Executive Director, Hospital Specialties

Job Title:

Executive Director

Department:

Accreditation, Recognition, and Field Activities

FLSA Status:

Exempt

Reports to:

Chief Accreditation Officer or Senior Vice President, Accreditation

The following describes the various aspects of the designated job. Some or all of these aspects may be changed over time, with or without notice, at the sole discretion of the ACGME.

Applicants must be currently authorized to work in the United States (US) on a full-time basis. The ACGME will not provide employment sponsorship for this position (e.g., H-1B Visa or other US employment authorization

JOB OVERVIEW

The Executive Director oversees the accreditation/recognition process for the assigned specialties, subspecialties, and recognitions, as applicable; directs the flow and execution of work for the assigned Review/Recognition Committee(s), and provides guidance to committee members on ACGME requirements, policies, and procedures; oversees the planning, execution, and follow-up for Review/Recognition Committee meetings; serves as an internal and external subject matter expert on the accreditation/recognition requirements of assigned specialties/subspecialties/areas of recognition, as applicable; ensures program reviews adhere to ACGME policies and procedures and that Review/Recognition Committee decisions and actions receive proper follow-up; and oversees all communications related to assigned Review/Recognition Committee(s) and provides information and guidance to graduate medical education (GME) programs to assist them in understanding and following the accreditation/recognition processes and requirements. The Executive Director also analyzes departmental processes to measure and enhance departmental operations, including accreditation/recognition process quality and its impact on the quality of GME.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Directs every aspect of Review/Recognition Committee meeting preparation, as applicable.
• Reviews annual program data and determines the need for committee review, administrative action, or other information.
• Oversees the handling of non-accreditation/interim requests from programs and determines items to be reviewed by the committee and those to be handled administratively.
• Evaluates reviewer findings for consistency and adherence to the applicable accreditation/recognition requirements and confers with the committee chair or reviewers on accreditation/recognition recommendations.
• Directs, with the Review/Recognition Committee Chair, the execution of committee meetings and agendas.
• Advises on policies, procedures, and the application of the relevant ACGME requirements and precedents; incorporates data from ACGME sources to generate analysis for committee decision-making.
• Facilitates group consensus on accreditation/recognition actions; applies expertise on policy implications of decisions to ensure committee decisions adhere to ACGME policies and procedures.
• Oversees communication of annual accreditation decisions and follow-up after committee meetings to ensure fairness, consistency, and the presence of data or a requirement to support every citation.
• Drives communication on behalf of the assigned committee(s) to respective stakeholders on all issues impacting specialty/subspecialty accreditation/recognition, as applicable; serves as a resource to program and institutional staff members regarding the accreditation/recognition process.
• Directs the development, revision, and dissemination of the applicable specialty/subspecialty/recognition requirements, Frequently Asked Questions, and application forms; adheres to established and required formats/templates; guides the work of subcommittees; and analyzes and describes the impact of proposed changes to requirements and prepares a summary for review by the ACGME Committee on Requirements of the Board of Directors.
• Serves as the external facing representative and subject matter expert for assigned Review/Recognition Committee(s); maintains relationships and collaborates with specialty/subspecialty boards and organizations regarding shared goals; represents the ACGME at specialty/subspecialty organization meetings and ACGME-hosted events.
• Presents at and participates in major conferences and specialty/subspecialty meetings, including the ACGME Annual Educational Conference, by submitting abstracts for consideration, providing accreditation-/recognition-related updates, serving on panels, and meeting with program directors and other members of the GME community.
• Leads and/or collaborates with internal and external units in the development, review, and approval of new subspecialties, reports for the Monitoring Committee of the Board of Directors, Case Logs, and related matters.
• Directs and monitors the recruitment, onboarding, and ongoing training and mentoring of Review/Recognition Committee members.
• Leads and establishes efficient and effective procedures and processes to complete accreditation-/recognition-related tasks and projects and improve department-wide operations; serves on departmental committees and leads standardization, quality assurance, and quality improvement initiatives as assigned.
• Develops and monitors adherence to annual budgets for assigned Review/Recognition Committees; ensures compliance with ACGME financial policies related to expense reimbursement.
• Oversees the development and maintenance of all content for assigned specialty web pages.

• Other duties as assigned.

SUPERVISORY RESPONSIBILITY

Supervises, directs, and evaluates assigned staff members. Supervisory functions include: makes hiring and termination decisions; prioritizes assignments and directs work; develops and oversees employee work schedules and approves time away from work; provides and/or facilitates employee training and development; approves/processes employee concerns and problems and counsels or disciplines as appropriate; completes employee performance appraisals; determines or makes recommendations regarding new-hire salaries and salary changes; and acts as liaison between employees and Management.

QUALIFICATIONS

Minimum

• Master's degree in a relevant field of study.
• 10 years' relevant experience in GME, health care, accreditation, or education.
• Basic knowledge of statistics.
• Knowledgeable of GME, accreditation/recognition/certification systems, program evaluation, or educational research.
• Proficient with use of the internet, web-based programs, online meeting software, and Microsoft applications, specifically Word, PowerPoint, and Excel.

Preferred

• PhD or equivalent terminal degree in a relevant discipline.
• Experience with the assigned specialties/subspecialties and/or area of recognition.

REQUIRED KNOWLEDGE, SKILL SETS, AND ABILITIES

• Proven interpersonal and diplomatic skills, including the ability to work with physicians, act as a liaison with various groups, and achieve consensus with disparate stakeholders.
• Ability to interact credibly with those involved in GME.
• Demonstrated ability to successfully manage multiple simultaneous ongoing projects.
• Ability to communicate effectively in writing.
• Polished verbal and public speaking skills.
• Ability to prepare well-written correspondence appropriate to stakeholders (medical professionals in particular).
• Analytical and conceptual thinking skills, and the ability to clearly communicate analysis and ideas.
• Ability to work with and interpret data to make and justify decisions.
• Demonstrated management and team-building skills.
• Ability to lead change efforts.
• Familiarity with higher education programs and their structure, application, and accreditation.

WORK ENVIRONMENT/CONDITIONS

• This position is based in a typical office environment with no specific or unusual physical or environmental demands.
• Most of the work performed is normally done in the ACGME office and/or home office with the typical physical demands of an office environment. This is a hybrid position, where the work will be performed in the ACGME office and/or home office. Currently, the ACGME expects all staff members to work in the office two days per week. This schedule is subject to change at the discretion of the ACGME.
• This position has travel requirement based on organizational and departmental needs.