Manager Quality & Compliance

Position:

Manager – Quality & Compliance

Location: Masina Hospital Trust,

Mumbai

Type:

Full-time

| 3–5 Years Experience Required

Masina Hospital Trust

, a 120+ Years old historic multi-specialty 270 bedded Heritage Hospital in South Mumbai,

ranked

among the

Top Hospitals

as per leading surveys like Times of India & Midday & winner of various Best Hospital Awards is inviting applications for the position of Manager – Quality & Compliance. This role will be responsible for managing

NABH

compliance, statutory coordination, quality audits, and

DNB

inspections. It’s a great opportunity for professionals with 3–5 years of experience who are looking to step into a more independent and strategic quality role within hospital operations.

Role & Responsibilities

:

Quality & NABH Compliance

- Conduct internal audits across clinical, support, and non-clinical areas - Perform gap analysis and support implementation of improvements - Maintain documentation, reports, and checklists as per NABH guidelines - Support continuous readiness for accreditation and re-accreditation - Review patient records, infection control protocols, and equipment readiness in ICU, OT, wards, ER - Ensure compliance in Pharmacy, Lab, and Radiology services - Track housekeeping, HR documentation, and biomedical waste compliance

Incident & Risk Management

- Implement an incident reporting system in all departments - Track and analyze incident trends - Conduct root cause analyses and recommend corrective actions

Statutory & Regulatory Coordination

- Coordinate with BMC and other authorities for license documentation and renewals - Maintain records of nursing home license, Fire NOC, and other statutory requirements

DNB Coordination

- Assist in DNB applications, inspections, and compliance reporting

Requirements

- 3–5 years of experience in hospital quality management - Experience with NABH standards, audit processes, and documentation - Familiarity with BMC liaison work and statutory licensing - Hands-on involvement in DNB inspections preferred - Strong organizational, documentation, and interdepartmental coordination skills

To Apply

: careers@masinahospital.com Website: www.masinahospital.com/careers