CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Job Summary / Purpose

The System Manager, Graduate Medical Education (GME) Accreditation and Compliance is responsible for the management and execution of key graduate medical functions focused on accreditation and compliance in the Physician Enterprise Academic and Faculty Affairs unit. With oversight by the System SVP, Academic and Faculty Affairs/Chief Academic Officer, Physician Enterprise, the individual in this role will be responsible for managing the system processes for GME accreditation and compliance, including review of new and expanding academic program applications, implementation of necessary accreditation functions such as program reviews, special reviews and mock site visits to facilitate compliance with accreditation standards, as per accrediting bodies.  The System Manager, Graduate Medical Education (GME) Accreditation and Compliance will also serve as a key resource and liaison to CommonSpirit Health clinical training programs, and develop training and education to enable sustainability and accreditation compliance. This role collaborates with several key units both within and outside of Physician Enterprise and will serve an integral role in advancing CommonSpirit Health as a leading learning health system. 

Essential Key Job Responsibilities

• Manage and implement system GME accreditation and compliance functions for CommonSpirit Health GME programs 
• Provide subject matter expertise for new, developing and existent CommonSpirit Health GME programs, including comprehensive review of external accreditation materials and necessary due diligence to facilitate successful accreditation applications
• Operationalize process for special reviews for non-standard and/or at-risk programs, mock reviews to facilitate accreditation readiness and site visits 
• Develop and maintain system training and educational resources for CommonSpirit academic programs and educational personnel
• Create and manage accreditation and compliance dashboard for CommonSpirit GME programs
• Develop and monitor in partnership with CommonSpirit academic programs remediation and action plans to enable accreditation compliance
• Facilitate processes and review for integration of non-standard trainees and faculty in CommonSpirit clinical and educational environments
• Prepare reports, data analysis, graphic visualization and slide presentations, including for special reviews and mock site visits, for different stakeholders and audiences
• Participate actively in academic and administrative program systematic review
• Collaborate with academic partners and programs, educational program leaders and other enterprise stakeholders and business partners to execute an aligned strategy for academics across CommonSpirit 
• Develop relationships with national, regional and local leaders to advance work of the unit
• Analyze and apply data to drive improvement and operational effectiveness
• Collaborate with a dynamic and agile team to achieve unit goals 
• Seek and leverage opportunities to acquire additional subject matter expertise in related domains of academic medicine
• Represent Academic and Faculty Affairs unit at the designation of the System SVP, Academic and Faculty Affairs/Chief Academic Officer
• Execute additional duties, special projects and engagements as assigned by Academic and Faculty Affairs leadership
• Travel expectations will include major departmental meetings, periodic system meetings, external conferences/meetings aligned with work of this unit and as designated by Academic and Faculty Affairs leadership

Required Education and Experience

• Required Bachelor’s Degree 
• Minimum 5 years experience in graduate medical education accreditation and compliance, including at least 2 years leadership experience

Required Minimum Knowledge, Skills, Abilities and Training

• Must have direct experience in graduate medical education in a large, complex academic medical organization and/or health system in academic and/or faculty affairs or related area
• Required experience in graduate medical education (GME), including responsibility for accreditation and compliance and knowledge of Accreditation Council for Graduate Medical Education (ACGME) policies/procedures, sponsoring institution and program requirements and best practice standards for excellence in GME
• Expert collaborator with ability to function with diplomacy and excellence in a complex, matrixed health system
• Working knowledge of accreditation/assessment software, including ACGME systems
• Ability to consider, integrate and apply data to drive evidence-driven solutions aligned with both local and enterprise goals

Summary of Essential Cognitive Functions

• Excellent interpersonal skills with high relational intelligence, the ability to promote effective collaboration between diverse and complex teams and with a commitment to excellence in individual and team performance
• Outstanding oral and written communication skills, including the ability to present complex information succinctly across a broad spectrum of forums, including with senior and executive leaders
• Exceptional interpersonal skills, superior organizational skills and efficiency, with meticulous attention to detail
• Ability to meet critical deadlines, manage and execute to completion multiple complex tasks/projects independently, without direct supervision and with meticulous attention to detail
• Strong work ethic, with ability to work with agility, flexibility, collaboratively and productively with organizational and external programs, partners and stakeholders
• Accountable leader with demonstrated ability to use independent judgment to solve problems with diplomacy and discretion, including management of issues with a sensitive and/or confidential nature
• Commitment to excellence in customer service
• Ability to maintain and foster professionalism and respect in all interactions with both internal and external individuals and teams
• Travel expectations will include major departmental meetings, periodic system meetings, external conferences/meetings aligned with work of this unit and as designated by Academic and Faculty Affairs leadership