GME Director, Accreditation, Compliance & Quality Improvement

Responsible for the management of accreditation activities and special projects for the Long School of Medicine related to the Accreditation Council for Graduate Medical Education (ACGME) compliance, accreditation, recognition and monitoring. Develops and implements quality improvement strategies and directs various accreditation activities, including compliance monitoring, strategic planning, new program development for accredited and non-accredited, nationally recognized training programs and other projects as needed. Serves as a key liaison to the Long School of Medicine (LSOM) and GME leadership, Clinical Programs and Departments, and other University offices regarding accreditation.  Supports ACGME oversight process to include preparation for the Sponsoring Institution ACGME accreditation Site Visit and Self-Study, Accreditation Data System (ADS) update reviews, Annual and Periodic Program Evaluations, Mock Site Visit preparation, maintenance of Institutional ACGME Recognition status for Non-Standard Training Programs, Clinical Learning Environment Review (CLER) Site Visit preparation and other duties as assigned by the Designated Institutional Official (DIO). 

• Plans, designs, implements, and manages ongoing accreditation processes for the Long School of Medicine, OGME including divisional communications, and project management.
• Develops and implements quality improvement strategies for LSOM Graduate Medical Education (GME) Sponsoring Institution (SI)/University initiatives and establishes processes that align with compliance, accreditation and recognition standards and strategic plans.
• Provides institutional and program compliance oversight and guidance relative to the School Designated Institutional Official (DIO), Association/Assistant Deans and institutional accreditors benchmarks, and fiscal and reporting requirements.
• Provides oversight of the development of operational timelines and milestone estimates from teams; coordinates efforts between various stakeholders; coordinates project activities; assigns tasks and provides guidance to personnel responsible for specific functions or phases of a project.
• Develops and maintains primary timetable for accreditation reviews and reporting.
• Designs and coordinates data collection activities, tools, and templates for accreditation reviews across institutional offices, and synthesizes information for reporting to accreditation bodies.
• Represents the SI to various institutional divisions, governmental agencies, vendors, residents/fellows and external constituents on matters involving accreditation.
• Initiates, organizes and staffs the SI self-study, CLER and ACGME Institutional Site Visit; Overseeing the the preparation and timely submission of accreditation documentation.
• Maintains the SI GME policy library; ensures that WebADS, Ni, and Policies are up-to-date, accurate and consistent with easy access for all constituents.
• Recommends and participates in the development of SI and program policies and procedures; will serve on SI GMEC, Annual Institutional Review (AIR), and Clinical Learning Environment Review (CLER) committees.
• Advises the SI and its committees to ensure consistent compliance with the on-going compliance, accreditation and recognition requirements.
• Provides direct support for oversight compliance of Non-Standard Training (NST) and Non-accredited GME programs and Handbook of Operating (HOP) policies for the SI.
• Performs all other duties as assigned.

• Critical Thinking Skills - Ability to arrive at accurate conclusions and solutions by visualizing new potentials, and by identifying, defining and analyzing problems and situations using rational and intuitive processes.
• Leadership - Ability to attract and mobilize energies and talents; to work towards a shared purpose in the best interests of the organization, the people comprising it and the people it serves.
• Communication - Ability to shape others understanding at an institutional level in ways that capture interest, inform and gain support.
• Project Management - Ability to coordinate the diverse components of complex, institutional level projects by quality project planning, execution and change control to achieve required balance of time, cost and quality.
• Teamwork - Builds and maintains positive working relationships, within individual work groups and across departments, through open communication and collaboration; works with others to accomplish goals and objectives.
• Business Acumen - Demonstrates a clear understanding of all areas of the business (education