Accreditation Manager

Site: Mass General Brigham Incorporated

 

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 spits time between the Graduate Medical Education and Continuing Professional Development divisions of MGB Education. The position works closely with the Senior Accreditation Manager, GME and the Senior Program Manager of CPD and is responsible for ensuring ongoing program accreditation for Mass General Brigham-sponsored programs, including facilitating all communication with the ACGME, ACCME and Joint Accreditation. This position reports jointly to the Senior Program Manager, CPD and Senior Accreditation Manager, GME.
Essential Functions:
• Serves as a content expert on GME and CPD accreditation and provides consultative services to all levels of the organization on accreditation/regulatory topics
o Serves as the primary GME Office contact for assigned subset of accredited programs at specialty (Mass Eye and Ear, McLean Hospital, Spaulding Rehabilitation) and community (Salem, Newton Wellesley) hospitals. Works closely with the VP of GME/DIO to ensure accreditation requirements are fulfilled for those programs, including:
o Managing and supporting ADS annual updates, annual program evaluations (APE), internal, and special reviews
o Managing and supporting reporting requirements for Continuing Professional Development with the ACCME and JA
o Managing program letters of agreement
o Managing and supporting site visit preparation efforts
o Ensuring program coordinators are aware of upcoming deadlines
o Communicating with the ACGME and ensures data is provided in a timely fashion
• Responsible for organizing and leading the GME Special Reviews process, including:
o design and continuous improvement of the process
o conducting and writing reports for the assigned subset of programs as well as others as needed
o ensuring timely presentation at GMEC meetings, as well as timely and adequacy of response to SR recommendation
• Oversight and support of non-ACGME programs, including:
o Serving as the primary contact for program administrators for programs
o Setting the timeline for and conducting internal reviews of programs
o Drafting the internal review reports, working with the applicable DIO/associate DIO to finalize the reports
• Acts as lead for ensuring that the 170+ Regularly Scheduled Series (RSS’s) maintain accreditation standards, provide reporting requirements, including conflict of interest statements, and support the Senior Program Manager
• Acts as backup for responsibilities related to the accreditation management for the National Resident Matching Program.
• Presents at coordinator workshops/retreats, program director orientation, and program director retreat as directed by the Senior Accreditation Manager and Senior Program Manager
• Assist Senior Accreditation Manager in providing support for GMEC meetings as needed (assembling and distributing materials; managing A/V; taking minutes; etc)
• Assists Senior Program Manager in providing support for CPD-related committee meetings as needed.
• Assists the Senior Accreditation Manager and Senior Program Director as needed for institution-level site visits, self-evaluations 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.

 

Education

• Bachelor's degree or equivalent work experience required; Master's degree preferred

Experience

• At least 3-5 years of experience in hospital/managed care
• 2-3 years of accreditation experience
• At least 1-2 years of leadership experience preferred
• Prior ACGME, ACCME, or JA accreditation knowledge and/or experience highly preferred
• Advanced skills with Microsoft applications, which may include Outlook, Word, Excel, PowerPoint, or Access, and other web-based applications

Knowledge, Skills, and Abilities

• Knowledgeable with healthcare experience with accreditation readiness and regulatory agencies.
• Excellent time management and project management skills.
• Ability to exercise sound judgments to make decisions within scope of job responsibilities.
• Strong leadership and supervisory skills.
• Strong organizational and attention to detail skills.
• Excellent communication skills both written and oral.

 

Working Conditions:

• This is a hybrid role with roughly 3x/month at Assembly Row

 

Hybrid

 

399 Revolution Drive

 

40

 

Regular

 

Day (United States of America)

Pay Range

$78,000.00 - $113,453.60/Annual

Grade

7
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

 

Mass General Brigham Competency Framework