Job
Description
Location: The role is based in Delhi, across Aastha Hospital (Vikaspuri), Maccure Janakpuri, and Maccure Dwarka. This is a full-time position with a multi-site operational responsibility. About Us: Maccure Hospitals Pvt. Ltd. is a prominent healthcare group specializing in maternity, pediatric, gynecology, and neonatal care. Our hospitals in Janakpuri and Dwarka are renowned for their services. Aastha Hospital, our sister institution, is a 50-bedded NABH-accredited multispecialty hospital that has been serving West Delhi for over 20 years. Aastha Hospital in Vikaspuri is fully NABH-accredited, Maccure Janakpuri is at the entry-level of NABH accreditation, and Maccure Dwarka is a newly launched hospital with the NABH accreditation process yet to begin. We are seeking an experienced quality leader to drive our group-wide clinical governance, SOP standardization, and NABH accreditation journey. The focus will be on process improvement, compliance, and enhancing patient safety. Role Overview: As the Senior Quality Manager, you will be responsible for leading all quality, compliance, and accreditation functions across the three hospitals. Your role will involve working closely with leadership, clinical teams, and operations to ensure adherence to protocols, excellence in documentation, and readiness for audits. Additionally, you will play a key role in fostering a strong quality culture within the organization. Key Responsibilities: - Maintain and enhance NABH accreditation at Aastha Hospital (full accreditation) - Elevate Maccure Janakpuri from entry-level to full NABH accreditation - Lead the NABH preparatory and documentation process from the ground up for Maccure Dwarka - Develop, implement, and standardize hospital SOPs, protocols, and quality manuals across all three hospitals - Conduct internal audits, gap assessments, root cause analysis (RCA), and corrective/preventive actions (CAPA) - Ensure hospital-wide compliance with infection control, biomedical waste management, fire safety, and patient rights - Provide training and mentorship on NABH 3rd & 6th Edition standards to RMOs, nurses, support staff, and unit heads - Establish a robust Quality Indicator dashboard, support data analysis, and ensure regular review cycles - Stay abreast of QCI/NABH updates, maintain communication with assessors and consultants as necessary Who Should Apply: - Minimum of 7 years of quality management experience in NABH-accredited hospitals - Proficiency in NABH 3rd & 6th Edition standards, audit formats, and compliance protocols - Demonstrated ability to manage multi-site hospital accreditations - Experience in SOP development, policy formulation, and QMS implementation - Certification as a Trained Internal Auditor in NABH or equivalent highly preferred - Proactive, process-oriented, with exceptional documentation and training skills What We Offer: - Opportunity to lead quality transformation across three hospitals at varying accreditation stages - Be part of a forward-thinking and rapidly growing healthcare group - Competitive salary and opportunities for performance-based growth To Apply: Interested candidates should send their CV with the subject line "Senior Quality Manager - NABH" to maccurehospital@gmail.com Join us in shaping a healthcare system grounded in quality, ethics, and clinical excellence. Make a significant impact on patient care in West Delhi through your leadership in quality.,
