Posting Details

Position Information

Posting Number SRGV3943 Working Title DIRECTOR OF ACCREDITATION, SCHOOL OF MEDICINE Number of Vacancies 1 Location Edinburg, Texas Department School of Medicine FTE 1.0 FLSA Exempt Scope of Job

The University of Texas Rio Grande Valley School of Medicine (SOM) requires ongoing continuous quality improvement oversight that is integrated with the institutional strategic priorities and national accreditation standards. Ensure compliance with all School of Medicine accreditation standards and progress toward success on institutional strategic goals. Work closely with the Assessment, Evaluation, and Continuous Quality Improvement (CQI) leads which manage much of the data relevant to accreditation.

Description of Duties

•Responsible for keeping abreast of SOM evolving accreditation standards, overseeing the preparation and timely submission of requirements of the Liaison Committee on Medical Education (LCME) and processes for monitoring compliance with accreditation standards and documenting continuous quality improvement initiatives.
•Advises SOM leadership on matters related to LCME, program evaluations, and reviews.
•Oversees the LCME accreditation process for SOM in collaboration with the Vice Dean for Academic Affairs.
•Develops short and long-range plans, conceptual designs, budget requirements and documentation for assigned area.
•Advices senior leadership on accreditation and continuous quality improvement functions related to accreditation.
•Ensures all LCME accreditation requirements are documented and processed in accordance with established timelines, including completion of annual reporting requirements and preparing for cyclical accreditation reviews and site visits.
•In collaboration with the Vice Dean for Academic Affairs, provides leadership and oversight in conducting the LCME Institutional Self-Study, including setting timelines, overseeing steering committee operations, developing reports, and supervising preparation of draft and final submissions of all required documents.
•Works to ensure alignment of SOM website information with LCME documentation.
•In collaboration with the Assistant Dean for Assessment and Evaluation and CQI Manager, communicates with appropriate administrators and committees to ensure alignment of accreditation requirements with CQI processes and the SOM strategic plan.
•Assists with the collection, analysis and synthesis of pertinent accreditation and quality improvement data for communication and required reporting to relevant stakeholders and the Accreditation Review and Continuous Quality Improvement Committee (ARCQI).
•Oversees and participates in the hiring, training, and evaluation of staff.
•Reviews and analyzes continuous quality improvement dashboards pertinent to accreditation.
•Tracks and ensures pertinent LCME requirements.
•Supports SOM in completing accreditation requirements required by the University related to Southern Association of Colleges and Schools Commission on Colleges (SACS-COC).
•Performs other duties as assigned by the Vice Dean for Academic Affairs.

Supervision Received

General supervision from the Vice Dean for Academic Affairs.

Supervision Given

Direct supervision of assigned staff.

Required Education

Master’s degree from an accredited university.

Preferred Education

Master’s degree in business, healthcare administration, higher education or other healthcare professional or administration field.



Required Experience

Five (5) years’ experience in accreditation and/or project management, with a minimum of (3) years’ experience working in a healthcare or academic medical setting.

Preferred Experience

Knowledge of LCME processes, procedures, timelines, standards and compliance issues, including affiliation agreements with clinical partners; continuous quality improvement processes; and project management experience.


Use of standard office equipment.

Working Conditions

Needs to be able to successfully perform all required duties. Office Environment; some travel and weekend work is required.


Exceptional planning and organizational skills.

Physical Capabilities


Employment Category Full-Time Minimum Salary Commensurate with Experience Posted Salary Commensurate with Experience Position Available Date 05/28/2019 Grant Funded Position No If Yes, Provide Grant Expiration Date Posting Detail Information

EEO Statement

UTRGV is an Affirmative Action/Equal Opportunity Employer that strives to hire without regard to race, color, national origin, sex, age, religion, disability, sexual orientation, gender identity or expression, genetic information or veteran status. UTRGV takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.

Special Instructions to Applicants

Dear Applicant,

Human Resources will not be held responsible for redacting any confidential information from the documents you attach with your application. The confidential information includes the following:

*Date of Birth

Please make sure that you omit this information prior to submission. We are advising that Human Resources will be forwarding your application to the department as per your submission. The University of Texas Rio Grande Valley reserves the right to discontinue accepting applications prior to the stated close date of this position, after meeting the posting requirement of three (3) calendar days.

If you have any questions, please do not hesitate to contact us at (956)665-2451 and/or [email protected]

Additional Information

UTRGV is a distributed location institution and working location is subject to change based on need.

All UTRGV employees are required to have a criminal background check (CBC). Incomplete applications will not be considered.

Substitutions to the above requirements must have prior approval from the Chief Human Resources Officer.

Quick Link Posting Supplemental Questions

Required fields are indicated with an asterisk (*).

  1. * Are you now, or previously, employed by The University of Texas System or any of its institutions?
    • Yes - I currently am employed by the UT System or its institutions
    • Yes - I have previously been employed by the UT System or its institutions
    • No - I have never been employed by the UT System or its institutions
  2. * Are you a current UTRGV employee?
    • Yes
    • No
  3. * Please select your highest level of completed education.
    • 6th grade education
    • 10th grade education
    • High School Diploma or GED
    • Associates Degree, Technical, or Trade School Degree/Certification or 60 Hours of College Hours
    • Bachelors Degree from an accredited university
    • Masters Degree from an accredited university
    • Ph. D. or other terminal degree from an accredited university
    • None of the above
  4. * Please provide the field of study for your education:

    (Open Ended Question)

  5. * Please indicate the number of years of full time work experience you have directly related to the position in which you are applying for:
    • Less than 1 year
    • 1 year
    • 2 years
    • 3 years
    • 4 years
    • 5 years
    • 6 years
    • 7 years
    • 8 years
    • 9 years
    • 10 years
    • Over 10 years
  6. * Do you meet the minimum requirements for this position?
    • Yes
    • No
Applicant Documents Required Documents
  1. Resume
  2. Unofficial Graduate Transcripts
Optional Documents
  1. Cover Letter/Letter of Application
  2. Curriculum Vitae
  3. Unofficial Transcripts
  4. Reference Letter 1
  5. Reference Letter 2
  6. Reference Letter 3
  7. Certifications and Licenses
  8. Training Certificates
  9. Other Document
  10. List of 3 References
  11. Unofficial Transcripts 2
  12. Unofficial Transcripts 3
  13. Letter of Interest
  14. Additional Document

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