Summary/Objective

Fulfills the role of Institutional Coordinator and is responsible to the Designated Institutional Official (DIO) and the hospital's COO for
coordinating institutional and program oversight to ensure compliance with ACGME institutional and program
accreditation requirements. Responsible for advising program directors and program coordinators on ACGME and
institutional standards and providing guidance to support compliance. Serves as the primary point of contact for
program leadership across all GME programs and is responsible for mentoring and training program coordinators,
including one-on-one support as needed. Ensures accurate preparation and submission of accreditation materials
and oversees compliance-related communications and documentation across the institution.

Essential Job Duties

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Maintains responsibility for ensuring that all GME programs adhere to ACGME institutional and
common program requirements by preparing, reviewing, and updating accreditation materials,
policies, and compliance documentation.
2. Directs GME strategic initiatives, budgeting, institutional research collaboratives, onboarding and
departure processes, new residency and fellowship evaluation, and the development and
implementation of system-wide improvements.
3. Coordinates all aspects of GMEC activities, including meetings, policy reviews, accreditation
reporting, and evaluation processes that contribute to the institution's ongoing accreditation
readiness and governance.
4. Manages data collection, database systems, and reporting platforms used for institutional
oversight, ACGME submissions, and internal performance reviews, ensuring accuracy, timeliness,
and utility of data.
5. Applies expertise in medical education, credentialing, licensure, confidentiality standards, and
policy development while interacting effectively with a wide range of stakeholders and promoting
effective communication across departments.
6. Acts as liaison between hospital, DIO and program directors to accomplish hospital/ GME program
goals and objectives.

Required Education and Experience

Bachelor's degree in Health Care, Health Care Administration or a related field
Minimum of 2 years in a healthcare or academic setting, with at least 3 years of experience in an
automated office environment using computer-based systems.

Required License/Certifications

N/A