Quality Manager

Shri Venkateshwara University; Gajraula; On-site; INR 600,000 - 1,000,000; Full time

Job summary

Shri Venkateshwara University, through its affiliated hospital, seeks a Quality Management professional to lead hospital-wide quality systems and ensure NABH accreditation readiness. You will conduct audits, analyze KPIs, drive CAPA programs, and coordinate across departments to enhance patient care and safety.

The role emphasizes training, documentation, and continuous improvement, with a focus on reducing non-conformities and sustaining compliance across all hospital services.

Qualifications

• MHA or Master’s in Hospital Administration or equivalent.
• 3–10 years of experience in hospital quality management.
• Experience in NABH-accredited hospital or medical college preferred.

Responsibilities

• Develop, implement, and monitor hospital-wide quality management systems and policies.
• Ensure compliance with NABH accreditation standards and applicable healthcare regulations.
• Conduct internal audits, quality assessments, and gap analysis across hospital departments.
• Monitor KPIs, patient safety indicators, and quality improvement metrics.
• Identify non-conformities and implement CAPA.
• Coordinate with clinical and non-clinical departments to improve service quality and patient care.
• Monitor patient feedback, complaints, and satisfaction levels and ensure timely resolution.
• Organize quality-related training, awareness sessions, and staff development programs.
• Maintain quality documentation, audit reports, policies, SOPs, and compliance records.
• Conduct Root Cause Analysis for incidents, adverse events, and patient safety issues.
• Prepare quality reports and present performance updates to hospital management.
• Promote continuous quality improvement and a culture of patient safety throughout the hospital.

Skills

NABH standards knowledge

Quality audits

CAPA

RCA

KPIs & patient safety indicators

Education

MHA / Master’s in Hospital Administration

Job description

Role & responsibilities

• Develop, implement, and monitor hospital-wide quality management systems and policies.
• Ensure compliance with NABH accreditation standards and applicable healthcare regulations.
• Conduct internal audits, quality assessments, and gap analysis across hospital departments.
• Monitor key performance indicators (KPIs), patient safety indicators, and quality improvement metrics.
• Identify non-conformities and implement corrective and preventive actions (CAPA).
• Coordinate with clinical and non-clinical departments to improve service quality and patient care.
• Monitor patient feedback, complaints, and satisfaction levels and ensure timely resolution.
• Organize quality-related training, awareness sessions, and staff development programs.
• Maintain quality documentation, audit reports, policies, SOPs, and compliance records.
• Conduct Root Cause Analysis (RCA) for incidents, adverse events, and patient safety issues.
• Prepare quality reports and present performance updates to hospital management.
• Promote continuous quality improvement and a culture of patient safety throughout the hospital.

Preferred candidate profile

• Qualification: MHA / Master's in Hospital Administration or a relevant qualification.
• Experience: 3-10 years of relevant experience in hospital quality management.
• Preferred: Experience in a NABH-accredited hospital or medical college.
• Strong knowledge of NABH standards, audits, CAPA, RCA, and quality indicators.