Clinical Policy Program Specialist

Corewell Health Corporate; Grand Rapids (MI); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

On‑demand pay program

Discounts directory on wellness and生活

Retirement options with match

Job summary

Corewell Health is seeking a Clinical Policy Program Specialist to combine clinical expertise with project leadership to advance safe, standardized care across the enterprise in Michigan. You will coach stakeholders, harmonize policies, procedures, and guidelines from proposal through implementation, ensuring alignment with compliance and regulatory standards.

This hybrid role involves collaboration with clinicians, leaders, governance groups, Corporate Compliance, and other teams to ensure

Qualifications

• Clinicians, leaders, governance groups collaborate on evidence-based policy standards.
• Experience coaching stakeholders through policy development and harmonization.
• Strong understanding of clinical practice, regulatory and compliance needs.

Responsibilities

• Standardize, consolidate, and harmonize clinical documents across Corewell Health.
• Coach and educate stakeholders on Clinical Policy Program standards.
• Ensure documents reflect current evidence and regulatory requirements.
• Lead complex clinical policy projects across multiple workstreams.
• Facilitate meetings, define next steps, and drive from development to review.
• Develop and deliver presentations for stakeholders.
• Escalate risks, resource needs, and impacts to leadership as appropriate.
• Advise on document type and routing within internal structures.
• Lead development of clinical protocols per Clinical Protocols Policy.

Skills

Clinical policy knowledge

Project leadership

Stakeholder engagement

Change management

Policy development

Education

RN license MI

Master's degree preferred

Doctorate in nursing

Job description

This hybrid position includes a minimum of two onsite days each week, typically Mondays and Tuesdays, with the Clinical Policy Program Team at Corewell Health Place in Grand Rapids. Periodic onsite work at the Corewell Health Service Center in the East region is also required. Bring your clinical expertise and project management skills together to shape how care is delivered across Corewell Health. As a Clinical Policy Program Specialist, you’ll partner with clinicians, leaders, and key stakeholders across Michigan’s largest integrated health system to develop, standardize, and improve evidence-based clinical policies, procedures, protocols, and guidelines. You’ll lead complex projects from development through implementation, navigate stakeholder feedback, and help teams translate clinical standards into clear, sustainable practice. If you’re an experienced clinician who enjoys policy work, project leadership, and bringing people together to drive meaningful change, we’d love to hear from you.

Job Summary

The Clinical Policy Program Specialist combines clinical expertise, project leadership, and policy development to advance safe, evidence-based, standardized care across Corewell Health. This role supports the standardization and consolidation of clinical policies, procedures, protocols, and guidelines across the organization and partners with clinicians, leaders, governance groups, Corporate Compliance, and other key stakeholders to ensure clinical documents reflect current evidence, regulatory requirements, and organizational practices. The Clinical Policy Program Specialist serves as a subject-matter expert in the Clinical Policy Program, coaching and guiding stakeholders through the development and harmonization of clinical policies, protocols, and other clinical documents from initial proposal and evidence review through stakeholder alignment, approval, implementation, education, and ongoing review. Rather than serving as the primary author of clinical documents, the specialist coaches, mentors, and champions Clinical Policy Program standards and processes, helping stakeholders harmonize clinical guidance and practices across the care delivery enterprise. The specialist provides guidance on clinical document development, stakeholder identification and engagement, document type and routing, and communication and education planning. This role also leads and coordinates complex clinical policy projects involving multiple stakeholders, priorities, and workstreams. The specialist facilitates collaboration, establishes accountability, identifies and works through barriers, and helps move initiatives forward while escalating significant risks, resource needs, and impacts as appropriate. Success in this role requires a strong understanding of clinical practice, evidence-based standards, and the complexities of healthcare, along with the ability to work independently and effectively navigate clinical, operational, regulatory, and compliance considerations.

What We're Looking For

• Strong clinical experience and an understanding of how policies, protocols, and standards translate into patient care
• Project or program management experience, including leading complex initiatives across multiple stakeholders
• Experience developing, implementing, reviewing, or improving clinical policies, procedures, protocols, guidelines, or other evidence-based standards
• Ability to facilitate conversations and build alignment among clinicians, operational leaders, subject-matter experts, compliance partners, and other stakeholders
• Strong critical thinking and the ability to independently identify barriers, resolve issues, and drive work forward
• Comfort working in a complex healthcare environment where clinical practice, compliance, operations, and change management intersect
• Advanced clinical or healthcare education is highly valued, with a master’s degree preferred

Essential Functions

• Support the standardization, consolidation, and harmonization of clinical documents across Corewell Health.
• Partner with clinical governance structures and stakeholders throughout the enterprise to coach, mentor, educate, and champion Clinical Policy Program standards and processes.
• Ensure that clinical documents are supported by current practice standards, are evidence-based, and are reflective of current practices in the organization.
• Maintain and monitor clinical documents and ensure that documents are reviewed/updated based on the Corewell Health Policy on Policies, Clinical Protocols Policy, and the Clinical Addendum to the Policy on Policies.
• Mentor individuals in stakeholder analysis, document development, remedying stakeholder feedback, and the formulation of a communication/education plan.
• Assist others in understanding the necessity and process of change and supporting team members during change.
• Lead and coordinate complex clinical policy projects involving multiple stakeholders, priorities, and workstreams.
• Facilitate project meetings, establish clear next steps and accountability, and drive initiatives from development through approval, implementation, communication, and ongoing review.
• Develop and deliver presentations for team members, leaders, and other key stakeholders.
• Proactively identify and escal[ate] barriers, risks, resource needs, and project impacts to the Manager of the Clinical Policy Program, as appropriate.
• Advise team members on appropriate clinical document type and routes to other internal structures/programs as applicable (e.g. information services, forms, standard work/processes, etc.).
• Provides significant expertise in the development of clinical protocols as defined in the Clinical Protocols Policy.
• Provides leadership and critical thinking as issues arise with concerns related to clinical documents and lends expertise in issue resolution.
• Partner with the Corporate Compliance team as needed to navigate clinical and financial compliance concerns including, but not limited to, scope of practice and reimbursement.
• Help to ensure clinical documents are written in alignment with regulatory agencies and not in conflict with other internal Corewell Health documents.

Qualifications

• Bachelor's Degree or equivalent in nursing, business, healthcare administration or related field
• 7 years of relevant experience in healthcare
• Preferred Master's Degree in nursing or related field
• Doctorate in nursing or related field
• LIC-Registered Nurse (RN) - State of Michigan
• 5 years of clinical nursing or clinical care
• 5 years of Program Development/ Project Management
• 7 years of relevant experience working within an organization of size and complexity comparable to Corewell health

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv.
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection.
• Home and auto insurance.
• Traditional and Roth retirement options with service contribution and match savings.
• Eligibility for benefits is determined by employment type and status.

Primary Location SITE - Corewell Health Place - 100 Corewell Drive NW - Grand Rapids

Department Name Clinical Effectiveness and Pathways Clinical Standardization - Corporate Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 a.m. - 5 p.m. Days Worked Monday to Friday Weekend Frequency N/A

We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.