Pay Range:
Pay Range:$44.57 - $62.80
The Policy & Compliance Manager is responsible for the development, governance, implementation, and ongoing maintenance of organizational policies, procedures, and forms to ensure regulatory compliance, operational consistency, and alignment with organizational strategy. This role provides centralized oversight of the full document lifecycle 64 ensuring documents are current, standardized, accessible, and audit-ready across the organization.
Key Essential Functions and Accountabilities of the Job
Policy, Procedure, and Forms Development:
Lead the development, review, revision, and approval of organizational policies, procedures, and forms.
Ensure documents are standardized, clearly written, and aligned with organizational goals, clinical practice standards, and workflows.
Maintain clear linkages between policies (what/why), procedures (how), and forms (documentation/tools).
Governance and Regulatory Compliance:
Establish document governance frameworks including approval pathways, review cycles, and version control.
Ensure compliance with federal, state, and accreditation requirements (e.g., CMS, DNV/TJC, OSHA, HIPAA, Alaska statutes).
Monitor regulatory changes and update documents accordingly.
Forms Management and Standardization:
Oversee creation, revision, approval, and retirement of organizational forms.
Ensure forms align with policies, procedures, and electronic systems.
Maintain standardized templates, naming conventions, and metadata.
Stakeholder Collaboration:
Partner with clinical, operational, legal, compliance, and quality leaders.
Facilitate multidisciplinary workgroups.
Serve as subject matter expert for document governance.
Document Control and Library Management:
Maintain a centralized, authoritative repository.
Ensure documents are accessible, current, and audit-ready.
Archive obsolete documents per records retention requirements.
Education and Communication:
Coordinate communication of new and revised documents.
Support education and training related to policy and procedure adoption.
Education, Certifications, and Licenses Required
Bachelors degree in Healthcare Administration, Public Policy, Business Administration, Nursing, Law, or related field required.
Masters degree preferred or equivalent experience.
Experience Required
Experience in policy, procedure, and/or forms management, preferably in healthcare.
Experience with regulatory compliance, accreditation readiness, or quality management strongly preferred.
Knowledge of
Strong understanding of document governance and healthcare regulatory environments.
Skills in
Excellent written communication skills. Strong organizational, analytical, and attention-to-detail skills.
Ability to
Ability to manage multiple priorities across multidisciplinary teams.
Work Environment
This position works in an office or hybrid environment with frequent collaboration across clinical and administrative teams and plays a critical role in supporting regulatory readiness, patient safety, and organizational accountability.
Required Certifications: