist in evaluating AI vendor solutions and assessing build-vs-buy options

Large-Scale Platform & Vendor Migrations

• Support execution of complex platform transitions: TPA migrations, PBM transitions, benefits administration upgrades, and CRM implementations

• Contribute to migration playbooks covering requirements gathering, implementation planning, testing protocols, and cutover execution

• Help manage program governance structures including workstream coordination and integrated project tracking

• Support vendor relationship management to ensure accountability on timelines, deliverables, and quality

• Assist with risk mitigation through contingency planning, parallel operations, and structured testing

• Coordinate organizational readiness activities: training programs, process redesigns, and communications

Change Management & Adoption

• Support the application of change management methodology across transformation programs

• Assist in change readiness assessments and develop targeted strategies for building capability and adoption

• Help design and execute multi-channel communications for employees, members, providers, and partners

• Build and coordinate change champion networks across departments

• Develop training materials and enablement resources supporting new processes and systems

• Track adoption through utilization metrics, surveys, and feedback loops

Partnership & Stakeholder Engagement

• Serve as a trusted partner to senior leadership on transformation progress, risks, and recommendations

• Collaborate with Clinical Operations, Finance, HR Benefits, and IT on shared initiatives

• Build and maintain relationships with external technology vendors, consultants, and innovation partners

• Prepare and deliver transformation updates for governance committees and leadership with clarity and impact, + Contribute to enterprise transformation during unprecedented growth ($800M * $1.3B) at an academic medical center

• Shape member and provider experiences affecting 63,000+ lives daily

• Build your portfolio across strategy, operations, technology, and experience design in parallel

• Work on initiatives with real enterprise-wide impact, not siloed departmental projects

Strategic Visibility & Development

• Close partnership with senior and executive leadership, direct exposure to how enterprise decisions are made

• Platform for professional growth through cross-functional collaboration, external conferences, and industry networks

• Structured career development toward Senior Director, VP, or Chief Transformation Officer trajectories

• 8-10 years of progressive experience in transformation, innovation, program management, or strategic initiatives in healthcare

• 4+ years of hands-on program or project management experience delivering complex, cross-functional initiatives

• Experience with health plans, managed care, integrated delivery systems, large healthcare payer environments or equivalent experience from other industries

• Demonstrated track record executing digital transformation, technology implementations, or operational redesign programs

• Working knowledge of health plan operations: benefits design, claims, provider networks, member services, and regulatory environment

• Experience with member or patient journey mapping, service design, or experience improvement initiatives

• Track record of driving change management in matrixed, multi-stakeholder organizations

Technical & Domain Expertise

• Transformation methodologies: Lean, Six Sigma, Agile, Design Thinking, and change management frameworks (Prosci, Kotter)

• Program management: PMP or equivalent; portfolio management tools (Smartsheet, Monday, Asana, JIRA); risk and resource management

• Journey design: Journey mapping, persona development, service blueprinting, user research, touchpoint optimization

• Digital platforms: Familiarity with member portals, mobile apps, CRM (Salesforce), benefits administration platforms, health IT systems

• AI & analytics: Understanding of AI/ML applications in healthcare, predictive modeling, automation, and responsible AI principles

• Benefits design: Knowledge of health insurance products, value-based benefit design, consumerism, and wellness programs

• Data & measurement: Analytics tools (Tableau, Power BI), KPI definition, A/B testing, ROI analysis, outcome measurement

• Regulatory: Familiarity with HIPAA, ERISA, ACA, state insurance requirements, and data privacy standards

Education & Credentials

• Bachelor's degree in Healthcare Administration, Business, Engineering, or related field (required)

• MBA, MHA, MPH, or Master's degree (preferred)

• PMP, Lean Six Sigma Green or Black Belt, or Change Management certification (preferred)

Leadership Capabilities

• Executor with ownership: Delivers on commitments with disciplined follow-through; owns outcomes, not just activities

• Hands-on builder: Comfortable rolling up sleeves to solve problems and drive progress when needed

• Communicator: Translates complexity into clear narratives for diverse audiences; confident presenting to senior leadership

• Change agent: Comfortable building stakeholder coalitions and sustaining energy through organizational resistance

• Systems thinker: Connects the dots across workstreams, anticipates downstream impacts, designs with the whole in mind

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 excellence of our academic community., Emory Health Plan is seeking a high-potential transformation leader ready to step into enterprise-scale impact. As a Director of Enterprise Innovation & Transformation, you will execute a portfolio of strategic initiatives that reshape how our 67,000 members experience healthcare, spanning benefit design, digital modernization, AI adoption, platform migrations, and member and provider experience redesign.