Quality Head

Midas Multispeciality Hospital Pvt. Ltd.; Nagpur District; On-site; INR 1,200,000 - 2,200,000; Full time

Job summary

Midas Multispeciality Hospital Pvt. Ltd. seeks an experienced Quality Leader to manage NABH/NABL accreditation, develop quality policies, and oversee CAPA across departments. You will guide the quality team to uphold patient safety, infection control, and clinical quality standards.

The role requires 7–10+ years in hospital quality management, with strong leadership, communication, and training skills to drive continuous improvement and accreditation preparedness.

Qualifications

• 7–10+ years of hospital quality management or administration experience.
• Leadership roles such as Quality Manager or Senior Quality Head.
• Strong knowledge of NABH/NABL accreditation processes and renewals.
• Hands-on in internal audits, CAPA, risk management, and quality indicators.
• Understanding of patient safety, infection control, and clinical quality standards.
• Ability to lead cross-functional teams and coordinate across departments.
• Excellent verbal and written communication, reporting, and stakeholder coordination.
• Experience in conducting staff training and accreditation preparedness activities.
• Proactive in driving continuous quality improvement across hospital processes.

Responsibilities

• Lead NABH and NABL accreditation processes, including compliance, audits, documentation, and renewal activities.
• Develop, implement, and monitor hospital quality policies, SOPs, protocols, and standards.
• Conduct regular internal quality audits to identify gaps and drive CAPA.
• Monitor patient safety, infection control, and hospital quality indicators.
• Ensure compliance with healthcare regulations, accreditation guidelines, and statutory requirements.
• Maintain quality-related records, reports, policies, and audit documentation.
• Coordinate with clinical, nursing, laboratory, and administrative departments to uphold quality.
• Conduct staff training and awareness sessions on quality management and accreditation needs.
• Perform root cause analysis for incidents and implement improvement measures.
• Prepare quality performance reports and updates for senior management.
• Drive continuous quality improvement to enhance processes, patient experience, and efficiency.
• Lead the quality team to ensure effective hospital quality system implementation.

Skills

Leadership

Communication

Analytical

Training & Development

Stakeholder coordination

Education

Bachelor's in Healthcare Management

Postgraduate qualification in Hospital Administration

Tools

NABH standards

NABL standards

Job description

Roles and Responsibilities

• Lead NABH and NABL accreditation processes, including compliance, audits, documentation, and renewal activities.
• Develop, implement, and monitor hospital quality policies, SOPs, protocols, and operational standards.
• Conduct regular internal quality audits to identify gaps and ensure corrective and preventive action (CAPA).
• Monitor patient safety standards, infection prevention and control practices, and hospital quality indicators.
• Ensure compliance with applicable healthcare regulations, accreditation guidelines, and statutory requirements.
• Maintain accurate quality-related records, reports, policies, and audit documentation.
• Coordinate with clinical, nursing, laboratory, and administrative departments to maintain quality standards across the hospital.
• Conduct staff training and awareness sessions on quality management, patient safety, infection control, and accreditation requirements.
• Perform root cause analysis for incidents, non-conformities, and quality-related issues, and implement improvement measures.
• Prepare quality performance reports, audit findings, and compliance updates for senior management.
• Drive continuous quality improvement initiatives to improve hospital processes, patient experience, and operational efficiency.
• Lead and guide the quality team to ensure effective implementation of hospital quality systems.

Preferred Candidate

• Experience: 7–10+ years of relevant experience in hospital quality management, quality assurance, or hospital administration.
• Designation: Quality Manager, Senior Quality Manager, Assistant Quality Head, or an equivalent role with relevant leadership experience.
• Educational Qualification: Bachelor's and/or postgraduate qualification in Healthcare Management, Hospital Administration, or a relevant healthcare-related field.
• Accreditation Expertise: Strong practical knowledge of NABH and NABL accreditation standards, assessment processes, compliance requirements, and renewal procedures.
• Quality Management Skills: Hands‑on experience in internal audits, CAPA, root cause analysis, risk management, quality indicators, and continuous improvement.
• Hospital Operations Knowledge: Understanding of patient safety, infection control, clinical quality standards, laboratory quality processes, and hospital documentation.
• Leadership Skills: Ability to lead quality initiatives, manage teams, coordinate across departments, and ensure timely implementation of corrective actions.
• Communication Skills: Excellent verbal and written communication, presentation, reporting, and stakeholder coordination skills.
• Analytical Skills: Strong problem‑solving, documentation, data analysis, and decision‑making abilities.
• Training and Development: Experience in conducting staff training, quality awareness programs, and accreditation preparedness activities.