<p>Job Description</p> <p>POSITION OBJECTIVE</p> <p>Responsible for organizing, coordinating, and administering all aspects of medical education accreditation and quality improvement processes. Once such process is the Liaison Committee on Medical Education (LCME). LCME accreditation requires quality assurance to ensure MD programs meet established national standards. This process fosters institutional and programmatic improvement on a continuous loop. To achieve and maintain accreditation, a medical education program leading to the MD degree in the United States must meet LCME accreditation standards. The manager is responsible for accruing evidence, providing documentation, and updating and synthesizing data to facilitate accreditation and continuous quality improvement efforts for the School of Medicine¿s medical education mission. This individual will develop and monitor policies and procedures related to medical education accreditation and continuous quality improvement. The manager will be an integral accreditation advisor for the medical school¿s accreditation initiatives. The manager plans, implements, directs, and facilitates activities that reinforce the School of Medicine¿s ability to achieve and remain a successfully accredited educational organization.</p> <p>ESSENTIAL FUNCTIONS</p> <ul> <li>Provide expert guidance and oversight on activities associated with the accreditation and quality improvement process. Lead and coordinate evolving accreditation standards, overseeing the preparation, refinement, and timely submission of School of Medicine documents which are maintained on a regular basis. Oversee processes for monitoring compliance with accreditation standards and within continuous quality improvement plans; document, lead, and coordinate continuous quality improvement initiatives for the external and internal processes; lead and coordinate regulatory site visits, ensure accreditation requirements are documented and processed in accordance with established timelines, including completion of all reporting requirements and preparation for cyclical accreditation reviews and site visits. (30%) </li><li>Effectively direct activities related to the continuous quality improvement plan and accreditation. This includes but is not limited to communications, required reporting, continuous quality improvement data collection, analysis, and implementation. Related such tasks include, maintaining up to date documentation, data collection, data reporting, documentation revisions and submissions, and version control procedures. Develop content related to the accreditation/ continuous quality improvement processes and site visit information for internal and external-facing communications. Advise and collaborate with internal and external partners on continuous quality improvement / accreditation processes. Develop and maintain specialized training to ensure faculty and staff stay abreast of compliance and accreditation requirements. (20%) </li><li>Manage the timeliness and logistics of self-study processes, including but not limited to all aspects of mock site visits, accreditation site visits, and accreditation-related meetings and workshops. Proof all aspects of the LCME data collection instrument (a document of 1,000 to 1,500 pages), including follow-up reports, accreditation updates, progress reports, and responses to citations. Serves as the principal administrative contact for the accreditation/continuous quality improvement team. Serve as the administrative lead of accreditation/CQI-related committees and activities. (20%) </li><li>Collect, analyze, and synthesize pertinent accreditation and quality improvement data, including relevant internal evaluation/continuous quality improvement data and independent student analysis and graduation questionnaire results. Create and manage dashboards to inform data-driven decision making. (15%) </li><li>Responsible for the development, maintenance, organization, and publication of educational policies, charges, and related proceedings, ensuring that all practices adhere to the standards of accreditation. Create, maintain, implement, and train stakeholders on procedures for determined standardized processes. This responsibility involves working closely with a diverse group of academic, administrative, and technical stakeholders to foster alignment across departments and ensure policies are up to date, approved, accurate, and available. (10%) </li></ul> <p>NONESSENTIAL FUNCTIONS</p> <ul> <li>In conjunction with the director of operations and office of general counsel, assists with the negotiation, management, and ongoing maintenance of affiliation agreements and/or memorandum of agreement with external educational sites, ensuring compliance with accreditation requirements. Serve at the primary point of contact for managing the affiliation agreement repository. (5%) </li><li>Perform other duties as assigned within medical education and accreditation. (<1%) </li></ul> <p>CONTACTS</p> <p>Department: Continuous contact with all faculty and staff, including the vice dean for medical education and director of continuous quality improvement, to organize and communicate accreditation needs and performance improvement efforts.</p> <p>University: Frequent contact with the medical school dean, chief of staff, vice dean for finance, associate dean for space and facilities for accreditation purposes, information sharing, and data collection.</p> <p>External: Regular contact with LCME staff and reviewers to solicit and provide information before, during, and after the formal LCME site visits.</p> <p>Students: Moderate contact with students for surveys and various medical education committees.</p> <p>SUPERVISORY RESPONSIBILITY</p> <p>No direct supervisory responsibilities. Will delegate committee logistical tasks to the vice dean¿s executive assistant.</p> <p>QUALIFICATIONS</p> <p>Experience: 3 to 5 years of experience. In-depth knowledge of LCME or similar accreditation processes (e.g., ACGME), procedures, timelines, standards and compliance issues, continuous quality improvement processes, and/or project management experience.</p> <p>Education/Licensing: Bachelor¿s degree required. Master¿s degree preferred.</p> <p>REQUIRED SKILLS</p> <ul> <li>Knowledge of program level and institutional level accreditation requirements and processes. Knowledge of LCME is preferred but not required. </li><li>Knowledge of data collection, analytics, and decision-making tools to inform strategic planning and continuous quality improvement efforts. </li><li>Skills in project management at all phases regardless of where in process. </li><li>Proficient in Microsoft Windows, Microsoft Office: Excel, Word, and PowerPoint, and web navigation techniques. Data collection and presentation skills (Qualtrics). Preference for basic statistical packages. </li><li>Superior interpersonal verbal and written communication skills in interactions with students, faculty, administrators, and outside agencies. Ability to interact with colleagues, supervisors, and customers face to face. </li><li>Ability to communicate effectively verbally and written, including technical writing. </li><li>Skills to coordinate efforts of multiple groups. </li><li>Ability to commit to cultural diversity and equal opportunity. </li><li>Experience with data collection, database management, and data analysis. </li><li>Demonstrated history of successful support, education, and advocacy for all students, aligned with the values, mission, and messaging of the university, while adhering to the staff policy on conflict of commitment and interest. </li><li>Ability to interact with colleagues, supervisors, and customers face to face. </li><li>Proven organizational skills, including organizing and managing multiple projects and processes simultaneously. </li></ul> <p>WORKING CONDITIONS</p> <p>General office environment. May be asked to work a fluctuating schedule. Evening hours may be necessary. This position may be eligible for the staff hybrid work program pending approval.</p>