About The Position

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.

Requirements

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

Nice To Haves

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

Responsibilities

  • Strategic Initiative Portfolio Management
  • Member & Provider Journey Transformation
  • Benefits Design & Innovation
  • Digital Transformation & Technology Enablement
  • AI & Advanced Analytics Adoption
  • Large-Scale Platform & Vendor Migrations
  • Change Management & Adoption
  • Partnership & Stakeholder Management

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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