EmblemHealth · 3 months ago
Director, Business Transformation., Special Projects
New York, NY
Full-time
Onsite
Director/Executive
$135K/yr - $254K/yr
10+ years expEmblemHealth is a healthcare company focused on transforming its business segments. The Director of Business Transformation will drive the transformation process across Commercial, Medicare, or State Sponsored Programs, defining product vision and strategy while collaborating with various departments to ensure alignment and maximize value.
InsuranceNon ProfitWellness
Responsibilities
Drive the transformation process for one of three business segments: Commercial (fully insured large group, individual exchange, small-group, self-funded, and ancillary product lines), Medicare, or State Sponsored Programs (Medicaid, HARP and CHP). Define and execute the product vision, strategy, and multi-year roadmaps to maximize value and ensure alignment with business strategy. Responsible for estimating/projecting ROI for specific projects
Collaborate with Dir., Reporting & Insights - Product Transformation and the business to identify and measure ROI for projects, to determine the future course of transformation projects based on those defined metrics, and to prepare information for senior management as actionable recommendations
Responsible for identifying cross-functional friction points, leading special initiatives and delivering clarity and momentum for the highest priority business needs. Serve as ‘bridge’ between Finance/Actuarial and the department(s)
Lead initiatives that improve growth, retention, member experience and operational performance
Partner closely with cross-functional leaders to identify opportunities, structure solutions and enable scalable growth. Work across lines of business and supporting functions to drive short-cycle and high-impact outcomes
Drive strategy development and transformation execution for applicable lines of business; collaborate with the department(s) to implement and execute strategies; ensure they deliver the value/ROI estimated
Lead special projects tied to growth, retention, sales performance, GTM strategy and enterprise enablement
Develop and execute transformation strategies, manage cross-functional teams, and ensure that product initiatives align with broader organizational objectives for sustainable growth and a stronger market position
Create structured discovery processes to diagnose friction in go-to-market execution, account management and client onboarding
Represent the growth organization in enterprise-wide initiatives (i.e. member experience, sales reporting)
Conduct structured discovery to identify root causes of breakdowns in processes, communication or coordination
Develop project charters, business cases and implement roadmaps for strategic priorities
Facilitate alignment across departments on goals, milestones and accountability. Provide oversight for designing and rolling out new operating models, workflows, and agile practices to improve efficiency and speed of delivery across product teams
Monitor results and status of all project deliverables; recommend/implement changes and develop resolution plans in the event the results do not match desired outcomes
Build frameworks and internal tools to accelerate decision making and knowledge sharing alongside other transformation pod members
Collaborate with reporting & insights area to turn data into strategy, segmentation, conversion, churn, broker ROI, sales performance. Collaborate with Actuarial and Finance to determine level of success for projects
Build strong relationships with senior leaders, technology partners, and other departments to secure buy-in and maintain alignment on objectives. Ensure that level / type of accountability is properly defined for each stakeholder
Provide oversight and guidance of the entire product lifecycle, from ideation to discontinuation, and making data-driven decisions on investments and prioritization
Build business cases, implementation plans, governance frameworks for priority initiatives
Partner cross-functionally to scale improved workflows, incentives, tools across the commercial team
Represent the growth function in enterprise-wide programs involving member experience, eligibility operations, systems upgrades or vendor transitions
Act as the strategic conduit between embedded business-line stakeholders and transformation analytics functions
Qualification
Required
Bachelor's degree in business, Finance, HealthCare Administration, or related field
10 – 12+ years of progressive experience in product management, program management, or a related field, preferably in a health care environment
Experience working in dynamic, entrepreneurial, ambiguous settings – proven systems-based, analytical thinker with demonstrated success designing, developing and implementing new structures/systems to reduce ambiguity
Deep understanding of group insurance dynamics, self-funded market, ASO contracts, distribution channels and benefit design, Medicare/Medicaid products, bid-process, sales/marketing strategy
Familiarity with broker/GA distribution and employer group onboarding
Proven track record of successfully overseeing multiple large (company/divisional) projects
Strong organizational skills; ability to prioritize and successfully manage multiple priorities/deadlines
Ability to manage in a matrix environment, without direct management control, by influencing and persuading
Experience managing people and processes; strong collaboration and influencing skills
Proven ability to build and maintain strong relationships with key stakeholders to ensure engagement and successful delivery of change
Healthcare or Product Experience across range of products and segments
Experience with/knowledge of: Finance, Actuarial, or Underwriting
Excellent communication skills (verbal, written, presentation, interpersonal) with all types/levels of audience
Proficient with MS Office (Word, Excel, Access, Powerpoint, Outlook, Teams, SharePoint, etc.)
Competence/knowledge of reporting tools / programming languages (SAS, R, Python)
Reporting Tooling (Power BI, Tableau)
Preferred
Master's degree (MBA) preferred
Project Management certification preferred
Company
EmblemHealth
EmblemHealth is an insurance and wellness company that offers health benefits to consumers, employers, and government purchasers.
1001-5000 employees
H1B Sponsorship
EmblemHealth has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
2023 (2)
2021 (2)
2020 (4)
Funding
Current Stage
Late StageLeadership Team
M
Michael Collins
Vice President CRM Applications
Recent News
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