Clinical Policy Program Specialist

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. The ideal candidate enjoys the detailed work of clinical policy and brings the project management, critical thinking, communication, and stakeholder management skills needed to drive complex initiatives across a large integrated health system.

What We're Looking For

We’re especially interested in candidates who bring a combination of:

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 escalate 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

Required

• •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. Learn more here .
• •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 op