Graduate Medical Education Accreditation and Compliance Professional

Job Summary:

As an integral member of a four-person Accreditation & Compliance (A&C) team in the Office of Graduate Medical Education (GME) within the CU School of Medicine, this position supports GME Office program directors/managers with tracking, monitoring, and reporting of compliance with Accreditation Council for Graduate Medical Education (ACGME) and GME requirements for approximately 119 ACGME-accredited programs and 113 non-ACGME GME programs. The Academic Services Professional helps design systems for monitoring compliance, communicates directly with directors (physicians) and coordinators of GME programs, serving as a resource to assist them in fulfilling regulatory requirements for maintenance of accreditation. This position is responsible for analyzing data and using data visualization skills to communicate trends and areas of importance to GME leadership and the greater GME community. Cross responsibilities and accountabilities occur among the A&C Team.

Supervision Received: The position reports to the A&C Program Director (Position ID 694595)

Supervision Exercised: None

Key Responsibilities:

Accreditation - Program/Institutional Compliance (30%)

• Develop and maintain instructional and informational materials, including presentations to support GME process and procedure (Annual Program Evaluations, program handbooks, etc.).

• Develop communications to program coordinators and program directors regarding program outcomes and completion status of required materials.

• Respond to and resolve questions from program directors and coordinators in a timely manner, providing quality customer service.

• Extract supervision policies from program handbooks, track details specific to moderate sedation, and provide policies and details to affiliated hospitals/participating sites.

• Assist the A&C team in monitoring program submission by key deadlines, ensuring timely follow-up and resolution through GMEC and ACGME processes.

• Execute follow-up actions on items approved during monthly GMEC meetings, including drafting communications to programs on behalf of the DIO to confirm approvals, and maintaining and updating message templates as needed.

Data Systems Management & Compliance Tracking (25%)

• Initiate and proactively manage tracking systems to monitor program compliance with ACGME and GME deadlines and document submission (e.g., ACGME surveys, milestones, Annual Program Evaluations, program handbooks, crisis response teams, and resident/faculty evaluation completion) for DIO and GME leadership presentations.

• Administer GME Resident Work Hours Survey: Monthly survey preparation, facilitation, reporting, and analysis.

• Collaborate with the OIT team and provide input into the development of a PowerBI dashboard and ensure data integration across A&C outputs

• Update GME policies on GME website coinciding with any GMEC-approved policy changes.

• Develop and implement process to record annual accreditation letters and create progress report templates for programs who received accreditation citations and AFIs.

• Design and maintain email templates to notify programs of submission requirements, upcoming due dates, and overdue items, ensuring timely follow-up and compliance.

Data Analysis, Visualization & Strategic Reporting (30%)

• Analyze data from compliance sources and independently produce reports and visualization documents for DIO and GME leadership presentation to stakeholders.

• Annually develop performance dashboards for each accredited GME program to highlight key indicators and track progress on action plans

• Compile program dashboard data into department-level dashboards to be shared with Department Chairs, and an institution-level dashboard to be used for analysis by DIO.

• Collaborate with the OIT team and provide input into the development of a PowerBI dashboard and ensure data integration across A&C outputs

• Run reports from MedHub and Formstack to address various data needs.

Committee Administrative Oversight (10%)

• Serve as back-up or secondary support to the GME Business Services Professional for the following GME Committee (GMEC) and GMEC subcommittee responsibilities:

o Track attendance and maintain member records for GMEC monthly meetings and GMEC Subcommittee monthly meetings; Take notes and prepare meeting minutes for GMEC Subcommittee meetings.

o Manage Outlook calendar invitations for GMEC and GMEC subcommittee meetings, making monthly updates to recipient lists based on membership and role changes.

Onboarding, Orientation & Training (5%)

• Provide training and orientation for new program coordinators on A & C practices, maintain up-to-date training materials, and deliver presentations on Annual Program Evaluations during coordinator meetings.

• Provide administrative and event-planning support for semi-annual program director orientation, GME Essentials, and annual GME Leadership retreat.

Work Location:

Hybrid - this role is eligible for a hybrid schedule of 3 days per week on campus and as needed for in-person meetings.

