Manager - Medical Operation & Quality

Cryoviva Biotech; Gurugram District; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

Cocoon Hospitals - Corporate, part of RJ Corp Healthcare, seeks a Manager Medical Operations & Quality to drive hospital quality systems, NABH readiness, patient safety initiatives and continuous improvement across Cocoon Hospitals. You will partner with medical, nursing and admin teams to ensure compliance with standards and internal benchmarks.

Role focuses on audits, policy updates, training, risk mitigation and cross-functional quality committees, delivering measurable improvements and

Qualifications

• Graduate/Postgraduate in Healthcare/Hospital Administration or related field.
• Minimum 5 years in hospital quality management.
• Hands-on NABH accreditation, documentation and audits.

Responsibilities

• Lead hospital quality management systems and NABH accreditation readiness.
• Coordinate quality audits and CAPA actions.
• Develop patient safety initiatives and monitor clinical quality.
• Establish KPIs, dashboards and management reports for quality.
• Drive regulatory compliance and documentation across departments.
• Conduct training on NABH standards and infection control.

Skills

Quality management

NABH accreditation

Patient safety

Regulatory compliance

Audits & CAPA

Process improvement

Education

Graduate/Postgraduate in Healthcare/Hospital Administration

Job description

This vacancy is for our Cocoon Hospitals - Corporate, Part of RJ Corp Healthcare

About Cocoon:

Cocoon Hospital, part of the RJ Corp Healthcare vertical, is a leading mother and child
healthcare facility known for its personalized care, advanced medical expertise, and patient-
centric approach. The hospital focuses on maternity, gynaecology, neonatology, and fertility
services, providing comprehensive healthcare through state-of-the-art infrastructure and an
expert team of clinicians.

Role Summary:

The Manager Medical Operations & Quality will be responsible for driving hospital quality systems, patient safety initiatives, clinical audits, accreditation readiness and continuous improvement across Cocoon Hospitals. The role will work closely with medical, nursing, clinical and support functions to ensure compliance with NABH standards, regulatory requirements and internal quality benchmarks.

Key Areas of Responsibilities:

Quality Management & NABH Accreditation

• Lead the implementation, monitoring and continuous improvement of hospital quality management systems.
  
• Drive compliance with NABH accreditation standards and ensure ongoing accreditation readiness.
• Coordinate internal and external quality audits and support corrective and preventive action plans.
  
• Conduct periodic assessments to identify gaps against NABH and regulatory requirements.
  
• Maintain and update quality-related policies, SOPs, protocols and documentation.
  

Patient Safety & Clinical Quality

• Develop and implement initiatives focused on patient safety and quality of care.
  
• Monitor clinical practices and facilitate clinical audits across departments.
  
• Identify quality and patient-safety risks and coordinate appropriate corrective actions.
  
• Promote a culture of quality, safety and continuous improvement among hospital teams.
  
• Support investigation and analysis of adverse events, incidents and near-miss cases.
  

Quality Indicators

• Establish and monitor hospital quality indicators/KPIs in coordination with clinical and operational teams.
  
• Analyse quality data and trends to identify areas requiring improvement.
  
• Prepare periodic quality dashboards, MIS and management reports.
  Track action plans and ensure timely closure of identified quality gaps.
  

Quality Improvement Initiatives

• Identify opportunities for process improvement across hospital functions.
  
• Design and implement quality improvement projects using structured methodologies.
  
• Monitor the effectiveness of improvement initiatives and document measurable outcomes.
  
• Benchmark hospital practices against applicable healthcare quality standards and best practices.
  

Regulatory & Compliance Management

• Ensure compliance with applicable healthcare regulations, statutory requirements and hospital policies.
  
• Coordinate with relevant departments for regulatory inspections and audits.
  
• Maintain appropriate records and documentation for compliance and accreditation purposes.
  
• Ensure timely implementation and closure of audit observations and compliance gaps.

Training & Capability Building

• Conduct quality and patient-safety awareness sessions for hospital employees.
  
• Facilitate training on NABH standards, SOPs, infection control, patient safety and quality processes.
  
• Develop quality-related communication and awareness programs for clinical and non-clinical teams.
  
• Stakeholder Management
  
• Work closely with doctors, nursing, administration, pharmacy, laboratory, infection control and other hospital functions.
  
• Coordinate with hospital leadership to drive quality and operational improvement initiatives.
  
• Facilitate cross-functional quality committees and review meetings.
  
• Provide regular updates to senior management on quality performance, risks and improvement initiatives.
  

Qualifications, Experience & Key Skills:

• Graduate/Postgraduate qualification in Healthcare/Hospital Administration, Medical Administration, Life Sciences, Nursing or a related discipline.
  
• Minimum 5 years of relevant experience in hospital quality management.
  
• Hands-on experience in NABH accreditation, implementation, documentation and audits.
  
• Experience in clinical audits, patient safety, quality indicators and healthcare regulatory compliance.
  
• Experience in implementing quality improvement initiatives across hospital operations.