Job
Description
Job Title : Manager Quality Assurance Department : Quality Assurance Reporting to : Assistant General Manager Quality Assurance Location : Akhand Jyoti Eye Hospital (Centre of Excellence) with regular visits to all satellite centres Purpose of the Role : To champion, sustain and continuously improve the Quality Management System (QMS) across the hospital network, assuring patient safety, regulatory compliance, and an all pervasive culture of excellence. Consolidated Job Description Sr. No.Broad Responsibility AreaKey Job Descriptions (JD)1Quality Management System (QMS) & Documentation Control Own the QMS and ensure alignment with NABH / ISO standards Maintain the master list of documents, SOPs, records and forms; review/approve revisions; control circulation of copies Drive periodic management review of QMS effectiveness 2. Regulatory & Statutory Compliance Monitor statutory licenses (BMW, PCB, etc.) and ensure renewals Track compliance with national/state healthcare regulations and patient-safety standards. 3. Internal Audits & Gap Assessments Prepare the annual internal-audit calendar; train auditors; approve check-lists Lead audits at base hospital and conduct gap assessments at satellite centres; ensure timely closure of NCs/CAPAs. 4. Committee & Governance Meetings ¢ Ensure Quality Steering, Infection-Control, Medication-Safety, OT-Users and other statutory committees meet at defined frequency; record & disseminate minutes; track action items. 5. Training & Competence Development ¢ Conduct induction and recurrent training on Quality Policy, Mission-Vision-Values, SOPs, patient safety, BMW, incident reporting, RCA & CAPA ¢ Coordinate calendared technical sessions with Training & Education department. 6. Patient Safety, Risk & Incident Management ¢ Lead weekly safety rounds (OT, OPD, wards, outreach camps) ¢ Maintain & update enterprise risk matrix; facilitate RCA & CAPA for all incidents/near-misses ¢ Submit quarterly risk-management report to leadership. 7. Clinical Protocol & Sterilization Oversight ¢ Verify OT sterilization logs, biological indicators, and adherence to infection-control SOPs Audit OPD, diagnostic areas and outreach camps for compliance with clinical pathways. 8. Data Analysis, Reporting & MIS ¢ Collate quality indicators, patient-flow time-motion data, incident stats and patient-feedback trends. Generate and present the monthly MIS deck to Senior Management & SIT; publish dashboards on intranet. 9. Patient Experience & Feedback Management ¢ Supervise systematic collection and statistical analysis of patient-satisfaction surveys & suggestion registers; develop improvement plans with process owners. 10.Continuous Improvement & Innovation ¢ Champion Lean/Six-Sigma or Kaizen projects to reduce waste and enhance clinical and administrative efficiency. Publish case studies and share best practices across centres. 11. Leadership & Team Management ¢ Direct and coach Trainee, Executive and Senior Executive QA staff; conduct weekly departmental huddles; perform goal-setting and appraisals Foster a culture of collaboration, learning and recognition within the QA team. 12. Stakeholder Communication & Quality Culture Promotion ¢ Act as quality ambassador; engage clinicians, nursing, admin, supply-chain and outreach teams to embed quality in every interaction. Publish quality alerts, newsletters, case studies on intranet and notice boards . Authority & Interfaces Internal : Asst General Manager QA, Department Heads, Training & Education, Nursing, OT, Outreach & Satellite Centres, Biomedical Engineering, SCM. External : Accreditation bodies (NABH/ISO), regulatory agencies, vendor auditors, donor-quality monitors. Desired Qualifications & Experience Bachelors / Masters degree in Hospital/Healthcare Administration or equivalent. 3+ years in hospital QA/QI; prior exposure to eye-care settings preferred. Key Competencies Deep knowledge of clinical governance, infection prevention, and ophthalmic clinical pathways. Data-analytic acumen; proficiency in Excel, QI dashboards & statistical tools. Influencing, coaching and change-management skills.
