Organizational Change Management (OCM) Consultant

A leading healthcare payor company is seeking a senior Organizational Change Management (OCM) Consultant to support a large-scale CMS Interoperability transformation initiative tied to operational compliance requirements.

This individual will focus on organizational readiness, stakeholder alignment, business process transformation, training, communications, adoption, and change execution across multiple business and technology organizations.

This is NOT a technical interoperability implementation role. Technical development is already underway. The consultant will drive the people, process, and adoption components necessary to ensure business readiness for the January 1, 2027 compliance milestone.

What This Person Will Do

• Develop and execute an enterprise Organizational Change Management strategy for CMS Interoperability initiatives.
• Conduct change impact assessments across multiple stakeholder groups.
• Build stakeholder engagement, communication, and adoption plans.
• Partner with business leaders to evaluate and improve impacted workflows and operational processes.
• Facilitate organizational readiness activities across Membership, Provider, Compliance, Legal, Operations, and IT teams.
• Develop communication plans and executive-facing updates.
• Define readiness metrics, adoption KPIs, and success measures.
• Create training strategies and support organizational training rollout efforts.
• Drive go-live readiness planning and post-implementation adoption activities.
• Provide outside-in industry perspective and best practices around payer interoperability, prior authorization workflows, and regulatory transformation initiatives.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters.

Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances.

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Required Skills & Experience

• 10+ years of Organizational Change Management experience supporting large-scale business or technology transformations.
• Healthcare payer industry experience (Medicare, Medicaid, Managed Care, Health Plan, or related).
• Experience leading enterprise OCM initiatives including:
• Change Impact Assessments
• Stakeholder Mapping
• Communications Planning
• Training & Adoption Programs
• Readiness Assessments
• Organizational Transformation
• Experience using formal change management methodologies such as:
• Prosci, ADKAR, Kotter or similar OCM frameworks
• Strong executive communication and stakeholder management skills.
• Experience supporting regulatory, operational, or business process transformation initiatives.
• Ability to work across technical and business organizations simultaneously.

Nice to Have Skills & Experience

• Experience with CMS-0057-F or healthcare interoperability initiatives.
• Exposure to FHIR APIs, Prior Authorization workflows, Utilization Management, or related healthcare operations.
• Prosci Certification or PMP Certification.

Experience supporting enterprise compliance-driven transformation programs.

Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.