New

Accreditation Manager

Mass General Brigham (Enterprise Services)
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Aug 05, 2025
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 oServes 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: oManaging and supporting ADS annual updates, annual program evaluations (APE), internal, and special reviews oManaging and supporting reporting requirements for Continuing Professional Development with the ACCME and JA oManaging program letters of agreement oManaging and supporting site visit preparation efforts oEnsuring 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: odesign and continuous improvement of the process oconducting and writing reports for the assigned subset of programs as well as others as needed oensuring timely presentation at GMEC meetings, as well as timely and adequacy of response to SR recommendation * Oversight and support of non-ACGME programs, including: oServing as the primary contact for program administrators for programs oSetting the timeline for and conducting internal reviews of programs oDrafting 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 Mass General Brigham Incorporated is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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.