Job Description

The Compliance office within the General Counsel's Office will be responsible for overseeing (1) all organizational policies and procedures, (2) relationship management (for all researchers, physicians, executives, supervisors and institutionally), and coordinating institution-wide compliance activities (such as an annual statutory compliance exercise).


The Compliance Officer will serve as the lead responsible for Organizational Policies and Procedures, Relationship Management across the network, and initiate any other institution-wide compliance activities such as an annual statutory compliance exercise.

Duties and Responsibilities

• Analyze staff inquiries regarding organizational policies, procedures, medical directives, guidelines, competency, protocols and provide informed resolutions.
• Maintain and improve the policy database, ensuring documents are consistently formatted and easily accessible.
• Evaluate policy review cycles, ensuring timely updates and compliance.
• Formulate numbering systems for new or revised policies, aligning with Unity Health Toronto standards.
• Facilitate timely policy reviews by alerting policy owners of upcoming deadlines and outlining required revisions.
• Archive expired policies, maintaining version control and comprehensive historical records.
• Organize and optimize clinical manual and the intranet policy library for accessibility.
• Communicate and facilitate the rollout of new or updated policies across the organization effectively.
• Provide historical policies to the Risk Department

by conducting targeted searches using medical procedures or terms (e.g., "ventilator usage" or "infection control policies"), manually reviewing relevant documents, and delivering them promptly to meet urgent and time-sensitive requests.
• Support audits, inspections, and accreditation processes by ensuring policies are current and compliant with regulatory requirements, minimizing organizational risk.

Qualifications

• Advanced Diploma in Legal or Healthcare administration, Paralegal Studies, or a related field.
• Bachelor's degree in health administration, business administration, Public Policy, or equivalent preferred.
• Minimum 6-9 years in administrative or compliance-related roles, preferably in healthcare or legal environments.
• Experience in legal sector, policy management, risk assessment, and compliance audits (1-3 years).
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
• Advanced knowledge of policy management software and document management systems.
• Strong understanding of regulatory and accreditation requirements in healthcare or other regulated industries.
• Knowledge of conflict resolution and disclosure management practices.
• Effective communication and relationship management skills for internal and external stakeholders
• Strong organizational and multitasking abilities to handle competing priorities.
• Ability to analyze policy gaps, identify risks, and develop actionable solutions.