Program Manager - Hospital Compliances & Regulations

Azim Premji Foundation; Bengaluru; On-site; INR 1,800,000 - 2,500,000; Full time

Job summary

Azim Premji Foundation seeks a seasoned Hospital Compliance & Operations leader to drive regulatory adherence, licensing renewals, and accreditation readiness across its facilities. The role emphasizes NABH and NMC compliance, safety management, and effective liaison with authorities.

You will oversee medico-legal processes, ensure documentation accuracy, and coordinate with HR for labour compliance and filings, enabling seamless hospital operations and quality governance.

Qualifications

• Masters in Hospital Administration or Management required.
• Extensive experience with hospital regulatory frameworks.
• Proven track record in NABH and NMC processes.

Responsibilities

• Lead regulatory compliance and licensing across the hospital campus.
• Manage approvals for electrical systems, boilers, and hazardous materials.
• Coordinate with PCB, PESO, Electrical Inspectorate, and municipal bodies.
• Set up biomedical waste systems per regulatory norms and ensure safety compliance.
• Oversee medico-legal compliance including MLC, POCSO, NDPS, MTP adherence.
• Drive NMC approvals including LOI and affiliation readiness.
• Support accreditation goals (NABH) with SOPs, audits and quality metrics.
• Ensure labour law compliance and liaison with HR for filings and EPF/ESIC.

Skills

Regulatory Compliance

Licensing & Permits

NMC Compliance

NABH Accreditation

Policy & SOP Development

Stakeholder Management

Healthcare Operations

Education

Masters in Hospital Administration / Management

Job description

Responsibilities

• Regulatory Compliance & Licensing
• Lead procurement and renewal of all statutory licences (CTE, CTO, Fire NOC, Trade Licence, etc.)
• Manage approvals related to electrical systems, boilers, medical gases, and hazardous materials
• Liaise with regulatory authorities including PCB, PESO, Electrical Inspectorate, and municipal bodies
• Bio-Medical Waste & Safety Compliance
• Establish and manage biomedical waste systems as per regulatory norms
• Ensure proper documentation, reporting, and staff adherence to safety protocols
• Medico-Legal Compliance
• Set up and manage medico-legal systems (MLC, POCSO, NDPS, MTP compliance)
• Ensure accurate documentation and coordination with legal and enforcement agencies
• Medical College Operationalisation (NMC Compliance)
• Lead NMC approval processes including LOI and affiliation
• Ensure compliance with infrastructure, faculty, and clinical requirements
• Coordinate inspections and ensure readiness of hospital departments for academic use
• Accreditation & Quality Systems
• Drive NABH accreditation (entry-level and full)
• Establish SOPs, conduct audits, and track quality indicators
• Labour & Employment Compliance
• Ensure adherence to labour laws and statutory requirements
• Coordinate with HR on EPF, ESIC, contract labour, and filings
• Compliance Tracking & Governance
• Maintain a central compliance tracker and reporting system
• Provide regular updates to leadership and proactively mitigate risks
• Act as the primary interface for all regulatory interactions

Preferred candidate profile

• Masters degree in Hospital Administration / Management
• 1015 years of experience in hospital compliance / operations
• Mandatory experience in medical college setup or NMC compliance
• Strong exposure to licensing, NABH accreditation, and regulatory processes
• Experience in greenfield hospital projects preferred