Position Overview:This position plays a critical role in the administration of institutional GME operations, with a primary focus on accreditation administration and affiliate site partnerships. The position independently manages complex accreditation processes, interprets and applies accreditation requirements, facilitates and leads process improvement initiatives, oversees accreditation data and reporting systems, and coordinates institutional processes essential to maintaining GME accreditation and regulatory readiness.
The position also serves as a key administrative liaison between OGME and affiliated clinical training partners, holding joint responsibility for designated affiliate relationships and primary oversight of the annual financial addendum process across all partners. The work requires coordination across GME programs, clinical departments, affiliate organizations, MMCGME, Medical School Finance, and institutional leadership to align accreditation requirements, participating-site operations, and financial commitments.
Serving as a senior subject matter expert and supervisor, this position provides guidance and serves as a key resource to more than 135 Program Directors, 70 Program Administrators, 10 Education Managers, and additional staff across the medical school's 19 clinical departments. The role requires deep knowledge of GME and ACGME accreditation, institutional operations, and affiliation processes; substantial independent judgment; and the ability to navigate complex issues involving multiple internal and external stakeholders. The role regularly consults with the Executive Director and other senior leaders, escalates complex issues as needed, and contributes to the development and implementation of institutional policies and strategies.
Candidate Profile:The ideal candidate is a collaborative, detail-oriented and strategic thinker who thrives in a fast-paced, evolving environment. They demonstrate initiative, sound judgement, and the ability to manage shifting priorities with professionalism and composure. Successful candidates communicate clearly and respectfully, take ownership of their work, and approach challenges with a solutions-focused mindset. They are known for their reliability, attention to detail, and commitment to excellent service.
Job Duties/Responsibilities: 70%: Accreditation Administration- Leads the development, implementation, and continuous improvement of administrative and operational workflows related to accreditation across multiple programs and affiliate sites within the GME portfolio.
- Oversees the development and delivery of comprehensive training and resource materials for internal stakeholders (e.g., program administrators, education managers, faculty, and institutional partners), acting as a resource and mentor to colleagues.
- Provides strategic oversight and subject matter expertise for accreditation activities, ensuring alignment with evolving national, state, and institutional regulatory requirements.
- Manage the annual financial addendum lifecycle, partnering across MMCGME, affiliate hospitals, medical school finance, and the Dean's Office to ensure total alignment on all financial commitments.
- Expand accreditation portfolio management to encompass affiliate site relationships, leveraging evolving ACGME requirements to strengthen inter-institutional compliance.
- Apply specialized knowledge of ACGME Institutional and participating-site requirements to evaluate affiliate-related issues, identify institutional implications, and coordinate appropriate solutions with OGME leadership, programs, and affiliate partners.
- Independently manages complex accreditation processes, including planning timelines, interpreting and applying regulatory guidance, anticipating potential issues, and implementing solutions to ensure ongoing compliance and operational readiness.
- Oversees the development of accreditation data infrastructure, identifies key reporting needs, and prepares complex reports and dashboards for institutional and national review.
- Serves as advisor to GME and program leadership on accreditation-related policies and risk mitigation strategies; consults with senior administrators on program development and compliance requirements.
- Management of high-stakes accreditation processes such as ACGME annual updates, year-end close, complement and program director changes, program accreditation activities, milestone reporting and duty hour reporting.
- Leads the execution of major accreditation projects in collaboration with cross-functional teams; manages project scope, resource allocation, timelines, and outcomes.
10%: Affiliation Agreements - Contract Management Oversight - Manage the end-to-end management of affiliation agreements, from intake and evaluation through execution, renewal, and archival, ensuring compliance with internal protocols and external regulatory guidelines.
- Provide technical guidance and work direction to staff supporting day-to-day affiliation agreement processes.
- Serve as a primary point of escalation for complex, time-sensitive, or high-risk affiliation agreement issues; determine appropriate course of action and consult with OGME leadership and appropriate University partners when needed.
- Partner with stakeholders across departments and external organizations to ensure consistent understanding and use of contract systems and standards.
- Analyze affiliation agreement trends, recurring issues, and workflow needs and recommend improvements to strengthen operational effectiveness.
10%: Supervision- Provides strategic oversight and direction for administrative staff responsible for contract management and operational support functions.
