Program Manager, Policies-Days

Hourly Pay Range:

Position Highlights:

• Position: Program Manager-Policies
• Location: Warrenville, IL
• Full Time: 40 hours
• Hours: Monday-Friday, 8:00a-4:30p
• Note: This position will be available for a year with a flexible work location

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 to lead 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. To be successful in this role, change management, a high degree of collaborative skills, clinical acumen and project management skills is expected. This role will report to leadership within the Chief Clinical Officer team.

What you will do:

• 1. 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.
• 2. Serve as the system lead for policy alignment, collaborating with clinical, legal, regulatory, and operational leaders to promote clarity, consistency, and compliance.
• 3. Leverage Endeavor Health's integrated patient safety platform to analyze safety trends, identify opportunities, and support continuous quality improvement.
• 4. Oversee policy version control, audit readiness, and training support to drive clinical policy excellence.
• 5. Provide administrative leadership and support to the Endeavor Health Clinical Oversight Council, co-chaired by the Chief Clinical Officer and Chief Physician Executive.
• 6. 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.
• 7. Coordinate with cross-functional teams, vendors, and regulatory bodies to ensure alignment and compliance across the system.
• 8. Facilitate collaboration among operational leaders, clinical experts, and compliance staff to achieve system-wide alignment.
• 9. Direct system-wide policy consolidation by coordinating alignment committees, engaging stakeholders, tracking feedback, and preparing policies for governance approval.
• 10. Ensure approved policies are integrated into central tracking systems, communicated across clinical, operational, IT, and other areas, and supported with appropriate change management strategies.
• 11. Monitor timelines for policy review and re-approval, coordinating resubmissions through governance structures as required.
• 12. Serve as Site Administrator for the system's document management platform, maintaining required records, archives, and compliance documentation.
• 13. Provide administrative coordination for policy governance processes, including scheduling, documentation, assigning follow-up actions, and tracking completion.
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What you will need:

• Bachelors Degree Nursing Required Or
• Bachelors Degree Healthcare Administration Required Or
• Bachelors Degree Public Health Required
• Masters Degree Healthcare Administration Preferred Or
• Masters Degree Public Health Preferred Or
• Masters Degree Nursing Preferred Or
• Masters Degree Health Information Management Preferred Or
• Masters Degree Business Administration/Management Preferred
• 4 Years 4-7 years total experience in the healthcare field
• 2 Years 2-4 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 standardization
• Project management experience, preferably leading cross-functional initiatives or change management
• Experience working directly with clinical and executive leadership
• Familiarity with policy management software (e.g., PolicyStat or similar platforms)
• Understanding of clinical operations and governance structures within healthcare
• Clinical background (e.g., RN, therapist, pharmacist) is highly advantageous, especially in systems seeking clinical policy alignment preferred
• Lean, Six Sigma, or other process improvement training (optional but beneficial for standardization and workflow redesign) preferred
• Strong presentation, facilitation, and stakeholder management skills to coordinate among compliance, clinical leaders, and legal preferred
• Skills in coordinating stakeholder engagement, communication and change management
• Experience and understanding of Policies and Protocols
• Excellent Project management skills
• Excellent verbal, written and presentation communication skills essential
• Solid understanding of information processing fundamentals and best practices
• Proficiency in managing and supporting complex projects with an emphasis on stakeholder engagement and prioritization
• Ability to think strategically and align business needs with organizational goals
• Personal and ethical accountability.
• Proven ability to work effectively in cross-functional teams and drive collaboration across departments
• Ability to adapt to evolving business environments and manage change effectively
• Basic understanding of healthcare regulatory and accreditation requirements as related but not limited to:
  o ONC
  o The Joint Commission
  o CMS
  o IDPH
• Familiarity with tools such as SharePoint, Microsoft,and Policy Stat
• Project Management Professional (PMP) - Project Management Institute (PMI) Preferred
• Certifications specific to portfolio of responsibility Required And
• Prosci Preferred

Benefits (benefits for full and part time positions):

• Premium pay for eligible employees
• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, and Vision options
• Tuition Reimbursement

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

• Free Parking at designated locations
• Wellness Program Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off
• Community Involvement Opportunities