Accreditation Manager

Mass General Brigham•Somerville, MA

1d•Hybrid

About The Position

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary The Accreditation Manager works closely with the Senior Accreditation Manager and is responsible for ensuring ongoing program accreditation for Mass General Brigham sponsored programs, including facilitating all communication with the ACGME. -Serves as a content expert on GME accreditation and provides consulting services to all levels of the organization on accreditation and regulatory topics. -Serves as the primary GME Office contact for assigned subset of accredited programs. Works closely with the Designated Institutional Official (DIO) and the Senior Accreditation Manager to ensure accreditation requirements are fulfilled for those programs, including but not limited to: -Managing and supporting ADS annual updates, annual program evaluations (APE), internal and special reviews -Managing program letters of agreement -Managing and supporting site visit preparation efforts -Supporting programs with new ACGME program applications -Ensuring program administrators are aware of upcoming deadlines -Communicating with the ACGME and ensuring data is provided in a timely fashion -Responsible for supporting the GME Special Review (SR) efforts, including: -conducting and writing reports for the assigned subset of programs as well as others as needed -ensuring timely presentation of reports at the GMEC meetings, as well as timeliness and adequacy of program responses to the SR recommendation -Oversight and support of non-ACGME programs, including: Serving as the primary contact for program administrators for assigned programs -Managing and conducting internal reviews of programs -Drafting the internal review reports, working with the applicable DIO/associate DIO to finalize the reports; ensuring reports are presented at GMEC meetings and subsequently distributed to programs after GMEC approval -Assisting with the administration and management of the non-ACGME survey -Ensuring institutional and program adherence to standards related to Non- Standard Training (NST) programs, as applicable -Acts as backup for responsibilities related to the accreditation management of the National Resident Matching Program. -Presents at coordinator workshops/retreats, program director orientation, and Education Leadership retreat as directed by the Senior Accreditation Manager. -Assists Senior Accreditation Manager in providing support for GMEC meetings as needed (assembling and distributing materials; managing A/V; taking minutes; etc). -Assists the Senior Accreditation Manager as needed for institutional-level site visits and reviews. -Acts as a team leader for small projects or work groups as needed, creating a collaborative and respectful team environment and improving workflows.

Requirements

Bachelor’s degree or equivalent work experience required; Master’s degree or other advanced education preferred
At least 2-3 years of project management experience required
Advanced skills with Microsoft applications, which may include Outlook, Word, Excel, PowerPoint, or Access, and other web-based applications
Summarizes and communicates complex information in a clear and understandable way to internal and external parties
Strong writing ability
Demonstrates full working knowledge of standard ACGME concepts, practices, procedures, and policies, with the ability to apply them in varied situations
Excellent interpersonal skills
Patience, persistence, and flexibility
A strong customer-service orientation and the ability to manage confidential information
Reports all required information to the ACGME and other accrediting bodies in a timely manner and in accordance with external deadlines
Responds in a timely manner to queries and requests from program staff and other constituents
Maintains up-to-date internal processes for monitoring and reporting on GME programs
Ensures favorable accreditation status for all programs under the position’s purview
Provides timely, thorough and accurate drafts of internal and special review reports

Nice To Haves

Prior ACGME accreditation knowledge and/or experience highly preferred

Responsibilities

Serves as a content expert on GME accreditation and provides consulting services to all levels of the organization on accreditation and regulatory topics.
Serves as the primary GME Office contact for assigned subset of accredited programs.
Works closely with the Designated Institutional Official (DIO) and the Senior Accreditation Manager to ensure accreditation requirements are fulfilled for those programs, including but not limited to:
Managing and supporting ADS annual updates, annual program evaluations (APE), internal and special reviews
Managing program letters of agreement
Managing and supporting site visit preparation efforts
Supporting programs with new ACGME program applications
Ensuring program administrators are aware of upcoming deadlines
Communicating with the ACGME and ensuring data is provided in a timely fashion
Responsible for supporting the GME Special Review (SR) efforts, including:
conducting and writing reports for the assigned subset of programs as well as others as needed
ensuring timely presentation of reports at the GMEC meetings, as well as timeliness and adequacy of program responses to the SR recommendation
Oversight and support of non-ACGME programs, including: Serving as the primary contact for program administrators for assigned programs
Managing and conducting internal reviews of programs
Drafting the internal review reports, working with the applicable DIO/associate DIO to finalize the reports; ensuring reports are presented at GMEC meetings and subsequently distributed to programs after GMEC approval
Assisting with the administration and management of the non-ACGME survey
Ensuring institutional and program adherence to standards related to Non- Standard Training (NST) programs, as applicable
Acts as backup for responsibilities related to the accreditation management of the National Resident Matching Program.
Presents at coordinator workshops/retreats, program director orientation, and Education Leadership retreat as directed by the Senior Accreditation Manager.
Assists Senior Accreditation Manager in providing support for GMEC meetings as needed (assembling and distributing materials; managing A/V; taking minutes; etc).
Assists the Senior Accreditation Manager as needed for institutional-level site visits and reviews.
Acts as a team leader for small projects or work groups as needed, creating a collaborative and respectful team environment and improving workflows.