JOB DESCRIPTION

The Director for Quality, Compliance and Accreditation is responsible for leading processes/workflow to embed quality practices throughout the operational and educational programs for the Department of Medical Education. The Director will oversee all aspects of preparing for the medical school's LCME review; will maintain detailed knowledge of medical school policies and regulatory requirements of federal and state agencies; serves as Coordinator for the LCME Institutional Self-Study and as such monitors preparation timelines and committee operations, develops reports, and prepares submissions of all required documents for accreditation; ensures prompt and accurate submission of all AAMC and LCME required forms and requests; participates in monitoring all LCME standards for the medical school; works with all units in the Department of Medical Education to ensure that LCME requirements are met for successful accreditation; works with division chiefs to improve processes and conduct quality audits; works with the Associate Deans on strategic and operational planning, and overall quality and compliance for all areas of the Department of Medical Education.

Reports to: Senior Associate Dean for Medical Education Administration

RESPONSIBILITIES

• Provides leadership in the development and implementation of strategies related to program and institutional compliance.

• Leads the process to develop and implement sustainable processes to collect data and evidence for continuous improvement of the educational program.

• Responsible for keeping abreast of evolving accreditation standards.

• Collects, organizes, and analyzes data by which the department will assess successes and opportunities for improvement in all areas of the student experience and the administrative process.

• Consults with deans, faculty, course and clerkship directors, and others regarding educational programs and administrative processes related to accreditation.

• Works to identify gaps in efficiency and implements corrective action to maximize effectiveness and quality.

• Creates systems to implement controls and reduce inefficiencies, both fiscally and administratively.

• Assists the departmental leadership team in achieving short and long term programmatic goals used to improve quality and compliance.

• Assists in the development and implementation of training programs to educate faculty and staff on benchmarks for the educational program.

• Assists the Senior Associate Dean in the coordination of the school's strategic plan, assessment activities, and institutional reporting requirements in support of our mission and strategic priorities.

• Provides consultation for compliance across all units of Medical Education.

• Assists all Medical Education Deans with periodic program reviews and work with faculty to revise processes when needed.

QUALIFICATIONS

• Bachelor?s Degree Required; Master?s Degree or equivalent job experience required

• Five years of experience in medical education is required

• Formal and practical experience in the principles of project management

• Experience in accreditation practices and knowledge of the Liaison Committee On medical Education standards, process and polices ? Outstanding interpersonal skills with a collaborative, team-oriented approach

• Proven problem-solving and data analysis experience

• Excellent analytical, oral, written and interpersonal communication skills required and experience with data management (data gathering and storing)

• Ability to work independently and as an effective team member

• Ability to handle multiple priorities

• Ability to maintain confidentiality

• Ability to innovate, think critically, manage change, problem solve, and implement process improvements across all areas of responsibility.

• Demonstrated ability to extract and present detailed data in different formats

Non-Bargaining Unit, 830 - Medical Education - ISM, Icahn School of Medicine

REQUIRED SKILLS

MS Excel

MS PowerPoint

MS Word

Microsoft Office Suite

Outlook

ABOUT US

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.

• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.

• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.

Explore more about this opportunity and how you can help us write a new chapter in our history!

“About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.”

EOE Minorities/Women/Disabled/Veterans

Requisition ID : 3011376