Program Manager-Policies
Hourly Pay Range : $38.67 - $59.94 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
A Brief Overview : The Policy Program Manager plays a vital role in advancing safe, standardized, and compliant care across Endeavor Health. This position leads the consolidation and alignment of policies systemwide and leverages Endeavor Health's integrated patient safety platform to drive analysis of safety trends and opportunities, ensure audit readiness, and support continuous quality improvement. By connecting policy management with safety data and regulatory requirements, this role helps build a foundation for high-reliability care and operational excellence. As the Policy Manager, within Endeavor Health, you will be responsible for leading the coordination of all steps of policy alignment, and subsequent maintenance of clinical policies across a multi-hospital system. This role will work with key operational and clinical leaders across Endeavor Health and will support the Endeavor Clinical Oversight Council where system clinical policies and protocols are approved. This role will also serve as the administrator of the integrated PolicyStat platform. A key responsibility is to support and coordinate the work efforts needed to implement standardization and consolidation of legacy policies from multiple hospitals into unified, evidence-based, system-wide policies that are aligned with regulatory bodies and compliance requirements. This position will also be responsible for support and coordination of non-system policies as needed. This role will report to leadership within the Chief Clinical Officer team.
What You Will Do :
- Lead the development, consolidation, and standardization of clinical policies across the health system to ensure they are current, evidence-based, and aligned with regulatory standards.
- Serve as the system lead for policy alignment, collaborating with clinical, legal, regulatory, and operational leaders to promote clarity, consistency, and compliance.
- Leverage Endeavor Health's integrated patient safety platform to analyze safety trends, identify opportunities, and support continuous quality improvement.
- Oversee policy version control, audit readiness, and training support to drive clinical policy excellence.
- Provide administrative leadership and support to the Endeavor Health Clinical Oversight Council, co-chaired by the Chief Clinical Officer and Chief Physician Executive.
- Partner with policy domain leads, policy owners, and subject matter experts to develop and manage processes for creation, classification, periodic review, and approval of policies.
- Coordinate with cross-functional teams, vendors, and regulatory bodies to ensure alignment and compliance across the system.
- Facilitate collaboration among operational leaders, clinical experts, and compliance staff to achieve system-wide alignment.
- Direct system-wide policy consolidation by coordinating alignment committees, engaging stakeholders, tracking feedback, and preparing policies for governance approval.
- Ensure approved policies are integrated into central tracking systems, communicated across clinical, operational, IT, and other areas, and supported with appropriate change management strategies.
- Monitor timelines for policy review and re-approval, coordinating resubmissions through governance structures as required.
- Serve as Site Administrator for the system's document management platform, maintaining required records, archives, and compliance documentation.
- Provide administrative coordination for policy governance processes, including scheduling, documentation, assigning follow-up actions, and tracking completion.
What You Will Need :
Bachelors Degree Nursing Required OrBachelors Degree Healthcare Administration Required OrBachelors Degree Public Health RequiredMasters Degree Healthcare Administration Preferred OrMasters Degree Public Health Preferred OrMasters Degree Nursing Preferred OrMasters Degree Health Information Management Preferred OrMasters Degree Business Administration / Management Preferred4 Years 47 years total experience in the healthcare field2 Years 24 years in clinical policy development, regulatory compliance, or accreditation readiness (e.g., Joint Commission, CMS)Experience in a large hospital or health system, ideally with multi-site integration or policy standardizationProject management experience, preferably leading cross-functional initiatives or change managementExperience working directly with clinical and executive leadershipFamiliarity with policy management software (e.g., PolicyStat or similar platforms)Understanding of clinical operations and governance structures within healthcareClinical background (e.g., RN, therapist, pharmacist) is highly advantageous, especially in systems seeking clinical policy alignment preferredLean, Six Sigma, or other process improvement training (optional but beneficial for standardization and workflow redesign) preferredStrong presentation, facilitation, and stakeholder management skills to coordinate among compliance, clinical leaders, and legal preferredSkills in coordinating stakeholder engagement, communication and change managementExperience and understanding of Policies and ProtocolsExcellent Project management skillsExcellent verbal, written and presentation communication skills essentialSolid understanding of information processing fundamentals and best practicesProficiency in managing and supporting complex projects with an emphasis on stakeholder engagement and prioritizationAbility to think strategically and align business needs with organizational goalsPersonal and ethical accountability.Proven ability to work effectively in cross-functional teams and drive collaboration across departmentsAbility to adapt to evolving business environments and manage change effectivelyBasic understanding of healthcare regulatory and accreditation requirements as related but not limited to : ONC, The Joint Commission, CMS, IDPHFamiliarity with tools such as SharePoint, Microsoft, and Policy StatProject Management Professional (PMP) - Project Management Institute (PMI) PreferredCertifications specific to portfolio of responsibility Required AndProsci PreferredBenefits (benefits for full and part time positions) :
Premium pay for eligible employeesCareer Pathways to Promote Professional Growth and DevelopmentVarious Medical, Dental, and Vision optionsTuition ReimbursementFree Parking at designated locationsWellness Program Savings PlanHealth Savings Account OptionsRetirement Options with Company MatchPaid Time OffCommunity Involvement Opportunities