Levy's career after graduation included serving as Deputy Director of the MA Energy Policy Office and Director of the Arkansas Department of Energy. He returned to MA and then served as chairman of the Massachusetts Department of Public Utilities from 1983-87, Executive Director of the Mass Water Resources Authority from 1988-1992, adjunct professor at MIT from 1992-1998, and, in 1998, became executive dean for administration at Harvard Medical School. He is the co-author of Negotiating Environmental Agreements, which was published in 1999. He was a member of the MIT Corporation and till September 2017, a board member of ISO New England. Levy was executive director of the Massachusetts Water Resources Authority, where he was famous for leading the "Boston Harbor Cleanup". He published a description of conditions that led to sewage treatment facilities failures he dubbed the Nut Island effect in 2001. Levy assumed a position as president and CEO of Beth Israel Deaconess Medical Center in 2002. At BIDMC, Levy became one of the earliest hospital CEO's to write his own blog, which he started in August 2006. Via this blog he led the first blog rally on end of life matters. He has taken very public positions on topics such as the transparency of clinical outcomes and he also voiced his opposition to SEIU's efforts to unionise BIDMC employees. Levy received national attention in 2009 for leading the workers at BIDMC to avoid hundreds of layoffs by engaging them in the crowdsourcing of ideas to save money as the hospital faced deficits due to the national recession. Workers agreed to make extra sacrifices to insulate the lowest paid workers in the hospital from reductions in wages and benefits. On January 7, 2011, he announced that he would be resigning from BIDMC. In a blog post, Levy said that he recently had time to reflect during a biking trip through Africa and had decided to move on to new challenges after nine years with Beth Israel. "Last night, I informed the Chair of our Board that I will be stepping down as CEO. We will work out an appropriate transition period, and things will continue to run smoothly here. I leave confident that the Board will find many able candidates to succeed me." Levy continued writing his blog after leaving BIDMC, renaming it "Not Running a Hospital," broadening its reach to focus on health care policy matters and clinical practice improvement throughout the world. In 2012, Levy published Goal Play! Leadership Lessons from the Soccer Field, a book that offers insights from sports, health care, business, and government to help leaders get better outcomes. As a practical guide to improved leadership, the book highlights unconventional thinking and actions that can be used to bring about outstanding results. In 2013, Levy published How A Blog Held Off the Most Powerful Union in America, presenting the story of how he used social media to fend off a corporate campaign by the Service Employees International Union. In 2014, Levy and Farzana Mohamed published How to Negotiate Your First Job, a guide to young professionals entering the work force. In September 2015, he announced that the focus of the blog would shift to negotiation theory and practice, leadership training and mentoring, and teaching. On March 15, 2016, he announced that he would discontinue the blog to focus on other interests. Levy is often invited by health care organizations throughout the world to give speeches on eliminating preventable harm, transparency of clinical outcomes, and front-line driven process improvement. He was invited to be a Thinker in Residence at Deakin University in Victoria, Australia, from November 2015 through March 2016. In 2018, he published Don't Sign Anything: A Guide for the Day You Are Laid Off, which provides advice on negotiating severance deals. He is currently senior adviser at Lax Sebenius LLC, a negotiation consultancy firm. He is also a visiting professor at the Institute of Global Health Innovation at Imperial College London and an honorary professor with the Australian Institute of Health Innovation in the Faculty of Medicine and Health Sciences at Macquarie University in Sydney, Australia.
Legacy
Levy's leadership record at BIDMC, including his use of social media as a management tool, was the subject of a case study published in November 2010 by The Health Foundation, an independent charity working to improve the quality of healthcare in the United Kingdom. David A. Garvin and Michael A. Roberto of Harvard Business School had previously produced a multimedia case study on Levy's turn-around of BIDMC in 2002. He is a current resident of Newton, Massachusetts.
Controversy
Levy admitted on May 5, 2010, to poor judgement in his role as CEO of BIDMC, because he had hired and promoted a female employee with whom he had an allegedly inappropriate relationship. He was fined $50,000 but given a vote of confidence by the Board of BIDMC. Levy also issued an apology on his blog.
