Quality Manager

Medanta; Gurugram District; On-site; INR 1,200,000 - 2,200,000; Full time

Job summary

Medanta is seeking a Quality Assurance professional to lead JCI/NABH compliance initiatives in a tertiary care setting. The role requires driving audits, policy development, and ongoing documentation while coordinating with the quality leadership for minutes and closures.

The candidate will implement improvement activities, manage data and KPIs, and oversee mandatory training and mock drills to ensure patient safety and regulatory adherence in a demanding hospital environment.

Qualifications

• JCI and NABH accreditation survey experience as a core quality team member is required.
• At least five to nine years of experience in a tertiary care hospital.

Responsibilities

• Interpretation and implementation of quality assurance initiatives as per JCI/NABH standards.
• Development and implementation of departmental policies and Procedures, as per JCI/NABH norms.
• Ensure compliance and continual improvement by undertaking audits such as facility and documentation audits.
• Adopt an approach to quality improvement including planning, prioritizing, assessing, implementing, and maintaining improvements.
• Ensure ongoing documentation of mandatory requirements by JCI and NABH.
• Review incoming incident reports for completion, accuracy and follow-up.
• Ensure meeting calendars of all committees are created and conducted.
• Coordinate with head of quality to generate minutes and ensure closure.
• Coordinate for internal audits for various departments.
• Compile and analyze data of various KPIs.
• Ensure compliance to medical records on an ongoing basis.
• Coordinate with head of quality for implementation of quality improvement tools such as RCA and FMEA.
• Understand standard operating procedures thoroughly.
• Track all mandatory training related to quality and safety.
• Facilitate annual mock drills.
• Hazardous materials management and data management.
• Design and coordinate various forms and formats.
• Any other duties assigned by the reporting manager.

Skills

Quality assurance

Audits

Documentation

KPI analysis

RCA

FMEA

SOPs

Training coordination

Data management

Hazardous materials management

Job description

Job Responsibilities

• Interpretation and implementation of quality assurance initiatives as per JCI/NABH standards
• Development and implementation of departmental policies and Procedures, as per JCI/NABH norms
• To ensure compliance and continual improvement by undertaking audits such as facility and documentation audits
• Adopting an approach to Quality improvement that includes planning the process for improvement, setting priorities for improvement, assessing Quality systematically, implementing improvement activities based on assessment, and maintaining achieved improvements
• Ensure ongoing documentation of mandatory requirements by JCI and NABH
• Reviews incoming incident reports for completion and accuracy and flags for follow up
• Ensure that meeting calendars of all committees are made and conducted
• To co-ordinate with head of quality to generate minutes of meeting and ensure closure
• To co-ordinate for internal audits for various departmentS
• Compile and analyze data of various KPIs
• Ensure compliance to medical records ongoing basis

• To co-ordinate with head of quality for implementation of various quality improvement tools such as RCA, FMEA, etc
• To have thorough understanding of standard operating procedures
• To keep track of all mandatory training related to quality and safety
• To facilitate annual mock drills
• Hazardous materials management and data management
• Coordinated and design various forms and formats
• Any other duties assigned by the reporting manager

Experience and industry preference

• JCI and or NABH accreditation survey experience as a core quality team member is required
• At least Five to Nine years of experience in a tertiary care hospital