Program Manager, Accreditation

Job Description

Align yourself with an organization that has a reputation for excellence. Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year! We offer an outstanding benefits' package, including healthcare, paid time off and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals.

What Will You Be Doing In This Role?

Job Summary

The Program Manager plans, organizes, directs, and manages all aspects of a mid to large scale recognized organizational program. Provides leadership, guidance, and direction for day-to-day program operations and administrative activities, including the authority to make independent decisions regarding program operations, administration, and governance. Leads and/or contributes to the short-term and long-term strategic planning, design, development and implementation of program objectives, processes and standards. May supervise staff as it relates to the overall management of the program.

Primary Duties & Responsibilities

• Manage the Graduate Medical Education Committee (GMEC), which includes ensuring compliance with all ACGME Sponsoring Institution requirements

• Manage all required institutional accreditation processes, including Special Reviews, institutional self-study, Annual Institutional Review, institutional site visits, CLER visits, etc.

• Ensure the Sponsoring Institution is in compliance with all ACGME Institutional Requirements and the CLER Pathways

• Partner with program leadership to ensure program compliance with the ACGME Common and Subspecialty Program Requirements and processes, including Annual Program Evaluations, site visits, Annual ADS Updates, new program applications, etc.

• Provide training and development to program administrators and program directors on accreditation topics

• Ensure non-ACGME accredited program compliance with ACGME Non-Standard Training (NST) Program Requirements

• Manage the Program Letter of Agreement (PLA), Letter of Agreement (LOA), and Training Affiliation Agreement (TAA) processes for all programs

• Serving as a consultant to program directors and program administrators on all aspects of accreditation

• Oversees and/or manages the assigned recognized organizational program and has authority for day-to-day program operations and administration. May be responsible for program development or expansion. Plans and implements program operations, determines and develops governance, processes and/or guidelines, coordinates program activities and timelines, and determines and organizes resources to meet program objectives.

• May identify program participants and lead cross-functional teams in the administration, maintenance or expansion of the program.

• Interfaces with internal and external key stakeholders including other departments, leaders across the organization, representatives from external agencies/organizations in the management of the program to provide guidance, resolve issues, grow the program, and/or implement processes and/or solutions. Identifies and defines any logistics, action items, changes, or information needed to effectively manage the program.

• Identifies growth opportunities and further efficiencies that impact the program and/or departments success and aids in development of strategic plans to achieve objectives. Evaluates feasibility, forecasting financial impact and providing recommendations or making decisions to support the success of the program. Interfaces with internal/external stakeholders to maintain and further develop program growth, community outreach activities, as well as relationship building and maintenance.

• Researches and analyzes data for evaluating performance of program or program operations, including quality assurance and trends. Makes recommendations to leadership and/or implements program changes based on findings. Provides data and/or summary findings to program participants, stakeholders, leadership, and/or cross-functional teams.

• Evaluates requests for program exceptions or changes, and determines response, escalating as necessary.

• Assesses communication and training needs, develops and implements any applicable communication, education, training, on-boarding and/or mentorship pertaining to the program. Provides regular communication to departments and leaders across the organization. Notifies stakeholders of any changes to the program. May work with cross-functional teams across multiple departments to develop communication and training materials.

• In conjunction with leadership, responsible for planning, monitoring, and managing program fiscal budgets and financials, and resolves or escalates issues.

• Maintains data system integrity and ensures quality assurance measures are followed based on departmental standard operating procedures. May provide ad hoc reporting to support recommendations observed through trend analysis for future planning and enhancements.

Qualifications

Education

Minimum of HS Diploma Required

Bachelor's Degree in Healthcare, Management or Business Preferred

Experience

Minimum of 5 years Program or Project Management experience required

Preferred Skills

Adaptable to changing environments

Ability to teach others and lead training

Strong Communication skills (interpersonal)

Strong Process Improvement Skills