Associate Manager - Quality

Manipal Hospitals (MHEL); Bengaluru; On-site; INR 900,000 - 1,300,000; Full time

Job summary

Manipal Hospitals invites applications for a Quality Manager - Occupational Health Center (OHC) based at the Goldman Sachs Occupational Health Center, Bellandur, Bengaluru. The role drives NABH compliance, audits, and quality improvements across the OHC, collaborating with OHC leadership, clinical teams, and the Central Quality Team.

The position focuses on documentation control, accreditation readiness, and continuous quality enhancement to ensure patient safety and operational excellence

Qualifications

• Master’s degree in healthcare/quality management required.
• Experience in NABH accreditation and audits preferred.
• Strong documentation and policy development skills.
• Exposure to hospital operations and regulatory compliance.

Responsibilities

• Documentation management: develop and maintain SOPs, policies, and procedures.
• Implement quality standards with department leaders and monitor compliance.
• Coordinate NABH/accreditation activities and audits, internal and external.
• Develop, validate, and report quality indicators and data from HIS.
• Lead quality improvement projects with the Central Quality Team.
• Coordinate committee meetings and mock drills with TOR adherence.
• Deliver NABH training and promote patient safety awareness.
• Ensure statutory licenses are maintained and renewals tracked.

Skills

NABH standards

Quality audits

Documentation

Data analysis

Communication

MS Office

Hospital Information Systems

Leadership

Education

Master's Degree in Hospital Administration

Bachelor's degree in Life Sciences/Nursing/Pharmacy

NABH Internal Assessor

Tools

MS Office

Quality management software

Hospital Information Systems

Job description

Manipal Hospitals is one of India's leading healthcare providers, known for delivering high-quality, patient-centric healthcare services. As part of its commitment to providing comprehensive healthcare solutions, Manipal Hospitals manages and operates Occupational Health Centers (OHCs) for leading corporate organizations, ensuring employee well-being, preventive care, regulatory compliance, and workplace health excellence.

About the Role

The Quality Manager - Occupational Health Center (OHC) will be based at the Goldman Sachs Occupational Health Center, Bellandur, Bengaluru. The incumbent will be responsible for driving quality initiatives, ensuring NABH and regulatory compliance, managing accreditation requirements, conducting audits, implementing quality standards, monitoring quality indicators, and promoting a culture of patient safety and continuous improvement within the OHC. The role will work closely with OHC leadership, clinical teams, and the Central Quality Team to maintain the highest standards of healthcare quality and operational excellence.

Job Title: Quality Manager - OHC

Department: Quality

Reporting To: OHC Medical Director / Unit Head & Central Quality Team

Employment Type: Full-Time

About the Role

The Quality Manager is responsible for planning, implementing, monitoring, and improving quality systems across the healthcare facility. The role focuses on ensuring compliance with NABH and other accreditation standards, managing documentation, conducting audits, driving quality improvement initiatives, coordinating statutory compliance, and fostering a culture of continuous quality enhancement and patient safety.

Key Responsibilities:

Documentation Management

• Develop, review, and maintain SOPs, Manuals, Policies, and Procedures across departments.
• Maintain a comprehensive document control system and ensure timely updates.
• Coordinate with the Central Quality Team for document approvals and revisions.
• Ensure annual review and updating of all quality documents.
• Maintain records of forms and formats with appropriate numbering and version control.
• Ensure removal of obsolete documents from all departments.
• Identify and complete new documentation requirements within 15 days of request initiation.

Implementation of Quality Standards

• Identify gaps in compliance and ensure closure within one month of identification.
• Implement quality standards across the healthcare facility in coordination with departmental leaders.
• Monitor ongoing medical education programs and quality-related initiatives on a monthly basis.
• Support the implementation of NABH and other accreditation requirements.

Audits & Accreditation

• Conduct monthly quality audits.
• Coordinate and ensure completion of internal audits as per the annual audit plan.
• Facilitate cross audits, corporate audits, and accreditation assessments.
• Serve as the primary coordinator for external accreditation audits.
• Ensure timely closure of audit observations and non-conformities.
• Manage submission and verification of documents required for accreditation portals and audit closures.

Quality Indicators & Data Management

• Develop and monitor quality indicators aligned with organizational objectives and accreditation requirements.
• Ensure timely collection, validation, and submission of quality data.
• Coordinate with departments for indicator monitoring and corrective actions.
• Resolve queries related to submitted quality data.
• Ensure accurate extraction and reporting of data from HIS and other software platforms.

Quality Improvement Projects

• Facilitate quality improvement initiatives using recognized quality tools and methodologies.
• Mentor departments in identifying improvement opportunities.
• Monitor progress and outcomes of quality improvement projects as defined by the Central Quality Team.

Committee Coordination

• Ensure regular committee meetings are conducted as per Terms of Reference (TOR).
• Monitor committee action plans and compliance.
• Facilitate annual committee audits.
• Coordinate and monitor mock drills as per the approved schedule.Ensure corrective and preventive actions are implemented following drills.

Training & Quality Awareness

• Conduct training programs on NABH standards, quality policies, and patient safety initiatives.
• Educate healthcare staff on quality systems and compliance requirements.
• Promote awareness and engagement in quality improvement activities.

Statutory Compliance

• Maintain and monitor statutory licenses and regulatory requirements.
• Provide advance reminders to process owners at least three months prior to license expiry.
• Ensure timely renewals and compliance with applicable regulations.

Other Responsibilities

• Support patient safety initiatives and risk management programs.
• Prepare quality reports and presentations for management review.
• Undertake additional responsibilities assigned by management.

Qualifications

• Master's Degree in Hospital Administration (MHA), Hospital Management, Healthcare Management, Quality Management, or related field.
• Bachelor's degree in Life Sciences, Nursing, Pharmacy, Allied Health Sciences, or other healthcare disciplines may also be considered.
• NABH Internal Assessor/Quality certifications preferred.
• 3-8 years of experience in healthcare quality management, accreditation, or hospital operations.

Required Skills

• Strong knowledge of NABH standards and accreditation processes.
• Experience in quality audits and compliance management.
• Excellent documentation and policy development skills.
• Data analysis and quality indicator monitoring.
• Knowledge of patient safety and risk management practices.Strong communication, coordination, and presentation skills.
• Proficiency in MS Office applications and hospital information systems.

Preferred Skills

• Experience handling NABH accreditation assessments.
• Knowledge of healthcare quality tools such as RCA, FMEA, PDCA, and Lean methodologies.
• Project management and change management capabilities.
• Training and facilitation skills.
• Experience in quality improvement projects and committee management.