The Dirty Dozen: Frontline Change Management | Billy Parsons | Transformational Leadership | EP 106

How do you transform HR in a 9,000-employee, multi-billion dollar healthcare organization while reducing turnover by 11% and increasing engagement by 24%? Billy Parsons, a transformational CHRO with 65+ M&A integrations under his belt, shares the playbook.

Timestamps:
00:00 - Introduction to Billy Parsons
02:24 - The Challenge: 9,000 Employees, 725 Locations
03:26 - Current State: Built for Call Centers, Not Clinical Enterprise
05:25 - Deep Evidence-Based Review: Finding the Hotspots
06:15 - Resistance: The "Second Job" Problem
08:34 - Cultural Friction Post-M&A
11:11 - Structural Barriers: Google to Microsoft Transition
13:18 - Managing Change Fatigue with 135-Question Survey
15:13 - The "Dirty Dozen": Frontline Manager Advisory Group
19:12 - Employee Experience Council: 30 Frontline Voices
21:23 - Decentralizing HR: From Black Hole to Business Partners
24:21 - Manager Enablement vs. Care Provider Empowerment
27:30 - Foundational Changes: 900 Job Titles to Less Than Half
29:12 - On-Demand Pay System: 50% of Completed Work Every Friday
30:43 - Results: 11% Turnover Reduction in Year One
31:12 - 24% Engagement Increase in One Year
32:17 - Organizational Upskilling: First Large-Scale L&D Program
34:45 - Position Management System for Better Forecasting
35:16 - Recognition Platform: The Game Changer
38:11 - Points System: Patients & Doctors Worth 5X More
39:35 - Results: From 100 to 2,000+ Recognitions in Month One
41:15 - Creating Unified Company Culture Across Regions
42:35 - Gamification: Regional Competition & Pride Building
44:20 - Advice for HR Professionals: Jump In, Even If You're Not "Ready"
46:12 - Best Advice Not Taken: Join Organizations That Appreciate You

Transformation Results:
📉 11% reduction in turnover (Year 1)
📈 24% increase in engagement (Year 1)
🎯 10,000+ recognitions in first quarter (vs. 100/month baseline)
👥 1,500 patient recognitions in first 90 days
💰 Improved Net Promoter Scores despite starting at saturation
🏗️ 900 job titles reduced to 450
💵 On-demand pay system serving hourly workforce

#HRTransformation #HealthcareHR #ChangeManagement #EmployeeEngagement #McKinsey #RecognitionPlatform #TurnoverReduction #OrganizationalEffectiveness #CHRO #PeopleOperations #EmployeeExperience #CultureTransformation

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