Why Join Us:

Join the University of Colorado Anschutz Medical Campus, home to one of the nation's leading Graduate Medical Education (GME) programs dedicated to excellence in training the next generation of physicians. With over 100 ACGME-accredited programs and a strong commitment to innovation, community, and collaboration, our GME Office supports a vibrant network of residents and fellows across a wide range of specialties. Be part of a mission-driven team that plays a critical role in advancing education, research, and patient care at a top-tier academic medical center.

Why work for the University?

We have AMAZING benefits and offer exceptional amounts of holiday, vacation and sick leave! The University of Colorado offers an excellent benefits package including:

• Medical: Multiple plan options
• Dental: Multiple plan options
• Additional Insurance: Disability, Life, Vision
• Retirement 401(a) Plan: Employer contributes 10% of your gross pay
• Paid Time Off: Accruals over the year
• Vacation Days: 22/year (maximum accrual 352 hours)
• Sick Days: 15/year (unlimited maximum accrual)
• Holiday Days: 10/year
• Tuition Benefit: Employees have access to this benefit on all CU campuses
• ECO Pass: Reduced rate RTD Bus and light rail service

There are many additional perks & programs with the CU Advantage.

Qualifications:

Minimum Qualifications:

Intermediate:

* Bachelor's degree in education, psychology, business, public administration, health care, educational technology, social science, liberal arts, communications, accounting, finance, or a related field from an accredited institution

* One (1) or more years of professional level experience in higher education or medical education

Senior:

* Bachelor's degree in education, psychology, business, public administration, health care, educational technology, social science, liberal arts, communications, accounting, finance, or a related field from an accredited institution

* Two (2) or more years of professional level experience in higher education or medical education

A combination of education and related technical/military/paraprofessional experience may be substituted for a bachelor's degree on a year for year basis.

Applicants must meet minimum qualifications at the time of hire.

Preferred Qualifications:

• Master's degree in education, psychology, business, public administration, health care, educational technology, social science, liberal arts, communications, accounting, finance, or a related field from an accredited institution

• Experience in Graduate Medical Education.

• Experience with electronic records management in a higher education setting, specifically with MedHub residency management software

Knowledge, Skills and Abilities:

• Knowledge and experience with ACGME accreditation and interpretation of related policies and procedures.

• Ability to learn software systems. Familiarity with Sitefinity and Smartsheets a plus.

• Advanced proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, SharePoint), demonstrated advanced proficiency with sophisticated spreadsheet manipulation and data processing

• Ability to communicate effectively, both in writing and orally, with all levels of management and program leadership.

• Ability to establish and maintain effective working relationships with employees at all levels throughout the institution.

• Outstanding customer service skills.

• Excellent organizational skills including ability to prioritize multiple projects.

• Strong attention to detail and accuracy.

• Ability to complete high-volume tasks thoroughly and independently and know when to seek guidance.

• Strong analytical and problem-solving skills.

How to Apply:

For full consideration, please submit the following document(s):

1. A letter of interest describing relevant job experiences as they relate to listed job qualifications and interest in the position

2. Curriculum vitae / Resume

3. Three to five professional references, including name, address, phone number (mobile number if appropriate), and email address

Questions should be directed to: Lucinda Allen, lucinda.allen@cuanschutz.edu

Screening of Applications Begins:

Applications will be accepted until finalists are identified, but preference will be given to complete applications received by 2 weeks from posting. Those who do not apply by this date may or may not be considered.

Anticipated Pay Range:

The starting salary range (or hiring range) for this position has been established as:

• Intermediate Professional: $48,989 - $62,314

• Senior Professional: $52,961 - $67,367

The above salary range (or hiring range) represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. This position may be eligible for overtime compensation, depending on the level.

Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans and retirement contributions that add to your bottom line.

Total Compensation Calculator

Equal Employment Opportunity Statement:

CU is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing nondiscrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities.

ADA Statement:

The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at hr.adacoordinator@cuanschutz.edu.

Background Check Statement:

The University of Colorado Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.

Vaccination Statement:

CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine preventable diseases. If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the occupational health medical surveillance program.