Clinical Policy & Procedures Lead

CLINICAL POLICIES & PROCEDURES LEAD SPECIALIST

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Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.

Position Summary:
The Clinical Policies and Procedures Lead Specialist is responsible for the development, implementation, maintenance and oversight of all clinical policies and procedures across the enterprise. This role ensures alignment with federal and state regulations, accreditation standards, and best practices to promote patient safety, operational efficiency, and regulatory compliance. The individual collaborates cross-functionally with Legal, Compliance, Clinical, and Operations teams and serves as a key resource for policy education, onboarding, and performance improvement.

Work Schedule: Remote

Key Responsibilities:

Policy Development & Management

• Lead the creation, revision, and biannual review of AMSURG master policies (approx. 420).
• Design and manage standardized processes for policy requests and revisions.
• Verify policy approvals and manage workflow through the Policy Committee.
• Collaborate with Quality Compliance to ensure policies align with current regulatory and accreditation standards.
• Maintain active involvement with national and state organizations to stay informed of evolving legislation and its impact on clinical operations.

Compliance & Risk Management

• Identify potential compliance risks and develop policies to mitigate them.
• Monitor adherence to policies and procedures across centers.
• Ensure annual review and maintenance of system-wide policies, including HIPAA and Corporate Compliance.
• Manage compliance with 2-year policy review cycles at the center level.

Training & Education

• Develop and deliver training programs for staff on policies, procedures, and best practices.
• Provide onboarding and orientation for newly acquired centers, DeNovo centers, and new Center Administrators, ensuring full integration into PolicyStat within defined timelines.

Coordination & Communication

• Facilitate cross-departmental collaboration on policy development and implementation.
• Build and maintain relationships with key stakeholders (incl. center leaders) involved in policymaking.
• Serve as the clinical representative for PolicyStat, optimizing platform engagement and functionality.

Performance Improvement

• Analyze policy usage and effectiveness to identify areas for improvement.
• Implement initiatives to enhance efficiency, reduce redundancy, and streamline operations.
• Promote standardized processes to support consistent and high-quality patient care.

Database Management

• Manage the policy and procedure database, ensuring it is organized, accessible, and up-to-date.
• Conduct usage analysis of PolicyStat and lead improvement initiatives.

Additional Duties

• Assist center leaders with policy approvals and pending policy reviews.
• Perform other related duties as assigned to support departmental and organizational goals.

Impact of the Role:

• Ensures Patient Safety: Establishes a framework for consistent, safe, and high-quality care.
• Promotes Efficiency: Streamlines operations through standardized processes.
• Maintains Compliance: Ensures organizational alignment with legal and regulatory standards.
• Supports Staff: Provides clarity, support and guidance through well-defined policies.
• Facilitates Communication: Enhances collaboration and transparency across teams.

KNOWLEDGE AND SKILLS: To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.

• Demonstrated ability to bring exceptional business acumen as well as creativity to the operations and management of healthcare facilities
• Demonstrated ability to function as a strong member of a highly motivated and integrated management team
• Demonstrated ability to build and maintain a successful operating infrastructure in a service oriented setting that sustains a company through growth
• Demonstrated ability to build and maintain a positive and energetic culture within the organization

Education/Experience:

• Bachelors degree required; advanced degrees in healthcare strongly preferred
• 6+ years of healthcare experience required; 2+ of those years must include time overseeing policies and/or ensuring operational compliance with policies and procedures
• Experience with healthcare policy platforms (e.g., PolicyStat) strongly preferred
• Ambulatory surgery experience strongly preferred
• Gastrointestinal, ophthalmologic or orthopedic surgery experience preferred

Mathematical Skills:

Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, decimals and percentages.

Language Skills:

Ability to understand, read, write and speak English. Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations. Ability to successfully write business correspondence. Ability to effectively present information, respond to questions and professionally interact with managers, employees, clients, vendors and the general public.

Reasoning Ability:

Demonstrates an ability to consider alternatives and implement appropriate strategies. Ability to recognize and define problems, collect data, establish facts, draw valid conclusions and correct errors. Ability to understand and interpret basic financial data. Ability to interpret a variety of instructions in a variety of forms and deal with abstract and concrete variables.

Other Qualifications:

Strong preference will be given for experience using Policy Stat. Exceptional computer skills. Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. Must be able to work well with others. Strong verbal and written communication skills required. Must be detail oriented and organized. High integrity, including maintenance of confidential information. Must be able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency. Based on business need, the ability to work a flexible schedule.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 40 pounds. Repetitive motion of upper body required for extended use of computer. Required specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

WORK ENVIRONMENT:

Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.

Works in well-lit, ventilated and climate-controlled office environment with routine office equipment; some equipment has moving mechanical parts.

Noise level in the work environment is usually quiet to moderate.

Employment at AMSURG: Living Our Values Every Day
At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care.
These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.

• Care Deeply for those around us.
• Cultivate Integrity to build trust.
• Champion Excellence for continuous improvement
• Celebrate Teamwork every step to the way.

Benefits:

To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.

Paid Time Off:

AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

EOE Statement:

AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: careers@amsurg.com. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process. 

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