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Enrollment & Claims Platform Modernization

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How the program keeps every stakeholder group correctly informed across fifteen months — from a kickoff most staff will barely notice to a cutover that changes how several hundred people do their jobs. Owned by L. Bergström, Change Manager (OCM Lead), working with the Training Lead, Customer Experience Manager and the Change Champion Network.

11
Stakeholder groups
4
Communication phases
24 Aug 27
Cutover — peak comms
4
Escalation tiers
OCM
Owned, not PMO-owned
The premise. This is a mandatory replacement of a system people use every day to enroll members and pay claims. Nobody asked for it, most staff will experience it as disruption, and the benefit to any individual user is largely invisible — the system simply keeps working. Communication on this program is therefore not about selling a vision. It is about making sure that when the platform changes underneath people, they already know what is happening, when, and what they need to do.

01 Objectives & Principles

Objectives

ObjectiveSuccess measure
No stakeholder group is surprised by a change that affects themZero "we weren't told" escalations at cutover
Staff know what to do differently, and whenTraining completion and readiness assessment ahead of cutover
Leadership has an accurate, current view of program healthSteering Committee decisions made on the reported position, not corrected later
Members and providers experience no unexplained changeNo spike in enquiry volume attributable to poor notice
Bad news travels as fast as good newsIssues surface at the working level before they appear in a status report

Principles

02 Stakeholder Analysis

Stakeholders are assessed on influence over the program's success and impact felt from the change — the two dimensions that determine how much communication each group warrants and of what kind.

Stakeholder groupInfluenceImpact feltPrimary concernEngagement approach
Executive Sponsor / Steering CommitteeHighLowBusiness case, schedule, cost, risk exposureManage closely — formal, decision-oriented
Enrollment Operations staffMedHigh"Will I be able to do my job on day one?"Keep highly informed; hands-on training
Claims Operations staffMedHighAdjudication behaviour; payment continuityKeep highly informed; hands-on training
Customer ServiceLowHighAnswering enquiries during and after cutoverEarly briefing; scripted responses; hypercare support
UnderwritingMedMedRating data and policy issuanceSME involvement; UAT participation
Finance & BillingHighMedReconciliation and financial integrityManage closely; control-total validation
Internal Audit / SOXHighLowControl evidence and independenceFormal, evidence-based; no informal assurances
IT Operations / SupportMedHighSupportability, runbooks, escalationTechnical briefings; handover readiness
Platform vendorHighLowScope clarity, dependency turnaroundManaged through the Vendor Management Plan
Downstream system owners (×6)MedMedInterface change and testing demand on their teamsNamed contact per system; scheduled test windows
Members & providersLowMedAny externally visible changeAdvance notice only where experience changes
The group most often under-served. Customer Service has low influence and high impact — the classic profile of a group that gets communicated to last and absorbs the consequences first. They field the calls when anything goes wrong at cutover, usually without having been trained on what changed. On this program they are briefed early and given scripted responses before Go-Live, not after the first enquiry spike.

03 Message Architecture

Four core messages, adapted by audience but never contradicted between them.

Why this is happening
The vendor has announced end-of-support. This is not an upgrade we chose for its features — it is a replacement we cannot avoid, and doing nothing means running unsupported software that holds regulated health data.
What is changing for you
Specific and role-based. Enrollment staff hear about enrollment screens; claims examiners hear about adjudication. Nobody is asked to read a general description and work out which parts apply to them.
When it affects you
Tied to real dates from the milestone schedule — training windows, UAT participation, cutover weekend, hypercare period.
Where to get help
A named change champion in the function, the hypercare support path, and an escalation route that does not require knowing the program's org chart.

04 Communication Matrix

CommunicationAudienceOwnerChannelFrequency
Steering Committee packSponsor, Steering CommitteeC. TyrrellFormal deck + meetingMonthly
Program status reportSteering, workstream leads, PMOE. KowalskiWritten reportWeekly
Program dashboardAll program stakeholdersE. KowalskiLive dashboardContinuous
Workstream lead syncWorkstream leadsC. TyrrellStanding meetingWeekly
Vendor governance reviewVendor, Procurement, ArchitectureW. DonnellyFormal reviewBi-weekly
Downstream system owner syncSix system ownersM. CastilloWorking sessionBi-weekly in build/test
Change champion network callChampions across affected functionsD. AbernathyCall + toolkitBi-weekly, weekly near cutover
Frontline staff briefingEnrollment, Claims, Customer ServiceL. BergströmTeam meetings via championsMonthly, then weekly from T-8 weeks
Training communicationsAll system usersH. OseiScheduling + curriculumPer training wave
UAT participant briefingBusiness SMEsR. WhitfieldBriefing + scenario packBefore each UAT cycle
Audit & compliance updateInternal Audit, SOX, ComplianceG. FenwickFormal evidence packAt each control gate
Member / provider noticeExternalV. AlaouiStandard member channelsOnly where experience changes
Cutover communicationsAll internal audiencesL. BergströmMulti-channel (Section 06)Per cutover runbook
Hypercare bulletinAffected staff, IT SupportL. BergströmDaily noteDaily during hypercare

05 Phase-Based Approach

Communication intensity is not constant. It follows the program's own milestones, and it is deliberately quiet early — over-communicating to frontline staff fifteen months before anything changes for them produces fatigue, not readiness.

