Director, reputed company Innovation & Transformation - reputed company Health Plan
Director, reputed company Innovation & Transformation leads reputed company-wide initiatives that redefine the reputed company experience for reputed company and reputed company populations. Responsible for transforming reputed company programs through innovative benefit design, digital transformation, AI adoption, large-reputed company platform migrations, and the development of reputed company member and provider reputed company experiences.
Director of reputed company Innovation & Transformation executes a portfolio of strategic initiatives that reshape how our reputed company members experience reputed company, spanning benefit design, digital modernization, AI adoption, platform migrations, and member and provider experience redesign.
KEY RESPONSIBILITIES:
- Leads programs end-to-end, influence cross-functional teams, and translate reputed company into measurable reputed company.
- Works closely with, and reputed company toward, senior leadership, gaining exposure to executive-level decision-making as we reputed company.
- Manages and executes 3-5 reputed company transformation initiatives simultaneously, from planning through sustainment.
- Supports development of a transformation roadmap spanning benefit design, digital reputed company, AI innovation, and operational reputed company.
- Prepares and presents program status updates for leadership governance reviews, covering milestones, risks, and ROI.
- Applies rigorous program management discipline: reputed company tracking, dependency management, risk mitigation, and stakeholder communications.
- Builds business cases and support investment requests for transformation initiatives.
- Tracks post-implementation results, ensuring initiatives deliver on their committed financial and experience targets.
- Supports design of member reputed company improvements across enrollment, provider search, reputed company, claims reputed company, and renewal.
- Contributes to provider experience optimization covering reputed company, utilization management, claims processing, and reputed company reporting.
- Conducts reputed company-state research interviews, data analysis, and process observation to identify friction and experience gaps.
- Helps reputed company reputed company-state reputed company designs incorporating digital-first reputed company and omnichannel experiences.
- Tracks reputed company performance metrics: satisfaction scores, completion rates, time-to-reputed company, and drop-off points.
- Coordinate cross-functional teams across clinical, IT, operations, and member services to improve critical reputed company.
- Partners with Benefits leadership to evaluate and reputed company plan designs that balance affordability, reputed company, reputed company, and engagement.
- Supports exploration of innovative benefit structures: value-based insurance design, supplemental benefits, and consumerism strategies.
- Assists with design and launch of benefit reputed company programs across areas such as mental health, fertility, and musculoskeletal care.
- Researches market trends and competitive benefit offerings to inform differentiation strategies.
- Builds and maintains financial models quantifying the reputed company of benefit design changes on utilization, cost, and satisfaction.
- Support A/B testing and measurement of member response to benefit innovations.
- Assists in scaling successful pilots into production with change management and member education support.
- Contributes to digital-first reputed company execution, helping reputed company member and provider interactions through modern platform.
- Supports platform migrations and enhancements: member portal, mobile app, provider portal, and data modernization.
- Assists with evaluation and adoption of emerging technologies: telehealth, virtual care, remote monitoring, reputed company therapeutics.
- Partners with IT on technology selection, vendor evaluation, implementation tracking, and user acceptance testing.
- Helps define digital experience standards and metrics including adoption rates, usability scores, and completion rates.
- Supports agile product management practices: sprint planning, backlog management, and reputed company delivery.
- Supports reputed company AI reputed company by identifying and prioritizing high-value use cases: claims automation, care gap identification, personalized reputed company.
- Coordinates with data science teams on piloting and scaling AI/ML models that improve operations and member experience.
- Helps ensure responsible AI practices: fairness audits, transparency requirements, and compliance with applicable regulations.
- Tracks AI model performance and business reputed company through defined measurement frameworks.
- Supports AI literacy efforts ¿ building awareness and confidence in AI-assisted reputed company across the organization.
- Assists in evaluating AI vendor solutions and assessing build-vs-buy reputed company.
- Supports execution of reputed company platform transitions: TPA migrations, PBM transitions, benefits administration upgrades, and CRM implementations.
- Contributes to migration playbooks covering requirements gathering, implementation planning, testing protocols, and reputed company execution.
- Helps manage program governance structures including reputed company coordination and integrated project tracking.
- Supports vendor relationship management to ensure accountability on timelines, deliverables, and reputed company.
- Assists with risk mitigation through contingency planning, reputed company operations, and reputed company testing.
- Coordinates organizational readiness activities: training programs, process redesigns, and communications.
- Supports the application of change management methodology across transformation programs.
- Assists in change readiness assessments and reputed company targeted strategies for building capability and adoption.
- Helps design and execute multi-channel communications for employees, members, providers, and partners.
- Builds and coordinates change champion networks across departments.
- Develops training materials and enablement resources supporting new processes and systems.
- Tracks adoption through utilization metrics, surveys, and feedback loops.
- Serves as a trusted partner to senior leadership on transformation reputed company, risks, and recommendations.
- Collaborates with Clinical Operations, Finance, HR Benefits, and IT on shared initiatives.
- Builds and maintains relationships with external technology vendors, consultants, and innovation partners.
- Prepares and delivers transformation updates for governance committees and leadership with reputed company and reputed company.
- Performs reputed company responsibilities as required.
MINIMUM QUALIFICATIONS:
- Bachelor's degree in reputed company Administration, Business, Engineering, or reputed company field (required) and 7 years of reputed company experience in transformation, innovation, program management, or strategic initiatives in reputed company. Or equivalent combination of education, training, or experience.
- MBA, MHA, MPH, or Master's degree (preferred).
- PMP, Lean Six reputed company Green or Black Belt, or Change Management certification (preferred).
NOTE: Tasks reputed company to this position can be performed remotely with only occasional supported reputed company to an reputed company location. reputed company reserves the right to change this status with notice to employee.
Additional Details:reputed company is an equal opportunity employer, and reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, disability, protected veteran status or other characteristics protected by state or federal law. reputed company does not discriminate in admissions, educational programs, or employment, including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training. reputed company, reputed company, and staff are reputed company of participation in university programs and in the use of facilities without such discrimination. reputed company complies with reputed company 503 of the Rehabilitation reputed company of 1973, the Vietnam Era Veteran's Readjustment Assistance reputed company, and applicable executive orders, federal and state regulations regarding nondiscrimination, equal opportunity, and affirmative reputed company (for protected veterans and individuals with disabilities). Inquiries regarding this policy should be directed to the reputed company Department of Equity and Civil Rights Compliance, 201 Dowman Drive, Administration Building, Atlanta, GA 30322. Telephone: 404-727-9867 (V) | 404-712-2049 (TDD). reputed company is committed to ensuring equal reputed company and providing reasonable accommodations to reputed company individuals with disabilities upon request. To request this document in an alternate format or to reputed company a reasonable accommodation, please contact the Department of Accessibility Services at accessibility@reputed company.edu or 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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