Employment Status: Full Time

Department: Medical Affairs

Union: NON UNION

Job Code: 22633

✓ Pension ✓ Dental Insurance ✓ Disability Insurance ✓ Health Insurance ✓ Life Insurance

✓ Weekdays

STATUS: Permanent Full-time

SALARY GRADE: 9

JOB SUMMARY

Reporting to the VPMA/Chief of Staff, the Director, Medical Affairs provides strategic and operational leadership to the Medical Affairs portfolio. The role is responsible for overseeing the day-to-day operations of the Medical Affairs Office, supporting the recruitment, retention, engagement, and performance of Professional Staff, and advancing quality of care, utilization management, and patient safety initiatives across the organization.

The Director serves as a key liaison between the Chief of Staff/VPMA, Professional Staff leadership, Senior Administration, and external partners, ensuring effective communication, governance support, and alignment with organizational priorities, legislation, and Ministry of Health directives.

RESPONSIBILITIES

Applying a broad-based strategic, managerial/business and professional knowledge and expertise across a diverse operating environment and working closely with other senior leaders at WRH, the incumbent is accountable for the following:

Medical Affairs Operations and Leadership

• Oversee the day-to-day operations of the VPMA/Chief of Staff and Medical Affairs Office.
• Provide senior-level advisory and operational support to the VPMA/Chief of Staff.
• Represent the Chief of Staff as delegated.
• Ensure effective communication strategies between Hospital Administration and Professional Staff.

Professional Staff Recruitment, Retention, and Engagement

• Lead professional staff human resources planning (HR Plan) across all departments for Board approval.
• Oversee physician recruitment initiatives for both the hospital and broader community.
• Support physician orientation and onboarding activities.
• Develop and implement physician recognition and engagement strategies.
• Support search committees for physician and leadership roles.

Credentialing and Medical Staff Governance

• Provide management oversight of the credentialing, reappointment, and medical staff application processes.
• Attend and support Medical Advisory Committee (MAC), Credentialing Committee, and Quality Practice Committee/Utilization Management Committee meetings as required.
• Record and maintain documentation for confidential, physician-specific meetings.

Quality of Care, Utilization, and Performance Management

• Facilitate and coordinate quality of care and patient safety initiatives.
• Support utilization management activities and initiatives.
• Assist the VPMA/Chief of Staff in ensuring robust structures and processes are in place to monitor the quality of medical practice across the hospital.
• Support the investigation and resolution of quality-of-care concerns.
• Collaborate with the VPMA/Chief of Staff to develop and implement a comprehensive physician performance review and peer assessment framework.
• Support annual physician performance reviews by ensuring Department Chiefs have access to timely, accurate, and meaningful data.
• With the VPMA/Chief of Staff, develop the clinical quality agenda, including performance targets, metrics, standards of care, outcome measurement, and dissemination of best practices.
• Ensure medical quality assurance processes are aligned with and embedded within the hospital’s broader quality framework.

Risk Management, Legal, and Medico-Legal Support

• Provide support on medico-legal matters involving physicians.
• Manage physician-related aspects of the risk management program, including legal claims and discoveries, in collaboration with the Risk Manager.
• Support third-party reviews as required.

Education, Research, and Funding Support

• Support Continuing Medical Education (CME) programs and physician training initiatives.
• Assist with funding applications and administration, including Hospital On Call Coverage (HOCC) and other physician-related funding programs.
• Support research-related activities as they pertain to Professional Staff.

Financial and Strategic Planning

• Oversee the Medical Affairs and Chief of Staff budgets, including physician recruitment funding.
• Support contract negotiations as required.
• Prepare business cases for new initiatives and planned program innovations.
• Monitor legislation, regulatory requirements, and Ministry of Health directives impacting physician practice and patient care and advise the Chief of Staff accordingly.

Change Management

• Provides clear goals, realistic timelines, and milestones and is persistent in monitoring success and recognizing problems that threaten to derail initiatives.
• Versatile and able to adapt new solutions to problems.
• Includes a wide-range of diverse input in the development of implementation plans or problem solving activities.
• Provides specific directives and expectations for all staff levels as new processes and concepts are implemented.
• Constantly learns and experiments with new concepts and encourages others to do so as well
• Provides an environment that encourages creativity and insight.
• Listens to and supports all staff as they move through the change process, recognizing that everyone reacts differently to stimuli.

Contributes to improve outcomes of safety, increased quality and delivery of care to reduce injuries, near misses, complications, infection and mortality rates by:

• Maintaining and promoting a safe and clean working environment for all employees, students, visitors, patients/clients, family members and physicians and fulfilling the duties of workers under the Occupational Health and Safety Act.
• Having the right to be part of the process of identifying and resolving workplace health and safety concerns. This right is expressed through worker membership on joint health and safety committees, or through worker health and safety representatives.
• Having the right to know about any potential hazards to which they may be exposed. This means the right to be trained and to have information on machinery, equipment, working conditions, processes and hazardous substances.
• Having the right to refuse work that they believe is dangerous to either their own health and safety or that of another worker. Members of the joint health and safety committee who are "certified" have the right to stop work that is dangerous to any worker.
• Reporting and documenting any observed risks or hazards to management personnel and taking immediate corrective action whenever safe and feasible .
• Acting in accordance with hospital patient safety policies and programs.
• Responding to safety risks to clients and takes action in situations where client safety and well-being are compromised.
• Reporting any observed risks to the appropriate authority whose actions or behaviours towards clients are unsafe or unprofessional.

Enhances quality of care and contributes to the development of a client centered, team-based, learning environment by:

• Consistently contributing as a member of the program team and practicing the values of Windsor Regional Hospital.
• Participating as a member of project teams or committees as appropriate.
• Participating in activities of organizational renewal and development.
• Sharing expertise and knowledge with other team members and other teams throughout the organization.
• Demonstrating respectful, courteous, caring attitudes in all interactions

maintaining and fostering confidentiality in all aspects of written and verbal communication

SKILLS/ABILITIES

• Demonstrated leadership, project management, and relationship-building skills.

• Strong interpersonal skills, including negotiation, written and verbal communication, mentoring, and coaching.

• Proven ability to work collaboratively with physicians, senior leaders, and interdisciplinary teams.

• Experience in financial management, including budgeting (operating and capital).

• Human resource management experience, including conflict resolution and performance management.

• Demonstrated commitment to patient-centred care and interdisciplinary practice models.

QUALIFICATIONS

• University degree in Health Care Administration, Business Administration, or a related field; Master’s degree preferred.

• Membership in a recognized Health Professional or Health Executive Association preferred.

• Work experience in a large hospital environment preferred.

• Proficient in application of computers, as they relate to hospital processes, management, statistical and financial accounting.

• Demonstrated knowledge of specific federal and provincial legislation related to hospital operations.

• A minimum of seven (7) years complex health-related leadership and/or managerial experience or an equivalent combination of education and experience required.

• Ability to communicate in the French Language would be considered an asset.

Windsor Regional Hospital is an equal opportunity employer. In accordance with the Accessibility for Ontarians with Disabilities Act, 2005, upon request, accommodation will be provided by WRH throughout the recruitment, selection and/or assessment process to applicants with disabilities.