Healthcare Quality Executive/ Assistant Manager

Quality & Accreditation

• Implement and maintain NABH/NABL standards across clinical and non-clinical departments.
• Prepare, review, and update SOPs, policies, manuals, and quality documentation.
• Support departments during internal and external audits, accreditation visits, and compliance checks.

Audits & Compliance

• Conduct regular internal audits, facility rounds, and gap assessments.
• Identify non-conformities and drive Corrective & Preventive Actions (CAPA).
• Ensure statutory and regulatory compliance (BMW, Fire Safety, Radiation Safety, etc.).

Quality Indicators & Data Management

• Collect, validate, and analyse Quality Indicators (QIs) and KPIs.
• Develop and maintain dashboards, monthly reports, and data presentations.
• Support the digitization of quality processes and monitoring systems.

Patient Safety & Incident Management

• Monitor incident reporting, perform preliminary investigations, and support RCA.
• Coordinate patient safety initiatives, clinical audits, and improvement projects.
• Track and follow up on action plans with stakeholders.

Training & Capacity Building

• Conduct and/or coordinate staff training, awareness sessions, and mock drills.
• Assist in competency assessments related to quality and patient safety standards.
• Promote a culture of continuous improvement across the hospital.

Team Support (For Assistant Manager Level )

• Lead, mentor, and guide Quality Executives/Coordinators.
• Take charge of accreditation planning, project management, and interdepartmental coordination.
• Prepare management reports and represent the department in committee meetings.

Skills & Competencies:

• Strong knowledge of NABH 5th Edition and hospital quality systems.
• Excellent documentation, auditing, and analytical skills.
• Good communication, coordination, and presen

  tation capabilities.

Proficiency in MS Office (Excel, PowerPoint, Word).

Leadership and problem-solving skills (required for Assistant Manager level).

Preferred candidate profile

• Minimum 2 yrs of exp in the quality department in a Hospital only
• Graduate/PG in Hospital management/Administration or any equivalent field of study