Policy Manager | Transformation & EPMO | Hybrid - at one of our Four UF Health Locations

Overview

Responsible for leading and sustaining the organization's enterprise-wide policy and procedure management framework. This role establishes standardized governance, lifecycle management, and oversight for enterprise-level policies, while coordinating and providing oversight for local market policies maintained by market-based teams.

Positioned within the Transformation Office, enables consistent, scalable policy governance that supports regulatory readiness, accreditation requirements, and operational efficiency across a multi-market healthcare system. The role partners closely with clinical, operational, compliance, legal, quality, and IT leaders to ensure enterprise alignment while respecting necessary local variation driven by market-specific accreditation, regulatory, and operational needs.

Responsibilities

Key Responsibilities:

Enterprise Policy Governance & Program Leadership

• Leads the Enterprise Policy Management Program (EPMP), serving as the system-level authority for policy governance, standards, and lifecycle management
• Defines and maintains the enterprise policy governance framework, including decision rights, escalation pathways, approval structures, and accountability models
• Establishes criteria to differentiate enterprise, market, and departmental policies, ensuring appropriate ownership and governance
• Facilitates enterprise policy workgroups and coordinates executive-level reviews and approvals

Policy Lifecycle Management & Standardization

• Oversees the end-to-end lifecycle of enterprise policies, including intake, development, review, approval, publication, revision, and retirement
• Develops and maintains standardized templates, naming conventions, taxonomy, metadata, and governance requirements
• Provides guidance to local markets on policy lifecycle best practices while supporting necessary regulatory and accreditation flexibility
• Leads efforts to identify and consolidate duplicative, conflicting, or outdated policies

Oversight of Local Market Policies

• Establishes oversight mechanisms for local policy management, including minimum standards, reporting expectations, and review cadence
• Partners with market policy owners to ensure alignment with enterprise standards while respecting local governance needs
• Serves as the escalation point for enterprise-local policy alignment issues and cross-market impacts

Systems, Reporting & Regulatory Readiness

• Serves as the business owner for enterprise policy management systems, ensuring workflow standardization, version control, auditability, and reporting capabilities
• Defines and monitors key policy metrics, including review timeliness, approval cycles, policy inventory health, and consolidation progress
• Supports regulatory surveys, audits, and accreditation readiness by ensuring policies are current, accessible, and traceable

People Leadership & Operational Management

• Leads and develops Enterprise Policy Analysts/Coordinators, including performance management, coaching, and professional development
• Establishes standard processes for policy intake, editing, workflow coordination, publishing, and reporting
• Optimizes resource allocation to support enterprise initiatives and market needs

Change Management & Stakeholder Engagement

• Leads enterprise change management efforts related to policy governance, including communication, training, and adoption strategies
• Serves as a trusted advisor to clinical, operational, and administrative leaders on policy governance best practices
• Builds strong cross-market partnerships to drive consistency, adoption, and continuous improvement

Qualifications

Minimum Requirements:

Education:

Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Nursing, Quality, Compliance, Legal, Information Systems, or a related field

Experience:

• Minimum of 5 years of experience in healthcare policy management, regulatory compliance, quality/accreditation, governance, or related operational roles
• Demonstrated experience leading enterprise-wide or cross-functional programs within a complex, multi-site healthcare environment
• Experience with policy or document lifecycle governance, including approvals, version control, and review cycles
• At least 2 years of people leadership experience or equivalent responsibility leading teams or formal programs preferred

Licensure/Certifications (if applicable):

• OCEG IPMP (Integrated Policy Management Professional) or OCEG GRCP (GRC Professional) preferred

If you want, I can tighten this further for a posting or align it to a specific pay grade level.