Salem Hospital NSMC
Accreditation Manager
The Accreditation Manager splits 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. Serves as the primary GME Office contact for assigned subset of accredited programs at specialty and community hospitals. Manages and supports ADS annual updates, annual program evaluations, internal, and special reviews. Manages and supports reporting requirements for Continuing Professional Development with the ACCME and JA. Manages program letters of agreement. Manages and supports site visit preparation efforts. Ensures program coordinators are aware of upcoming deadlines. Communicates with the ACGME and ensures data is provided in a timely fashion. Responsible for organizing and leading the GME Special Reviews process. Oversight and support of non-ACGME programs. Acts as lead for ensuring that the 170+ Regularly Scheduled Series (RSS's) maintain accreditation standards. 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. Assists Senior Accreditation Manager in providing support for GMEC meetings. Assists Senior Program Manager in providing support for CPD-related committee meetings. 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. Qualifications: Bachelor's degree or equivalent work experience required; Master's degree preferred. 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. Additional Job Details: This is a hybrid role with roughly 3x/month at Assembly Row. Working Conditions: Remote Type: Hybrid Work Location: 399 Revolution Drive Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Day (United States of America) Pay Range: $78,000.00 - $113,453.60/Annual Grade: 7 EEO Statement: 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. Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
The Accreditation Manager splits 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. Serves as the primary GME Office contact for assigned subset of accredited programs at specialty and community hospitals. Manages and supports ADS annual updates, annual program evaluations, internal, and special reviews. Manages and supports reporting requirements for Continuing Professional Development with the ACCME and JA. Manages program letters of agreement. Manages and supports site visit preparation efforts. Ensures program coordinators are aware of upcoming deadlines. Communicates with the ACGME and ensures data is provided in a timely fashion. Responsible for organizing and leading the GME Special Reviews process. Oversight and support of non-ACGME programs. Acts as lead for ensuring that the 170+ Regularly Scheduled Series (RSS's) maintain accreditation standards. 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. Assists Senior Accreditation Manager in providing support for GMEC meetings. Assists Senior Program Manager in providing support for CPD-related committee meetings. 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. Qualifications: Bachelor's degree or equivalent work experience required; Master's degree preferred. 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. Additional Job Details: This is a hybrid role with roughly 3x/month at Assembly Row. Working Conditions: Remote Type: Hybrid Work Location: 399 Revolution Drive Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Day (United States of America) Pay Range: $78,000.00 - $113,453.60/Annual Grade: 7 EEO Statement: 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. Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.