Department Overview:
The Program Manager, HB2697 Staffing Committees is responsible for the day-to-day execution, coordination, and continuous improvement of OHSUâs staffing governance and regulatory compliance processes under Oregon House Bill (HB) 2697.
Reporting to the Senior Director, this role operationalizes governance structures, workflows, and complianceÂ
systems, ensuring that staffing committees, escalation pathways, and regulatory processes functionÂ
consistently, efficiently, and in alignment with organizational expectations.
The Program Manager serves as the primary system operator for staffing governanceâcoordinatingÂ
committee activities, managing staffing plan workflows, tracking compliance performance, and supportingÂ
regulatory response processes.
This role does not establish staffing policy, staffing levels, or governance structures, but instead ensures theÂ
reliable execution, documentation, and monitoring of those established by executive leadership, clinicalÂ
leadership, and labor agreements.
The Program Manager partners closely with the Senior Director and cross-functional stakeholders (includingÂ
but not limited to: Legal, Labor Relations, Regulatory Affairs, Nursing, Finance, and operations leadership) toÂ
ensure a standardized, audit-ready, and defensible governance system that minimizes compliance risk andÂ
supports effective decision-making.
Function/Duties of Position:
Staffing Governance & Committee System Leadership
- Monitors and manages governance operations (e.g., decision timelines, escalation utilization, workflow adherence) and escalates performance gaps or risks to the Senior DirectorÂ
- Supports Executive Governance Council by preparing analyses, summaries, and escalation materials for high-risk or unresolved issues
- Coordinates day-to-day operations of the HB2697 staffing governance system, including staffing committees (Professional Technical & Service and Nursing), escalation pathways, and executive governance processesÂ
- Manages logistics, facilitation support, and workflow coordination for governance forums (Staffing Committee, Steering Committee, Executive Governance Council) to ensure timely, consistent, and compliant executionÂ
- Partners with committee co-chairs, Labor Relations, and operational leaders to prepare structured agendas, decision-support materials, and ensure readiness for governance discussionsÂ
- Ensures adherence to established governance processes, including decision rights, quorum requirements, documentation standards, and escalation protocolsÂ
- Tracks committee decisions, action items, and follow-ups to ensure closure and accountabilityÂ
- Implements and maintains standardized workflows for staffing plan development, review, approval, and revisionÂ
- Ensures appropriate use of escalation pathways and facilitates coordination when governance thresholds (e.g., quorum, impasse) are not metÂ
- Provides leadership with clear, accurate visibility into governance activities, risks, and process performance through reporting and documentation
Safe Staffing Plan Governance & Administration
- Manages the end-to-end lifecycle of the enterprise staffing plan portfolio, including intake, tracking, version control, review workflows, approvals, and submission readinessÂ
- Ensures staffing plans meet defined statutory, operational, and documentation requirements prior to submission, based on established standards and guidanceÂ
- Maintains centralized documentation and audit-ready records of all staffing plans and revisionsÂ
- Tracks plan status, approvals, and timelines, ensuring transparency and accountability across stakeholdersÂ
- Supports alignment of staffing plan documentation with organizational standards and regulatory expectations; escalates inconsistencies or risks.
Data, Reporting, & Audit Readiness
- Maintains data infrastructure, reporting tools, and dashboards supporting staffing governance, compliance tracking, and risk visibilityÂ
- Ensures accuracy, completeness, and audit readiness of all governance, compliance, and investigation data and documentationÂ
- Produces routine and ad hoc reports on staffing plans, deviations, escalations, investigations, and compliance performanceÂ
- Develops and maintains centralized dashboards to monitor key indicators (e.g., deviations, investigations, penalties, plan approvals)Â
- Tracks and reports compliance-related financial impacts (e.g., penalties, staffing deviations) in partnership with FinanceÂ
- Uses data to identify trends, surface risks, and support decision-making by leadership
Other Duties as Assigned
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Required Qualifications:
- Bachelorâs degree and seven years of progressively responsible program/project managementÂ
experience OR - Masterâs degree and six years of progressively responsible experience OR
- Equivalent combination of education, training, and demonstrated experience.
Preferred Qualifications:
- Masterâs degree in healthcare administration (MHA), Public Health (MPH), or related field
- Experience with staffing operations, workforce planning, or labor-related environments
- Experience supporting regulatory programs (e.g., CMS, Joint Commission, DNV, ACGME, state workforce regulations)
- Experience building or maintaining reporting tools, dashboards, or tracking systems
- Experience supporting governance bodies, committees, or formal decision-making structures
- Project Management Professional (PMP) or equivalent certificationÂ
- Lean, Six Sigma, or other process improvement trainin
Why apply to OHSU?:
We are Oregon's only public academic health center.
In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.
All are welcome.
OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply.
To request reasonable accommodation, contact askhr@ohsu.edu