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Discover Your Career at Emory University

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 diversity and excellence of our academic community.

Description

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.

What You'll Lead

Strategic Initiative Portfolio Management

+ 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

Member & Provider Journey Transformation

+ 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

Benefits Design & Innovation

+ 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

Digital Transformation & Technology Enablement

+ 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

AI & Advanced Analytics Adoption

+ 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

Large-Scale Platform & Vendor Migrations

+ 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

Change Management & Adoption

+ 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

Partnership & Stakeholder Management

+ 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

What You Bring

Required Experience

+ 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

Technical & Domain Expertise

+ 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

Education & Credentials

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

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

+ PMP, PgMP, Lean Six Sigma Black Belt, Change Management certification (preferred)

Leadership Capabilities

+ Strategic executor: Translates vision into action with disciplined execution and relentless focus on outcomes

+ Hands-on builder: Rolls up sleeves to solve problems, remove blockers, and drive progress personally when needed

+ Influential communicator: Inspires stakeholders across all levels through compelling storytelling and data-driven narratives

+ Change catalyst: Creates urgency, builds coalitions, and sustains momentum through organizational resistance

+ Systems thinker: Sees interconnections, anticipates downstream impacts, and designs holistic solutions

+ Collaborative partner: Builds trust and credibility quickly, navigates politics gracefully, and achieves results through others

+ Innovative problem-solver: Challenges status quo, embraces experimentation, and learns from failures

+ Results-driven: Obsessed with delivering measurable value and holding self and others accountable

Key Performance Indicators

+ Initiative delivery: All of the initiatives delivered on-time, on-budget, and achieving target outcomes

+ Value realization: $10-20M in annual cost savings or revenue generation from transformation initiatives

+ Member satisfaction: 10-15% improvement in member experience scores for transformed journeys

+ Provider satisfaction: 15-20% improvement in provider experience metrics for redesigned interactions

+ Digital adoption: 40-50% adoption rate for new digital channels within 12 months of launch

+ AI impact: 3-5 AI use cases in production generating measurable operational or financial impact

+ Change effectiveness: 75%+ of stakeholders report positive experience with transformation initiatives

+ Migration success: Zero business disruption during major platform migrations with <2% post-launch defects

Why Emory Health Plan?

Transformational Scope

+ Lead enterprise transformation during unprecedented growth period ($800M → $1.3B)

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

+ Drive innovation at intersection of healthcare, technology, and human experience

+ Build something enduring—transformation capabilities that outlast individual projects

Strategic Visibility

+ Report directly to Vice President with weekly strategic discussions and quarterly board exposure

+ Partner with C-suite leaders across finance, clinical, IT, and HR on highest-priority initiatives

+ Platform for thought leadership through conference presentations and industry recognition

+ High-impact role positioned at center of organizational strategy

Career Acceleration

+ Rare opportunity to lead transformation at academic medical center scale during growth

+ Build diverse portfolio spanning strategy, operations, technology, and experience design

+ Develop executive leadership capabilities preparing for VP or Chief Transformation Officer roles

+ Access to executive coaching, leadership development programs, and peer networks

Organizational Excellence

+ Top 20 U.S. News-ranked university (#24) and #1 hospital in Georgia

+ Innovation culture: National reputation for clinical excellence, research breakthroughs, and quality

+ Financial strength: Emory Healthcare $8B+ annual revenue with investment appetite for innovation

+ Collaborative environment: Mission-driven culture valuing experimentation, learning, and impact

+ Resources: Access to cutting-edge technologies, top-tier consultants, and innovation partners

Atlanta Quality of Life

+ Thriving 6M-person metro with strong economy, Fortune 500 headquarters, startup ecosystem

+ Cultural richness: world-class arts, music, dining, sports, outdoor recreation

+ Family-friendly communities with excellent schools and diverse neighborhoods

+ Significantly lower cost of living than coastal markets

+ Hartsfield-Jackson International Airport with direct global connectivity

+ Beautiful Emory campus in historic Druid Hills

MINIMUM QUALIFICATIONS:

Bachelor's degree in Healthcare Administration, Business, Engineering, or a related field required, with eight years of demonstrated experience in strategic change management, benefits design and innovation, digital transformation, and platform and vendor migrations. Or equivalent combination of education, training, or experience. MBA, MHA, MPH, or Master's degree strongly preferred. PMP, PgMP, Lean Six Sigma Black Belt, Change Management certification preferred.

NOTE: Position tasks are required to be performed in-person at an Emory University location; working remote is not an option. Emory reserves the right to change this status with notice to employee.

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Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory University does not discriminate in admissions, educational programs, or employment, including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training. Students, faculty, and staff are assured of participation in university programs and in the use of facilities without such discrimination. Emory University complies with Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veteran's Readjustment Assistance Act, and applicable executive orders, federal and state regulations regarding nondiscrimination, equal opportunity, and affirmative action (for protected veterans and individuals with disabilities). Inquiries regarding this policy should be directed to the Emory University Department of Equity and Civil Rights Compliance, 201 Dowman Drive, Administration Building, Atlanta, GA 30322. Telephone: 404-727-9867 (V) | 404-712-2049 (TDD).

Emory University is committed to ensuring equal access and providing reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to seek a reasonable accommodation, please contact the Department of Accessibility Services [email protected] call 404-727-9877 (Voice) | 404-712-2049 (TDD). We kindly ask that requests be made at least seven business days in advance to allow adequate time for coordination.

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**Job Number** _158501_

**Job Type** _Regular Full-Time_

**Division** _Executive Vice President_

**Department** _Emory Health Plan_

**Job Category** _Information Technology_

**Campus Location (For Posting) : Location** _US-GA-Atlanta_

**_Location : Name_** _Emory Campus-Clifton Corridor_

**Remote Work Classification** _No Remote_

**Health and Safety Information** _Not Applicable_