Director, Business Transformation., Special Projects

Emblem Health is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, Emblem Health partners with top hospitals and doctors, including its own Advantage Care Physicians, to deliver quality, affordable, convenient care.

At over a dozen Emblem Health Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information,  .

If you’rean Emblem Health employee, unlock your career potential by signing in at the top of this page. Access your employee profile to view internal job postings and explore new opportunities.

• Drive the transformation process for one of three business segments:
  Commercial (fully insured large group, individual exchange, small-group, self-funded, and ancillary product lines), Medicare, or State Sponsored Programs (Medicaid, HARP and CHP). Define and execute the product vision, strategy, and multi-year roadmaps to maximize value and ensure alignment with business strategy. Responsible for estimating/projecting ROI for specific projects.
• Collaborate with Dir., Reporting & Insights - Product Transformation and the business to identify and measure ROI for projects, to determine the future course of transformation projects based on those defined metrics, and to prepare information for senior management as actionable recommendations.
• Responsible for identifying cross-functional friction points, leading special initiatives and delivering clarity and momentum for the highest priority business needs. Serve as ‘bridge’ between Finance/Actuarial and the department(s).
• Lead initiatives that improve growth, retention, member experience and operational performance.
• Partner closely with cross-functional leaders to identify opportunities, structure solutions and enable scalable growth. Work across lines of business and supporting functions to drive short-cycle and high-impact outcomes.

Principal Accountabilities

• Drive strategy development and transformation execution for applicable lines of business; collaborate with the department(s) to implement and execute strategies; ensure they deliver the value/ROI estimated.
• Lead special projects tied to growth, retention, sales performance, GTM strategy and enterprise enablement.
• Develop and execute transformation strategies, manage cross-functional teams, and ensure that product initiatives align with broader organizational objectives for sustainable growth and a stronger market position.
• Create structured discovery processes to diagnose friction in go-to-market execution, account management and client onboarding.
• Represent the growth organization in enterprise-wide initiatives (i.e. member experience, sales reporting).
• Conduct structured discovery to identify root causes of breakdowns in processes, communication or coordination.
• Develop project charters, business cases and implement roadmaps for strategic priorities.
• Facilitate alignment across departments on goals, milestones and accountability. Provide oversight for designing and rolling out new operating models, workflows, and agile practices to improve efficiency and speed of delivery across product teams.
• Monitor results and status of all project deliverables; recommend/implement changes and develop resolution plans in the event the results do not match desired outcomes.
• Build frameworks and internal tools to accelerate decision making and knowledge sharing alongside other transformation pod members
• Collaborate with reporting & insights area to turn data into strategy, segmentation, conversion, churn, broker ROI, sales performance. Collaborate with Actuarial and Finance to determine level of success for projects.
• Build strong relationships with senior leaders, technology partners, and other departments to secure buy-in and maintain alignment on objectives. Ensure that level / type of accountability is properly defined for each stakeholder.
• Provide oversight and…