Job Description

Full-time, contract (12 months)

Reporting to the manager, medical imaging, the accreditation assessment officer (AAO), medical imaging, has responsibility for assessing the performance of the diagnostic service facilities, in British Columbia for the purposes of accreditation.
Primarily focused on medical imaging facilities, the AAO will also perform their duties in other diagnostic services, as well as the Non-Hospital Medical and Surgical Facilities Accreditation Program, as required.
Through on-site assessments of medical imaging facilities, the AAO writes assessment reports identifying demonstrated best practices, opportunities for improvement, and follow-up actions required to address nonconformances. In conducting the assessments, the AAO provides education and shares best practices for the purposes of improving quality and safety.
In the capacity of accreditation assessment officer, this position has delegated authority to review and sign off on evidence submitted in response to nonconformances, and to make recommendations for accreditation awards to the Diagnostic Accreditation Program (DAP) Committee.
The position requires regular travel outside of the Lower Mainland for two to three days at a time.
Duties and responsibilities
Duties include but are not limited to the following:
Assess diagnostic service facility performance
• assess the performance of medical imaging facilities in British Columbia for the purposes of accreditation
• evaluate medical imaging facility’s/service’s level of actual performance to achieving the DAP accreditation standards
• review and evaluate desktop audit submissions
Perform pre-assessment activities
• answer queries from medical imaging facilities related to the interpretation and the application of DAP accreditation standards
• assist in the development of an accreditation strategy and schedule for each diagnostic service facility including reference to any regional/corporate structure models
Perform on-site assessments
• review and evaluate evidence submissions from medical imaging facilities in accordance with DAP assessment policies and procedures
• conduct on-site assessments in accordance with DAP assessment policies and procedures
• follow up with medical imaging facilities, as required, for further information or clarification of submitted information
• provide education and share best practices for the purpose of assisting the medical imaging facilities to continually improve safety and quality
Perform post-assessment activities
• prepare reports resulting from the on-site assessments
• identify nonconformances to be addressed by medical imaging facilities with associated time frames for completion
• perform the technical quality review of reports for the other medical imaging accreditation assessment officers
• submit reports to the manager, medical imaging, within the time frame defined in the DAP service standards
• make recommendations to the DAP Committee on the appropriate level of accreditation award for medical imaging facilities assessed
Perform the activities of an accreditation officer
• conduct initial assessments of new medical imaging facilities and prepare initial assessment reports
• conduct relocation assessments as required and prepare relocation assessment reports
• conduct focused visits as required and develop focused assessment reports documenting findings from the focused visit and any recommended courses of action
• conduct focused desktop assessments as required and develop focused assessment reports documenting findings from the focused visit and any recommended courses of action
• review submissions from medical imaging facilities in response to nonconformances and determine whether the facilities have demonstrated compliance to the accreditation standard
• review extension request submissions from medical imaging facilities in response to cited nonconformances and determine whether the timeline to the cited nonconformance can be extended as per request
• follow up directly with the facility as required to clarify information or ask for additional information
• document the assessment demonstrating compliance to the nonconformance, or a recommended course of action to be taken by medical imaging facilities
• communicate and work effectively with the manager, medical imaging, and accreditation specialist as it relates to these assigned duties
• provide reports and documentation in a timely and prescribed manner to the manager, medical imaging
Other general duties
• assist with the maintenance of facility profiles, key contact lists, etc. to ensure information is current, accurate and reliable
• assist in the continuous development and maintenance of accreditation methodologies, standards, protocols, processes and tools
• participate in communication and representation activities
• facilitate meetings, forums, focus groups and workshops
• contribute to the development and maintenance of educational programs
• deliver educational programs assigned
• attend meetings and functions at the direction of the manager, medical imaging
• perform related duties as assigned
Decision-making
• identify best practices, opportunities for improvement, and follow-up actions required to address nonconformances
• make recommendations for accreditation awards to the accreditation program committees
Accountability
• inform the manager, medical imaging of any quality, safety or other risk issues related to accreditation assessment activities and ensure that any potential hazards and risks to patients and/or staff are recognized and minimized
• evaluate the activities of diagnostic facilities
• understand and respond to the requirements of facilities as they relate to the accreditation requirements
• participate in the improvement activities for quality and safety processes provided through the accreditation programs quality improvement program
• follow the policies and procedures of the College of Physicians and Surgeons of BC
• provide timely reports to the manager, medical imaging, when requested
Skills and qualifications
Required skills and qualifications include:
• registration with the Canadian Association of Medical Radiation Technologists, Sonography Canada or other relevant certification body
• a minimum of three years of recent, related experience in medical imaging
• graduation from a recognized post-secondary institution in a health-related discipline and/or five years’ experience working in a health service/system
• experience working with quality systems and accreditation programs
• experience in data collection, review, synthesis, and the qualitative and quantitative analysis of data
• completion of a program and/or courses in quality management from a recognized post-secondary institution
• evaluation and critical thinking skills
• exceptional client service skills
• facilitation of large groups
• excellent communication skills, written and oral
• ability to deliver education and orientation programs utilizing a variety of recognized adult education methodologies
• professional and business-like manner
• possession of a valid BC driver’s licence; ability and willingness to drive
The compensation range for this position is $87,392 to $109,240 per year.

The College of Physicians and Surgeons of British Columbia (CPSBC) has been recognized as one of BC's top employers since 2011 and as a certified Living Wage Employer in BC since 2025. Our goal is to attract, develop and retain highly talented employees. We offer an excellent working environment including a hybrid work-from-home/in-office model, opportunities for personal and professional growth, and a comprehensive benefits package.
CPSBC is committed to our ongoing journey to be a diverse, equitable and inclusive place to work. All interested applicants, regardless of age, family or marital status, physical or mental disability, race, colour, religion, place of origin, and ancestry, Indigenous identity, gender identity or expression, sex, sexual orientation political belief, socio-economic background, criminal conviction or any other characteristic protected by applicable law, are strongly encouraged to apply. Accommodations are available upon request for candidates taking part in the recruitment and selection process.
CPSBC values the strength diversity brings to our workplace, so if you’re excited about a career at CPSBC but your past experience doesn’t align perfectly with the current job postings or you are not ready to apply yet, we encourage you to create an employee profile in the careers portal and our HR team will be able to see your skills and proactively match you with other roles more closely aligned to your experience and skillset.
We thank all applicants for their interest; however, only those selected for interview will be contacted.
CPSBC is located on the unceded and traditional territory of the Coast Salish peoples, including the territories of the hən̓q̓əmin̓əm̓ speaking peoples―the xʷməθkʷəy̓əm (Musqueam) and sel̓íl̓witulh (Tsleil-Waututh) Nations, and the Sḵwx̱wú7mesh-ulh Sníchim speaking peoples―the Sḵwx̱wú7mesh (Squamish) Nation.
We acknowledge the rights and title of BC First Nations whose territories span across the province. These territories recognize that laws, governance, and health systems tied to lands and waters have existed here since time immemorial.