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

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