Emory University · 3 weeks ago
Senior Director of Enterprise Innovation & Transformation, Emory Health Plan
Atlanta, GA
Full-time
Onsite
Director/Executive
$10/hr - $20/hr
8+ years expEmory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. The Senior Director of Enterprise Innovation & Transformation at Emory Health Plan will lead enterprise-wide initiatives to redefine healthcare experiences for 63,000 members, focusing on strategic execution of programs in benefit design, digital transformation, and AI adoption.
E-LearningEducationHealth Care
Responsibilities
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
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
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
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
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
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
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
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
Qualification
Required
Bachelor's degree in Healthcare Administration, Business, Engineering, or related field
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
Preferred
MBA, MHA, MPH, or Master's degree
PMP, PgMP, Lean Six Sigma Black Belt, Change Management certification
Company
Emory University
Emory University is an institute of higher learning and a private research university.
10001+ employees
H1B Sponsorship
Emory University 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
2025 (417)
2024 (370)
2023 (308)
2022 (266)
2021 (164)
2020 (162)
Funding
Current Stage
Late StageTotal Funding
$719.87MKey Investors
GettyNational Institutes of HealthHyundai Hope On Wheels
2025-08-20Grant· $0.28M
2024-11-13Grant· $15M
2024-08-28Grant· $0.4M
Leadership Team
Claire E Sterk
President Emerita and Charles Howard Candler Professor of Public Health
Gregory Fenves
Chancellor
Recent News
2026-01-16
News-Medical.Net
2025-11-23
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