Executive NABH Quality

Gleneagles BGS Hospitals kengeri; Bengaluru; On-site; INR 600,000 - 900,000; Full time

Job summary

Gleneagles BGS Hospitals, Bengaluru, seeks a quality assurance professional to manage accreditation programs and drive hospital-wide quality improvement.

You will coordinate NABH readiness, conduct audits, lead CAPA initiatives, and support SOP development while engaging clinical and non-clinical staff to sustain high standards of patient safety and care. You will report to the Quality Manager and participate in quality committee meetings, monitor KPIs, and provide monthly quality metrics.

Responsibilities

• Accreditation Management: coordinate NABH readiness and documentation.
• Audits & Rounds: plan internal audits, conduct rounds, perform mock drills.
• Gap Analysis & CAPA: identify gaps, track non-conformances, drive CAPA.
• Documentation & SOPs: draft/update SOPs, clinical protocols, and quality manuals.
• Incident Reporting: track incidents, monitor adverse events, support RCA.
• Committee Meetings: facilitate quality committee meetings, record minutes, follow-up actions.
• Training: conduct quality and compliance training for staff.
• Quality Indicators: monitor KPIs and prepare monthly/quarterly metrics reports.

Job description

Role & responsibilities

• Accreditation Management: Coordinate all pre-and post-accreditation activities, documentation, and compliance readiness for NABH standards. [1]
• Audits & Rounds: Prepare internal audit schedules, conduct regular departmental quality rounds, and perform mock drills. [1, 2]
• Gap Analysis & CAPA: Identify operational and clinical gaps, track non-conformances, and drive Corrective Action and Preventive Action (CAPA) plans. [1, 2, 3]
• Documentation & SOPs: Assist in drafting, updating, and maintaining Standard Operating Procedures (SOPs), clinical protocols, and quality manuals. [1, 2]
• Incident Reporting: Track patient/staff incidents, monitor adverse events, and facilitate Root Cause Analysis (RCA). [1, 2]
• Committee Meetings: Facilitate hospital quality committee meetings, record minutes, and follow up on assigned action items. [1]
• Training: Conduct quality awareness and compliance training sessions for clinical and non-clinical staff. [1, 2]
• Quality Indicators: Monitor Key Performance Indicators (KPIs) and generate monthly or quarterly quality metrics reports for management. [1, 2]