This session will demonstrate how a leading national health plan is turning the mandated transition to digital quality into a catalyst for innovation, reimagining organizational workflows, modernizing infrastructure, and driving enterprise-wide transformations. We will discuss four main pillars identified during this transition: Organizational Readiness: Building the Foundation Successful transformation begins with readiness. We’ll explore how the organization assessed its current state, identified capability gaps, and aligned leadership around a multi-year roadmap to full digital transformation by 2027. Attendees will gain insight into how to evaluate strategic alignment, secure executive sponsorship, and structure internal governance. People: Engaging Teams and Securing Buy-In People are at the heart of any transformation. This session will share strategies for breaking down silos and fostering collaboration across clinical, operational, and IT teams. We’ll discuss how roles and responsibilities were clarified, how change management was approached, and what it took to get the entire organization—from executives to frontline staff—bought in a shared vision. Process: Redesigning Workflows for Digital Quality Digital transformation requires rethinking of core processes. Learn how the plan used this transition to redesign workflows, streamline decision-making, and embed digital quality thinking into day-to-day operations. We’ll explore how the shift from retrospective measurement to real-time performance tracking created new opportunities for agility, responsiveness, and member-focused outcomes. Technology: Laying a Scalable, Future-Ready Foundation Technology is a key enabler when tied to strategy and business outcomes. This session will outline how the organization approached the design of a clinical data acquisition framework grounded in analytics and interoperability regulations. We’ll explore how to prioritize key data sources, scale integration pathways, and leverage modern architecture to support both compliance and long-term innovation. From Compliance to Competitive Advantage By showcasing a real-world example of innovation in action, this session will help health plans see what’s possible when digital transformation is treated not as a mandate, but as a strategic opportunity. Attendees will walk away with actionable insights for building organizational readiness, driving alignment across people and processes, and leveraging technology in service of better, more responsive, and more equitable care. This is not just a path to compliance—it’s a roadmap to operational excellence with member care at the center.