University of Colorado Anschutz
Department: Office of Graduate Medical Education (GME)
Job Title: GME Accreditation and Compliance Program Manager
Position #:00851342 – Requisition #: 40649
Job Summary:
The position is one of three full-time Accreditation and Compliance Program Manager team members (along with one professional services team member) who work collaboratively to ensure regulatory compliance for the University of Colorado School of Medicine (CU SOM) Graduate Medical Education (GME) Residency and Fellowship training programs. Members of this team function as institutional experts on Accreditation Council for Graduate Medical Education (ACGME) requirements for maintenance of accreditation at both the institutional and specialty-specific levels. Accreditation and Compliance Program Managers assure that programs deliver effective educational programming and engage in adequate clinical activities to meet the regulatory requirements of the ACGME, its individual specialty/subspecialty Review Committees (RCs), as well as the requirements of the School of Medicine and the Office of the Associate Dean for Graduate Medical Education. The position provides Program Directors (physicians) and Program Coordinators (non-physicians) with educational strategies and methods designed to meet the requirements for maintenance of accreditation and to achieve excellence in education and program administration.
The Accreditation and Compliance team is responsible for ensuring that approximately 118 Graduate Medical Education physician training programs at the University of Colorado School of Medicine maintain accreditation by the Accreditation Council for Graduate Medical Education (ACGME). In addition to the accredited programs, this position provides GME oversight of approximately 112 non-ACGME-accredited GME fellowship programs. The position provides essential and required communication to stakeholders, including program coordinators, program directors, department chairs, teaching faculty, and residents/fellows.
Key Responsibilities:
ACGME Program Accreditation and Compliance – 40%
In collaboration with program directors and coordinators, complete extensive GMEC and ACGME accreditation applications to establish new residencies and fellowships, ensuring alignment with institutional policies and ACGME accreditation standards.
Educate program directors and coordinators on their specialty-specific and institutional ACGME requirements.
Site visit preparation: Organize and perform timely Midpoint Initial Accreditation Reviews and Mock Site Visits to help programs identify and address areas for improvement leading up to their ACGME site visit. Participate in site visit interviews alongside DIO.
Ensure that programs provide current information to ACGME within the regulatory guidelines and deadlines through a formal annual Accreditation Data System (ADS) Annual Update, and on an ongoing basis throughout the year, as required.
Oversee each program’s compliance with GME and ACGME requirements through review of the ACGME program’s Annual Program Evaluation. Issue a comprehensive compliance metrics dashboard to each ACGME program annually. Create additional dashboards by department.
Develop and maintain expertise in continuously evolving regulatory requirements including ACGME Common, Specialty-specific Program Requirements and Institutional Requirements.
Institutional-Level ACGME Compliance – 20%
Review & revise annually relevant GME policies and procedures impacting all GME programs, ensuring they are updated with any new regulatory requirements.
Prepare institution for and participate in institutional-level site visits from ACGME.
Organize, with the Associate Dean for GME, the monthly Graduate Medical Education Committee (GMEC) meetings, and monthly GMEC Subcommittee meetings and ensure that the content and membership satisfy ACGME requirements. Provide oversight of Subcommittee meeting agenda, minutes, membership management, and contribute to maintaining Subcommittee Charters and appointment of Chairs and Vice Chairs. Serve as voting member of GMEC.
Create GME templates using internal best practices and/or national outstanding models to assist the institution and the GME programs in meeting and exceeding compliance with ACGME standards.
Write the Annual Institutional Report in collaboration with the Associate Dean for GME/DIO and prepare slides for DIO presentation of the Report.
Submit annual institutional Accreditation Data System (ADS) update to ACGME.
Monitoring of Underperforming Programs – 15%
Organize and participate in Special Reviews, as a member of the review team. Draft resulting reports and monitor program’s progress with corrective actions through required Progress Reports.
Track Accreditation Citations and Areas for Improvement (AFIs), guiding programs through Progress Reports until they meet standards.
Non-ACGME-Accredited Program Oversight – 10%
Partner with prospective new non-ACGME-accredited programs to complete extensive GMEC applications to establish new residencies and fellowships, in compliance with all requirements.
Oversee, as part of three-member team, ongoing compliance with GME policy for ~112 non-accredited medical fellowships programs, including review of changes in program leadership, resident complement, and modifications to the original program description. For non-ACGME programs accredited by an external organization, oversee compliance to the extent required of the institutional DIO.
For ~25 programs with Non-Standard Training (NST) recognition, ensure compliance with additional ACGME NST requirements.
Other Duties as Assigned – 15%
Program Director & Coordinator Education: Lead organization of semi-annual half-day GME Essentials orientation for new program directors and associate program directors.
Special projects: Perform a variety of special projects to support departmental, institutional, and ACGME initiatives, such as FTE data collection and assistance with GME Leadership Retreat planning and execution.
Institutional Awards: Coordinate annual institutional Program Director and Program Coordinator Excellence Award process.
