Lead annual program evaluations, performance dashboards, and accreditation database reviews to ensure ongoing compliance with ACGME standards and drive continuous quality improvement.
Manage new program applications, site visit preparation, and work hours oversight while partnering with program leaders to maintain accreditation and institutional excellence.
Oversee non-ACGME fellowship programs and support new residency and fellowship applications to ensure compliance with institutional and accreditation requirements.
Organize Special Review teams and participate as a member. Draft resulting reports, and monitor progress with recommendations, including required Progress Reports.
Track Accreditation Citations and Areas for Improvement (AFIs), guiding programs through formulating a response until they meet standards.
Interpret and apply evolving ACGME program standards to ensure institutional and program compliance.
Lead preparation for accreditation site visits, annual institutional reporting, and policy development.
Serve as liaison to GMEC and subcommittees, ensuring effective communication, documentation, and follow-up.
Develop compliance templates, implement best practices, and contribute to strategic planning for GME.
Lead organization of new program director orientations and provide accreditation and compliance announcements/information at monthly program coordinator meetings.
Organize and coordinate annual institutional award processes (e.g. Program Director and Program Coordinator Excellence Award).
Perform special projects as required by the department, institution and/or ACGME (e.g. FTE data collection, assisting in the planning and execution of the GME Leadership Retreat, etc.)
Requirements
Bachelor’s degree in education, psychology, business, public administration, health care, educational technology, social science, liberal arts, communications, accounting, finance, library science, or a directly related field from an accredited institution
4-6 years of professional experience
Substitution: An advanced degree (Masters or Doctorate) may be substituted for experience on a year for year basis if the degree is in a field of study directly related to the work assignment.
Professional experience in Graduate Medical Education within an academic institution, encompassing both program administration and accreditation
Masters or Doctoral Degree from an accredited college or university in a related field
Knowledge of and ability to apply regulatory requirements for accreditation of graduate medical education training programs at the institutional and program level
Demonstrated ability to establish work priorities, research and resolve problems, delegate assignments as appropriate and follow through with minimal direction to ensure completion of activities
Skills in analyzing and interpreting policies, procedures, reports, data, etc.
Proven attention to detail in managing documents and accountability in a highly professional environment
Ability to plan, organize, implement and direct educational and administrative activities
Demonstrated ability to utilize specialized software programs
Strong ability to work collaboratively as a team with all members of the GME staff to accomplish the goals and objectives of the institution
Outstanding interpersonal skills and ability to work with and communicate effectively with individuals with diverse training and backgrounds, as well as all levels of management in both a written and verbal capacity
Proven experience in leading and managing a highly accountable work environment.
Experience with Microsoft programs (MS Word, Excel, Access, PowerPoint and Outlook)
Benefits
Medical: Multiple plan options
Dental: Multiple plan options
Additional Insurance: Disability, Life, Vision
Retirement 401(a) Plan: Employer contributes 10% of your gross pay