Owns complex, enterprise-wide change initiatives that deliver measurable value across affordability, experience, and quality.
Designs and leads comprehensive change management strategies for large-scale, enterprise-wide transformation programs, spanning stakeholder alignment, communications architecture, readiness assessments, and resistance mitigation.
Owns change impact analyses across people, process, and technology dimensions; develops and executes enablement plans that drive adoption at scale.
Serves as the organizational change authority for 8 to 12 concurrent strategic initiatives, ensuring structured delivery from discovery through value realization.
Leads change champion networks across clinical, operational, and administrative functions; builds change capability throughout the organization.
Applies recognized change frameworks (Prosci/ADKAR, Kotter, McKinsey Influence Model) and tailors them to the health plan context.
Leads end-to-end value-stream mapping exercises across member, provider, and operational domains identifying waste, handoff failures, and latent value opportunities.
Translates VSM findings into redesigned future-state workflows, operational models, and implementation roadmaps with quantified efficiency and cost impact.
Applies Lean, Six Sigma, and systems engineering methodologies to eliminate non-value-added activity and improve throughput across care delivery and administrative processes.
Establishes process governance mechanisms and control plans to sustain improvements post-implementation.
Owns program delivery for flagship transformation initiatives: develops integrated project plans, governance structures, risk registers, and decision frameworks.
Develops robust business cases, ROI models, and cost/benefit analyses aligned to enterprise strategic priorities.
Drives alignment between initiative roadmaps and enterprise capacity planning to ensure sequencing and resource sustainability.
Partners with senior leadership to cascade organizational objectives and key results into initiative-level metrics, ensuring every transformation effort connects to enterprise strategic outcomes.
Requirements
Bachelor's degree in Industrial & Systems Engineering, Business Administration, Healthcare Management, or related field
8+ years of progressive experience in healthcare transformation, strategy execution, management consulting, or health plan operations.
Master's degree (MBA, MHA, MPH, MS-ISE, or equivalent) from an accredited program preferred.
Certifications valued: PMP, Prosci ADKAR, Lean Six Sigma Black Belt, CPHQ, FACHE, or equivalent.
Advanced proficiency in Excel, PowerPoint; strong working knowledge of Python or R, SQL, and data visualization platforms (Tableau, Power BI).
Demonstrated track record of leading enterprise-wide change management programs, including stakeholder engagement, communications strategy, and adoption measurement for initiatives affecting 500+ employees.
Expert-level process mapping and systems design tools: Lucidchart, Miro, Visio, or equivalent.
Fluency in Agile, Lean, Design Thinking, Systems Engineering, and Program Management frameworks and the judgment to apply the right lens to the right problem.
Familiarity with healthcare data environments: claims, eligibility, clinical, and pharmacy data; experience with interoperability standards (HL7, FHIR) a plus.
Working knowledge of AI/ML application in health plan contexts (risk stratification, care gap identification, NLP for claims) and responsible AI principles.
Tech Stack
PMP
Python
SQL
Tableau
Benefits
Health insurance
Retirement plans
Paid time off
Flexible work arrangements
Professional development opportunities
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