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 preparation 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; under the direction of the Senior Associate Deans of the department, leads strategic and operational planning and overall quality and compliance for all areas of the Department of Medical Education.
Reports to: Senior Associate Dean for Assessment, Evaluation, and Accreditation (AEA)
Qualifications
Bachelor's Degree Required; Master's Degree or equivalent job experience required
Required qualifications and related experience
Five years of experience in higher education or medical education is required
Formal and practical experience in the principles of project management
Outstanding interpersonal skills with a collaborative, team-oriented approach
Proven analytical and problem-solving expertise with the ability to assess complex issues, identify risks, and drive effective and solution-oriented strategies
Excellent analytical, oral, written communication skills
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
Preferred skills and experience
Experience in accreditation practices and knowledge of the Liaison Committee on Medical Education standards, process, and polices
Experience with data management, including data collection and storage
Compensation Statement
The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $86,772.00 - $150,000.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Non-Bargaining Unit, 830 - Medical Education - ISM, Icahn School of Medicine
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.
Coordinates ongoing, structured reviews of LCME standards and elements with key stakeholders to support continuous quality improvement.
Maintains a centralized document management system or dashboard that reflects current evidence and compliance assessments.
Consults with deans, faculty, course and clerkship directors, and others regarding educational programs and administrative processes related to accreditation.
Oversees corrective action plan progress and timelines to ensure timely resolution of identified compliance gaps.
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 for AEA 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.
About Us
Strength through Unity and Inclusion
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next 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 48,000 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 more than 9,000 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, top 5 in Cardiology/Heart Surgery, and top 20 in 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. 11 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.
Equal Opportunity Employer
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.
Compensation Statement
Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $86772 - $150000 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