PhasePeriodCommunication emphasisPrimary audiences
FoundationAug – Nov 2026Awareness that the program exists and why; requirements participationLeadership, SMEs, system owners
Build & ConvertNov 2026 – May 2027Progress reporting; targeted involvement of SMEs and downstream owners; no broad frontline trafficLeadership, technical stakeholders, SMEs
Test & PrepareMay – Aug 2027Sharp escalation: UAT participation, training waves, "what changes for you", cutover logisticsAll staff, Customer Service, IT Support
Cutover & HypercareAug – Nov 2027Operational, instructional, daily; then tapering to closureAll internal, plus external where visible
The deliberate quiet period. Between requirements sign-off and the start of test preparation, roughly six months, frontline staff receive very little. That is intentional. Awareness campaigns that peak a year before cutover leave people exhausted by a change that has not arrived, and by the time it does they have stopped listening. Attention is spent where it converts to readiness — from roughly T-12 weeks.

06 Cutover & Hypercare Communications

Cutover is the only point in the program where communication failure has immediate operational consequence. It runs to a defined sequence, rehearsed alongside the technical cutover.

TimingCommunicationAudienceOwner
T-8 weeksCutover date confirmed; what to expect; training schedule publishedAll affected staffL. Bergström
T-4 weeksRole-specific "what changes for you" briefings; Customer Service scripts issuedFrontline functionsChampions / H. Osei
T-2 weeksFreeze notice: what stops, when, and what to do with in-flight workAll users, downstream ownersC. Tyrrell
T-1 weekFinal readiness confirmation; support and escalation routes publishedAll internalL. Bergström
Cutover weekendScheduled checkpoint updates at defined intervals, including "no change" updatesSteering, IT, function leadsC. Tyrrell
Go / No-Go decisionDecision and rationale communicated immediately, either wayAll internalSponsor / C. Tyrrell
Day 1System live confirmation; where to get help; known issues stated openlyAll usersL. Bergström
Hypercare (daily)Issue status, resolutions, workarounds in plain languageAffected staff, IT SupportL. Bergström
Hypercare exitTransition to business-as-usual support; closeout summaryAll internalC. Tyrrell
Silence is read as failure. During a cutover weekend, no news is not interpreted as good news — it is interpreted as something having gone wrong. Checkpoint updates are issued on schedule whether or not there is anything to report, and an update that says "on plan, next checkpoint at 14:00" is a successful communication. Known issues are stated openly on Day 1, because staff discover them within hours regardless, and discovering an undisclosed problem destroys trust in every subsequent update.

07 Change Champion Network

Led by D. Abernathy, the network places a named, trained colleague inside each affected function rather than relying on program broadcasts reaching people who do not read program email.

ElementApproach
SelectionRespected practitioners from within each function — chosen for credibility with peers, not availability
PreparationBriefed ahead of each announcement so they are never hearing news at the same time as their teams
ToolkitTalking points, FAQs, and honest answers to the hard questions, refreshed per phase
Feedback loopChampions report sentiment and emerging concerns back into the program — the earliest available signal of adoption risk
CadenceBi-weekly, moving to weekly from T-8 weeks through hypercare

The network is a two-way channel by design. Its downward function is message delivery; its upward function is early warning, and the second is the more valuable of the two.

08 Escalation Paths

TierTriggerRouteResponse time
Tier 1Question or concern from a staff memberChange champion within the functionSame day
Tier 2Issue affecting a team's ability to prepare or operateFunction lead → L. Bergström (OCM)2 business days
Tier 3Issue affecting program schedule, scope or budgetC. Tyrrell → RAIDD LogNext weekly cycle, or immediate if critical
Tier 4Go-Live at risk; regulatory or financial exposureExecutive Sponsor / Steering CommitteeImmediate

09 Measuring Effectiveness

Communication is measured on whether people are ready, not on how much was sent. Volume is an activity metric and is deliberately excluded.

MeasureWhat it tells usCadence
Training completion by functionWhether readiness is actually being builtWeekly from T-12 weeks
Readiness assessment resultsWhether trained staff can perform the task, not just attendPer training wave
Champion sentiment reportingEarliest signal of resistance or confusionBi-weekly, weekly near cutover
Enquiry themes during hypercareWhich messages did not land — a direct test of this planDaily in hypercare
"We weren't told" escalationsThe blunt failure measureContinuous; target zero
Steering decision reworkWhether leadership is being briefed accuratelyPer Steering cycle

10 Risks to Communication Effectiveness

RiskEffectMitigation
Change fatigue from early over-communicationStaff disengage before the message that mattersDeliberate quiet period; intensity tied to milestones (Section 05)
SME availability (A-002)UAT and training participation slips; readiness assessed on paper onlyNamed SMEs released formally; participation tracked as a readiness measure
Offshore/onshore coordination (R-002, I-003)Status reported from partial information across time zonesWritten handoffs; single reporting source of truth
Figures diverging between documentsStakeholders lose confidence in all reportingOne version of the truth; superseded figures explained, not reused
Cutover date movementRepeated date changes erode credibility of every subsequent noticeDates communicated only once confirmed; changes explained with cause
Governing relationship. This plan operates under the Project Management Plan and alongside the training curriculum owned by H. Osei. Stakeholder roles align to the RACI Matrix; escalations feed the RAIDD Log; formal reporting draws on the Dashboard and Status Report.