Summary:

The Director of Policy Management provides oversight for the policy lifecycle across The Guthrie Clinic. This role ensures policies—including procedures, guidelines, and related documents—are created, approved, stored, and maintained within the designated electronic policy management system. The Director partners with leadership, subject matter experts, and IT teams to maintain system functionality and security, optimize processes, and foster a culture of compliance, safety and organizational integrity.

Key Responsibilities:

• Policy Lifecycle Oversight
  • Manage processes for policy creation, approval, storage, and maintenance using designated policy management system. 
  • Promote and support alignment with professional guidelines, best practices, and regulatory standards.
• Policy System Administration
  • Collaborate with IT to maintain and enhance system functionality and security.
  • Oversee upgrades, permissions, and user training for policy management system.
• Governance and Compliance
  • Facilitate policy oversight committees and monitor review cycles.
  • Identify gaps or conflicts and escalate to appropriate leadership.
• Training and Support
  • Develop and deliver training for policy owners, approvers and other end users.
  • Provide guidance on policy management processes and system use.
• Stakeholder Engagement
  • Partner with organizational leaders to implement tactics for policy deployment and compliance evaluation.

  • Communicate risks and improvement opportunities to leadership.

    Competencies:
    Strategic Thinking and Alignment – Align policy management with organizational goals and compliance requirements.

• Project Management and Execution – Lead large-scale initiatives and drive results under pressure.
• Collaboration and Relationship Building – Build partnerships across departments and encourage stakeholder engagement.
• Analytical and Problem-Solving Skills – Apply critical thinking to resolve complex issues.
• Communication and Influence – Communicate effectively with diverse audiences and influence outcomes.
• Technology Proficiency – Demonstrate expertise in policy management system and related IT processes.

Experience:

Required:

• 3–5 years of project management or related experience with successful implementation of system-wide initiatives.
• Substantial experience in compliance, regulatory affairs, and healthcare administration or clinical operations.
• Proven ability to prioritize tasks and deliver results under pressure.

Preferred:

• 5+ years of leadership experience in hospital or healthcare settings.
• Experience managing policy systems and facilitating organizational governance processes.

Education:

• Bachelors Degree 
• Essential Functions:
• Maintain integrity of policy management system, including all structured fields and configurations, approval workflows, applicability groups, and templates.
• Provide guidance for policy teams/groups to optimize existing policies for clarity, compliance and system standardization.
• Monitor regulatory developments and anticipate policy needs for new services or facilities.

• Serve as key contact for policy system contract and manage departmental budget.

   

• Other Duties: 
• Other duties as assigned

Update 3-3-26

Company