Director, Enterprise Innovation & Transformation - Emory Health Plan

Emory University•Atlanta, GA

4d•Hybrid

About The Position

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. 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.

Requirements

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
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
Bachelor's degree in Healthcare Administration, Business, Engineering, or related field (required)
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
Collaborative: Builds trust across functions and achieves results through influence, not just authority
Curious problem-solver: Challenges the status quo, embraces experimentation, learns quickly from setbacks
Results-focused: Measures success by impact delivered, not effort invested

Nice To Haves

MBA, MHA, MPH, or Master's degree (preferred)
PMP, Lean Six Sigma Green or Black Belt, or Change Management certification (preferred)

Responsibilities

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
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
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
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
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
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
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
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