Participate in GME long-range and short-term strategic planning.
Work Location:
Hybrid – this role is eligible for a hybrid schedule of 3 days per week on campus and as needed for in-person meetings.
Why Join Us:
Why work for the University?
We have AMAZING benefits and offer exceptional amounts of holiday, vacation and sick leave! The University of Colorado offers an excellent benefits package including:
Medical: Multiple plan options
Dental: Multiple plan options
Additional Insurance: Disability, Life, Vision
Retirement 401(a) Plan: Employer contributes 10% of your gross pay
Paid Time Off: Accruals over the year
Vacation Days: 22/year (maximum accrual 352 hours)
Sick Days: 15/year (unlimited maximum accrual)
Holiday Days: 15/year
Tuition Benefit: Employees have access to this benefit on all CU campuses
ECO Pass: Reduced rate RTD Bus and light rail service
There are many additional perks & programs with the CU Advantage.
Qualifications:
Minimum Qualifications:
Bachelor’s degree in education, psychology, business, public administration, health care, educational technology, social science, liberal arts, communications, accounting, finance, library science, or a directly related field from an accredited institution and 4-6 years of professional experience in Graduate Medical Education (GME), academic medicine, healthcare administration, or a related field, including at least three (3) years supporting or managing ACGME-accredited residency and/or fellowship programs. Proven experience in leading and managing in a highly accountable work environment
An advanced degree (Masters or Doctorate) may be substituted for experience on a year for year basis if the degree is in a field of study directly related to the work assignment.
Applicants must meet minimum qualifications at the time of hire.
Preferred Qualifications:
Professional experience in Graduate Medical Education within an ACGME-accredited Sponsoring Institution, with progressively responsible duties related to institutional compliance, program administration, and accreditation.
Experience supporting a Designated Institutional Official (DIO), Graduate Medical Education Committee (GMEC), or institutional GME office.
Experience coordinating ACGME accreditation activities, including new program applications, ADS Annual Updates, institutional or program site visits, Annual Program Evaluations (APEs), Special Reviews, and accreditation progress reports.
Experience interpreting and applying ACGME Institutional Requirements, Common Program Requirements, and Specialty-Specific Program Requirements.
Experience developing compliance metrics, dashboards, policies, procedures, templates, or educational resources to support GME accreditation and continuous quality improvement.
Experience providing consultation, education, or training to Program Directors, Associate Program Directors, and Program Coordinators on accreditation and regulatory requirements.
Master's degree or other advanced degree from an accredited college or university in higher education administration, healthcare administration, public administration, business administration, or a closely related field.
Conditions of Employment:
Applicants must be legally authorized to work in the United States without requiring sponsorship. We are unable to provide work visa sponsorship or employment authorization for this position now or in the future.
Knowledge, Skills and Abilities:
Ability to communicate effectively, both in writing and orally.
Ability to establish and maintain effective working relationships with employees at all levels throughout the institution.
Outstanding customer service skills.
Knowledge of and ability to apply regulatory requirements for accreditation of graduate medical education training programs at the institutional and program level
Ability to apply accepted theories, practices and principles relating to the development and implementation of methods to ensure appropriate curriculum and assessment of performance for graduate medical education training programs and trainees
Demonstrated ability to establish work priorities, research and resolve problems, delegate assignments as appropriate and follow through to ensure completion of activities
Skills in analyzing and interpreting policies, procedures, reports, and data
Proven attention to detail and accountability
Ability to plan, organize, implement and coordinate educational and administrative activities
Demonstrated initiative, resourcefulness and creativity in problem-solving
Ability to work collaboratively as a team with all members of the office staff to accomplish the goals and objectives of the institution
Ability to work with and communicate effectively with individuals with diverse training and backgrounds as well as all levels of management in both written and spoken communication
Demonstrated ability to utilize specialized software programs
Demonstrated proficiency with Microsoft programs (MS Word, Excel, PowerPoint and Outlook)
How to Apply:
For full consideration, please submit the following document(s):
A letter of interest describing relevant job experiences as they relate to listed job qualifications and interest in the position
Curriculum vitae / Resume
Three to five professional references, including name, address, phone number (mobile number if appropriate), and email address
Questions should be directed to: Megham Twiss at megham.twiss@cuanschutz.edu
Screening of Applications Begins:
Immediately and continues until August 10, 2026.
Anticipated Pay Range:
The starting salary range (or hiring range) for this position has been established as $63,554 - $85,162.
The above salary range (or hiring range) represents the University’s good faith and reasonable estimate of the range of possible compensation at the time of posting. This position may be eligible for overtime compensation, depending on the level.
Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans and retirement contributions that add to your bottom line.
Equal Employment Opportunity Statement:
CU is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing nondiscrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities.
ADA Statement:
The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at hr.adacoordinator@cuanschutz.edu.
Background Check Statement:
The University of Colorado Anschutz is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.
Vaccination Statement:
CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine preventable diseases. If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the occupational health medical surveillance program.
