GME Accreditation Specialist

University of Rochester

2d•$25 - $35•Onsite

About The Position

Provides administrative and operational support for institutional Graduate Medical Education (GME) accreditation, compliance, quality improvement, and reporting. Assists the Accreditation Manager in maintaining compliance with Accreditation Council for Graduate Medical Education (ACGME), institutional, and federal requirements. Supports accreditation reviews, annual program evaluations, resident and fellow duty-hour monitoring, institutional reporting, and GME system administration. Collaborates with program administrators, program directors, faculty, trainees, and institutional stakeholders to promote accreditation readiness and continuous quality improvement across residency and fellowship programs. Identifies actionable insights and recommendations; creates presentations and reports based on findings; designs ad hoc reports; and collects, analyzes, and documents business requirements, translating them into functional and system requirement specifications.

Requirements

Bachelor’s degree in healthcare administration, business administration, or equivalent, and one year of relevant experience; or an equivalent combination of education and experience.
Strong organizational, interpersonal, and technical skills.
Ability to communicate and interact effectively with people across varying backgrounds and cultures.
Proficiency with Microsoft Suite, virtual collaboration tools, and Adobe.
Ability to prioritize and manage multiple competing demands while meeting deadlines.
Ability to work autonomously and make decisions independently.
Access to reliable and efficient transportation.

Nice To Haves

Three to five years of experience in healthcare administration, higher education administration, accreditation, compliance, quality improvement, or a related field is strongly preferred.
Ability to interpret policies, procedures, and reports is strongly preferred.
Ability to maintain confidentiality and interact effectively with diverse stakeholders is strongly preferred.

Responsibilities

Validate, organize, and maintain accreditation documentation; monitor compliance requirements; track action plans; coordinate surveys; and assist with ACGME site visit preparation and follow-up.
Support Annual Program Evaluation and other institutional review processes by gathering data, monitoring submissions, validating documentation, maintaining tracking tools, preparing reports, and assisting programs with required activities.
Prepare reports and recommendations based on analyzed information and work with external departments.
Monitor, analyze, and report on duty-hour compliance; review resident and fellow submissions, identify potential violations, communicate discrepancies to program personnel, prepare institutional reports, and escalate concerns to Accreditation leadership as appropriate.
Monitor compliance and system changes, eliminate duplicated entries, and collaborate on data-cleanup efforts.
Administer GME systems and databases by entering, auditing, validating, and updating accreditation, trainee, and program information.
Generate and analyze reports, provide user support and training, participate in system quality-improvement initiatives, manage audit results, and report and present data to department leaders.
Collect, analyze, and prepare institutional data and quality metrics for accreditation reporting, quality-improvement initiatives, GMEC reporting, and operational decision-making.
Maintain the dashboard and conduct data analysis.
Coordinate accreditation-related meetings, committees, communications, training sessions, and special projects; prepare agendas, meeting materials, minutes, and follow-up documentation.