- Supervises, trains, and evaluates staff, ensuring clarity of roles, high performance standards, and alignment with departmental priorities.
- Partners with HR and leadership to lead recruitment efforts, make hiring decisions, and support onboarding, retention, and career growth for staff.
- Serves as a resource to staff for interpreting policies and navigating complex administrative issues; escalates matters when needed to appropriate offices or leadership.
- Oversees workload distribution and establishes systems to ensure continuity, efficiency, and accountability in day-to-day operations.
- Develops and monitors individual work plans; sets goals, provides feedback, and addresses performance concerns in coordination with HR as needed.
10%: Other Responsibilities- Leads and executes special projects and strategic improvement initiatives that enhance operational efficiency and regulatory compliance across the GME community.
- Independently facilitates, coordinates, and provides follow-up for high-level accreditation related meetings.
- Provides cross-functional support and serves as a knowledge resource for team members, ensuring continuity of operations and promoting consistency in practices.
- Plan, facilitate, and administer high-impact meetings, including agenda development, stakeholder coordination, documentation, and post-meeting follow-up.
- Identifies opportunities for innovation and standardization across administrative processes and collaborates to implement scalable solutions.
QualificationsRequired Qualifications- BA/BS plus four years of experience or a combination of related education and work experience to equal eight years; applies knowledge and skill to a recurring task or activity with emphasis typically on precision and timeliness of execution.
- Certification from the Training Administrators of Graduate Medical Education (TAGME).
- A minimum of 3 years of experience in central Graduate Medical Education (GME) administration.
- At least 3 years of direct experience working with ACGME accreditation requirements, including interpretation and application to program and institutional contexts.
- Minimum of 3 years' experience independently managing affiliation agreements and contracts across multiple programs and partner institutions.
- Demonstrated ability to lead and execute complex projects independently, including timeline development, milestone tracking, and cross-functional collaboration.
- Intermediate to advanced proficiency with Smartsheet, including building and managing workflows, formulas, and automations to support operational efficiency.
- Strong organizational and prioritization skills with meticulous attention to detail in a fast-paced, multitasking, deadline-driven environment.
- Proven ability to manage sensitive and confidential information with discretion.
- Exceptional interpersonal, written and verbal communication skills with demonstrated ability to interact effectively across varied audiences.
- Demonstrated success building and maintaining collaborative relationships with a diverse range of stakeholders, including faculty, staff, institutional leadership, and external partners.
- Proficiency with Google Workspace (e.g., Gmail, Calendar, Docs, Drive) with the ability to develop polished reports and presentations.
- Self-directed, resourceful, and solutions-focused, with a demonstrated ability to manage shifting priorities and adapt to change professionally.
- Ability to manage stress, adapt to change, and remain professional when responding to shifting work priorities.
Preferred Qualifications- Advanced Microsoft Office skills to include Microsoft Word, Excel, PowerPoint.
- Experience using New Innovations' Residency Management Suite (RMS).
- Experience designing and implementing data tracking and management systems to support compliance, operations, or accreditation.
- Higher Education experience.
Pay and BenefitsPay Range: $38.46-$42.31 per hour ($80,000-$88,000 annually); depending on education/qualifications/experience
Time Appointment: 100% Appointment
Work Location: Hybrid; in-person average of 20-25 days per year, the rest of the time is remote
Position Type: Civil-Service & Non-Faculty Labor Represented Staff
Please visit the Office of Human Resources website for more information regarding benefit eligibility.
The University offers a comprehensive benefits package that includes:
- Competitive wages, paid holidays, and generous time off
- Continuous learning opportunities through professional training and degree-seeking programs supported by the Regents Tuition Benefit Program
- Low-cost medical, dental, and pharmacy plans
- Healthcare and dependent care flexible spending accounts
- University HSA contributions
- Disability and employer-paid life insurance
- Employee wellbeing program
- Excellent retirement plans with employer contribution
- Public Service Loan Forgiveness (PSLF) opportunity
- Financial counseling services
- Employee Assistance Program with eight sessions of counseling at no cost
- Employee Transit Pass with free or reduced rates in the Twin Cities metro area
While our salary ranges provide a framework, it is important to note that most of the
time, the initial pay may not reach the maximum of the range. This approach en
