Policy, Standard Operating Procedures, and Risk Program Manager - School of Medicine

Kaiser Permanente-posted 4 months ago

Pasadena, CA

Ambulatory Health Care Services

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The Policy, SOP, and Risk Program Manager at the Kaiser Permanente Bernard J. Tyson School of Medicine (KPSOM) is responsible for leading and executing multiple, school-wide programs that support school compliance, operational effectiveness, and risk mitigation. This role manages medium-to-large-scale programs, including the School of Medicines Policy Management, Standard Operating Procedures (SOP), and Risk Management programs, ensuring alignment with the schools strategic priorities, internal standards, and external regulatory expectations. The Program Manager will manage and work cross-functionally to design, implement, and continuously improve program processes and infrastructure. This includes oversight of program frameworks, performance monitoring tools, reporting dashboards, and communications.

Lead the design, implementation, and oversight of three interrelated, school-level programs: Policy Program, SOP, and Risk Management.
Serve as a key advisor to senior leadership by providing expert guidance and recommendations related to school risk and policy/SOP implementation.
Ensure program structure, activities, and deliverables align with school strategic goals, legal requirements, and operational priorities.
Oversee program infrastructure development, including SharePoint sites, communication workflows, templates, and monitoring dashboards.
Develop, standardize, and continuously improve processes for policy lifecycle management, SOP documentation, and risk reporting.
Support and advise policy owners and custodians in understanding and using the policy development and revision process; ensure alignment with institutional, regulatory, and accreditation standards.
Collaborate with department leads and SOP owners to develop and implement consistent SOP structures; review SOPs for clarity, quality, and alignment with current policy and operational standards.
Design and administer school-wide risk assessment tools (e.g., surveys, data collection instruments) to identify, quantify, and monitor institutional risks.
Establish and track performance metrics, risk indicators, and feedback loops to evaluate program effectiveness and identify gaps or emerging issues.
Coordinate internal stakeholder engagement, including cross-functional teams, to ensure programs are implemented consistently across the school and remain aligned with strategic priorities.
Liaise with the Deans Office to ensure appropriate review and final approval of institutional policies.
Coordinate with Marketing and Communications to support publication, messaging, and visibility of finalized policies and procedures.
Facilitate and support committee and workgroup coordination related to policy and risk, including agenda planning, documentation, and stakeholder communications.
Lead and support institutional reporting to KP enterprise risk and compliance functions and the schools executive leadership committee.
Design and deliver training and awareness initiatives related to policies, SOPs, and risk programs to increase school-wide adoption and engagement.
Ensure version control, communication of updates, and timely implementation of revised documents and processes.
Monitor resource use across programs to ensure efficiency and minimize redundancy or operational gaps.
Ensure all program activities adhere to institutional policies, regulatory expectations, and compliance standards.

Minimum of five (5) years of policy development, compliance, risk management or related experience.
Minimum of two (2) years of program management experience.
Minimum of one (1) year of experience in a leadership role with or without direct reports.
Bachelor's degree in business administration or related field.
Project Management Professional (PMP) or equivalent project/program management certification preferred.
Process-driven and possess strong project coordination skills.
Proven experience managing multiple relationships and advising and collaborating with numerous key interested parties while operating in a complex, time-sensitive environment.
Strong understanding of compliance frameworks, implementing policy and risk strategies.
Experienced in leading cross-functional programs.
Strong analytical skills.
Independent decision-making, problem-solving, and planning skills; highly developed project management skills.
Outstanding oral and written communication skills; ability to express complex ideas concisely; active listener; and strong attention to detail.
Excellent interpersonal skills and ability to build successful relationships across a complex, decentralized organization.
Adaptable, patient, diplomatic, and flexible with the ability to drive initiatives through to completion.
General understanding of applicable laws, regulations, best practices, and compliance issues in higher education.
Proficiency in Microsoft Office Suite and experience with SharePoint or similar document management systems.

Five (5) years of experience managing administrative projects or programs in a higher education or corporate environment.
Four (4) years of experience working in a higher education environment.
Four (4) years of experience in business analysis.
Two (2) years of data analytics experience.
Two (2) years experience implementing large or complex projects.
Master's degree in business administration, public administration, organizational development, or related field.

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