GME Accreditation Specialist

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500034 GME Ofc (Grad Medical Educ)

Work Shift:

UR - Day (United States of America)

Range:

UR URG 108 H

Compensation Range:

$25.14 - $35.24

Responsibilities:

Provides administrative and operational support for institutional Graduate Medical Education (GME) accreditation, compliance, quality improvement, and reporting activities. Assists the Accreditation Manager in maintaining compliance with Accreditation Council for Graduate Medical Education (ACGME), institutional, and federal requirements. Supports accreditation reviews, annual program evaluation processes, 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. Collects, analyzes and documents business requirements and translates into function and system requirement specifications.

Essential Functions:

• Supports institutional accreditation activities by validating, organizing, and maintaining accreditation documentation, monitoring compliance requirements, tracking action plans, coordinating surveys, and assisting with ACGME site visit preparation and follow-up activities.
• Administers and supports Annual Program Evaluation (APE) and other institutional review processes by gathering data, monitoring submissions, validating documentation, maintaining tracking tools, preparing reports, and assisting programs with completion of required activities. Prepares reports and recommendations based upon analysis of information gathered. Works with other external departments.
• Performs duty hour compliance monitoring, analysis, and reporting. Reviews resident and fellow duty hour submissions, identifies potential violations, communicates with program personnel regarding discrepancies, prepares institutional reports, and escalates concerns to Accreditation leadership as appropriate.  Leverages operational expertise to monitor for compliance and change in systems, eliminates duplicated entries, and collaborates with others to extend data clean up efforts.
• Manages Graduate Medical Education Committee (GME) systems and databases by entering, auditing, validating, and updating accreditation, trainee, and program information.  Generates and analyzes reports, conducts user support, training, and participates in system quality improvement initiatives.  Manages auditing results. Reports and presents data to department leaders.
• Collects, analyzes, and prepares institutional data and quality metrics used in accreditation reporting, quality improvement initiatives, GMEC reporting, and operational decision-making. Maintains the dashboard and conducts data analysis.
• Coordinates accreditation-related meetings, committees, communications, training sessions, and special projects. Prepares agendas, meeting materials, minutes, and follow-up documentation.

Minimum Education & Experience:

• Bachelors degree in healthcare administration, business administration, or equivalent and 1 year of relevant experience
• 3-5 years of experience in healthcare administration, higher education administration, accreditation, compliance, quality improvement or related field strongly preferred.
• Or equivalent combination of education and experience.

Knowledge, Skills & Abilities:

• Strong organizational, interpersonal, and technical skills required.
• Ability to effectively communicate and interact with people across varying backgrounds and cultures required.
• Proficiency with Microsoft Suite, virtual collaboration tools, and Adobe required.
• Ability to prioritize and handle multiple competing demands while adhering to deadlines required.
• Ability to work autonomously and make decisions independently required.
• Access to reliable/efficient transportation required.
• Ability to interpret policies, procedures and reports strongly preferred
• Ability to maintain confidentiality and interact effectively with diverse stakeholders strongly preferred.

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.