The Wright Center for Graduate Medical Education · 11 hours ago
Director, Educational Compliance
Scranton, PA
Full-time
Onsite
Director/Executive
7+ years expThe Wright Center for Graduate Medical Education is seeking a Director of Educational Compliance responsible for ensuring adherence to standards set by various accreditation bodies. This role involves conducting compliance reviews, providing training, and overseeing compliance tracking related to educational programs.
Higher Education
Responsibilities
Promote the mission, vision, and values of the organization and act as an ambassador for our mission internally and externally
Provide consulting to staff and leadership on educational and compliance best practices and methods
Conduct risk assessments and identify potential compliance issues related to applicable standards, policies, procedures, laws, rules, regulations and accreditation requirements for all educational accrediting agencies as applicable to TWCGME
Conduct compliance reviews of all clinical learning environments each year as they relate to ACGME requirements and program compliance
Assist the GME department in resolving compliance issues by providing individual technical assistance, introducing tools and participating in reviews
Ensure compliance of the 360°resident/fellow evaluations and timely submission by all stakeholders with regular reports to executive management
Ensure compliance with training requirements and expectations, including contract deliverables
Provide training and education on compliance topics related to graduate medical education and academic affairs
Ensure that educational compliance metrics are monitored, tracked and reported to the DIO, Program Directors and educational leadership in accordance with the policies and procedures
Prepare and present reports on educational compliance activities and necessary improvements to staff, executive management, and governance quarterly and more often as requested
Oversee compliance tracking and reporting related to regulatory agency requirements
Actively participate in GME weekly Level 10 and huddles, clinical operations Level 10, compliance Level 10 and other meetings as necessary
Prepare and present 5 to 10 minute compliance education on varying topics at the GME level 10 meetings
Develop a slide presentation for GME Board meetings on compliance education and compliance update
Lead the development, implement and auditing of the Educational components of the Compliance Program in accordance with accreditation standards such as ACGME, CMS and HRSA guidelines and other applicable regulatory agencies
Ensure compliance with all GME policies including the development, review and revision of those policies as they relate to the Sponsoring Institution and all programs accredited by the ACGME
Ensure regular auditing of the GME policies as they relate to the Sponsoring Institution and all programs accredited by the ACGME
Ensure that standard operating procedures for GME are created and implemented
Perform quarterly audits with the credentialing department to ensure all residents/fellows are current with certifications and licensure in accordance with local, state and federal regulations
Upon request from senior leadership, assume direct leadership oversight to ensure that all identified compliance issues are remediated and addressed, and that any GME policies or procedures that executive management or the Chief Compliance Officer believe is in need of attention in order to meet ACGME and other agency compliance obligations
Monitor and report investigations and outcomes of SAFE reports as they relate to GME, academic affairs, and learning environments
Review and re-assess improvements made as a result of compliance interventions and SAFE reports, PDSAs and root cause analyses
Ensure compliance with the ACGME Sponsoring Institutional Requirements and to ensure that each of the ACGME accredited programs are in compliance with the ACGME Institutional, Common and specialty/subspecialty - specific Program and Recognition requirements by performing Compliance Risk Assessments and Management with periodic internal and external audits including but not limited to: Ensuring written policies and procedures are created, reviewed and revised as they relate to topics such as resident and fellow appointments, promotion, appointment/contract, renewal and dismissal, grievances, professional liability, health and disability insurance, PTO and leave of absence, resident services to include access to behavioral health services, physician impairment, harassment, accommodation for disabilities and discrimination, supervision, clinical and educational work hours, vendor interactions, non competition, substantial disruptions in patient care or education, closures and reductions; Ensuring compliance with the Clinical Learning Environment Review Program; Ensuring regular and effective compliance education and training, related to ACGME requirements and compliance expectation is provided and documented for all employees, and learners; Investigating and documenting any violations of compliance policies, regulations, or statutes promptly with reporting to the VP Chief Compliance Officer and the Office of the DIO; Ensuring there are processes and consequences in place for residents, fellows and learners who fail to meet compliance standards of conduct, policies, and procedures. This should follow the employee discipline policy process in consultation with Human Resources or for students of other educational institutions,collaboration with that institution; Developing and ensuring compliance with risk assessments of the educational requirements program and identifying trends to reduce the risk and by detecting deficiencies to prevent loss or future loss; Validating that corrective action plan(s) are implemented to minimize risk to the programs; and Ensuring effective interviews of stakeholders and reporting findings as well as next steps
Education_requirements':['Bachelor’s Degree in Business, Healthcare Administration or similar field.']
Qualification
Required
Meet The Wright Center for Community Health and its affiliated Enterprise entities' EOS People Analyzer Tool
Buy in and experience working in the EOS® model (strongly preferred)
At least a Bachelor's Degree in Business, Healthcare Administration or similar field
7+ years experience in a healthcare or educational compliance role
Compliance certification a plus
In-depth knowledge and experience with education, especially the ACGME, CMS
HRSA, CODA and LCME
In-depth knowledge of local, federal and state healthcare laws, rules, and regulations
Strong analytical and problem-solving skills
Attention to detail and organizational abilities in order to prioritize overlapping and/or conflicting requests
Previous experience with an electronic health record preferred
Proficiency in Google and Microsoft platforms, programs and processes
Effective communication and interpersonal skills
Maintain positive, professional office relationships
Ability to work independently or with a team
Strong leadership skills in order to influence organizational culture and behavior
Demonstrate responsibility for personal work habits and self-care
Maintain patient and employee confidentiality and professional standards as established by applicable laws, rules, regulations and internal policies and procedures
Ability to handle multiple deadlines and to work in a busy, very dynamic environment
Ability to provide opportunities and resources to enable employees to successfully perform
Company
The Wright Center for Graduate Medical Education
The Wright Center’s Internal Medicine, Family Medicine and Psychiatry Residencies, as well as our Cardiovascular Disease and Gastroenterology Fellowships, were designed to empower residents as innovators and nimble leaders responsive to the needs of the community they serve.
201-500 employees
H1B Sponsorship
The Wright Center for Graduate Medical Education has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (6)
2024 (2)
2023 (6)
2022 (5)
2021 (8)
2020 (29)
Funding
Current Stage
Growth StageLeadership Team
Linda Thomas-Hemak
President and CEO
Sandra Yastremski CPA
Chief Financial Officer
Company data provided by crunchbase