Senior Manager, Enterprise Innovation – Change Management

Role Overview

• Senior Manager of Enterprise Innovation & Transformation sits at the intersection of strategy and execution, owning complex, enterprise-wide change initiatives that deliver measurable value across affordability, experience, and quality.
• Architects change at scale, mobilizes cross-functional teams, translates organizational OKRs into operational reality, and drive value realization from inception through sustained adoption.
• Serves as a critical bridge between senior leaders, clinical operations, IT, analytics, and external partners, holding the connective tissue of the Plan's $900M+ transformation agenda.
• 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; develop and execute 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; build change capability throughout the organization.
• Applies recognized change frameworks (Prosci/ADKAR, Kotter, McKinsey Influence Model) and tailor 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: developing integrated project plans, governance structures, risk registers, and decision frameworks.
• Leads cross-functional working teams and steer committees; facilitate executive-level milestone reviews and escalation management.
• 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.
• Designs and operationalize value realization framework: defining success metrics, tracking realized vs. planned benefits, and reporting value capture to executive and board audiences.
• Establishes benefit dependency maps and accountability structures to ensure initiative owners maintain ownership of realized outcomes beyond go-live.
• Leads quarterly OKR reviews for the transformation portfolio, synthesizing data into actionable strategic recommendations.
• Sponsors and guides the design of future-state member and provider journeys, integrating digital tools, automation, and human-centered design principles to reduce friction and improve outcomes.
• Directs current-state assessments including journey mapping, ethnographic research, and service blueprinting across clinical and administrative touchpoints.
• Translates journey insights into investment recommendations, technology requirements, and operational redesign mandates.
• Leads evaluation of next-generation benefit design innovations: supplemental programs, value-based arrangements, digital health interventions, and equity-centered offerings.
• Commissions and oversees financial modeling of benefit design scenarios, utilization analyses, and actuarial impact assessments.
• Structures and governs pilot programs (mental health, digital health, condition management) with defined hypothesis, measurement frameworks, and decision gates.
• Leads the strategic and operational integration of AI, machine learning, and analytics capabilities into transformation programs: spanning predictive risk stratification, care gap identification, and operational intelligence.
• Co-leads responsible AI governance: evaluate vendor solutions, establish guardrails, and build monitoring frameworks aligned with clinical and regulatory standards.
• Oversees digital platform evolution: member and provider portals, CRM, analytics infrastructure, ensuring programs are grounded in adoption metrics and user-centered design.
• Partners with IT and enterprise architecture to align digital investments with business transformation priorities.
• Provides senior oversight for large-scale platform migrations, system implementations, and vendor partnerships, managing delivery risk, dependency mapping, and cross-functional coordination.
• Owns vendor performance management including SLA tracking, issue escalation, and contract alignment for strategic implementation partners.
• Drives readiness, cutover planning, and hyper care strategies that minimize operational disruption during major technology transitions.

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
• 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
• Flexible work arrangements