Walk-in | Quality Lead

Manipal Hospitals Hebbal(Manipal Health Enterprises Limited); Bengaluru; On-site; INR 1,500,000 - 2,100,000; Full time

Job summary

Manipal Hospitals Hebbal is seeking a Unit Quality Head to administer the hospital's quality program across all units. You will implement and maintain quality systems, ensure document control, and coordinate with the Central Quality Team to meet accreditation standards.

The role requires leadership in audits, quality indicators, and continuous improvement, with responsibilities across documentation, compliance, and training of unit stakeholders.

Qualifications

• Postgraduate degree and specialization in quality audits or accreditation.
• Lean Six Sigma training or certification preferred for larger units.
• 2+ years quality function experience for units <200 beds; 4+ years for units >200 beds.

Responsibilities

• Develop, provide guidance for, and review SOPs, manuals, policies, and procedures across all units.
• Maintain document control, track updates, and ensure yearly reviews.
• Coordinate with Central Quality Team to ensure compliance and prevent obsolete documents.
• Lead audits (internal and external) and ensure closure of findings within timelines.
• Collect and validate CQI data and ensure timely reporting to Central Quality Team.

Skills

Problem solving

Researching

People management

Teamwork

Critical thinking

Commitment to learning

Resource management

Quality and safety consciousness

Education

MBA / MHA

Lean Six Sigma training

Job description

JOB DESCRIPTION

JOB TITLE / POSITION: Unit Quality Head

ADMINISTRATIVE REPORTING TO: Hospital Director

FUNCTIONAL REPORTING TO: Quality (Corporate)

REGION / FUNCTION: Quality

LOCATION: All Units

JOB PURPOSE

The main purpose of this job is to administer the company quality program in accordance with company requirements. This includes implementation and maintenance of the company quality system and reviewing the same.

WORK RELATIONS

Main interfaces with whom do you have regular contact in carrying out your duties (whom do you report to / whom do you functionally report to / whom do you have interface within and outside the organization)?

Internal Interface:

• Unit Head (Reporting Authority)
  
• Central Quality Team
  
• Operations Head
  
• Medical Head
  
• Nursing Head
  

External Interface:

• Accreditation / Certification Bodies
  
• Quality Auditors
  

CRITICAL ACCOUNTABILITIES

1. Documentation

• Developing, providing guidance, and reviewing SOPs, manuals, policies, and procedures for departments across the units.
  
• Keeping track of all SOPs and maintaining records of all updates.
  
• Ensuring document control of all SOPs, manuals, forms, and formats of the unit in coordination with the Central Quality Team.
  
• Ensuring yearly review and updation of all SOPs, manuals, policies, and procedures.
  
• Maintaining records of forms and formats and ensuring correct numbering.
  
• Ensuring that no obsolete documents are available in the department.
  
• Identifying new documentation requirements and completing the same in coordination with the department within 15 days from the date the request is raised.
  

2. Implementation of Quality Standards Across the Hospital

• Identifying gaps and ensuring implementation within one month of identification, in coordination with departmental heads.
  
• Ensuring implementation of quality standards across the unit in coordination with the Unit Leadership Team and under the guidance of the Central Quality Team.
  

3. Audits

• Conducting audits to capture data pertaining to indicators as per the prescribed frequency.
  
• Ensuring at least one internal audit every six months by the unit team.
  
• Ensuring successful completion of cross audits and corporate audits.
  
• Ensuring that clinical audits, infection control audits, safety audits, medical record audits, and any other audits mandated by external bodies are performed as per the prescribed frequency.
  
• Ensuring successful completion of external audits.
  
• Acting as the point of contact and primary coordinator for external audits.
  
• Ensuring closure of all findings of external audits within the defined timeframe.
  

4. Quality Indicators

• Ensuring timely collection and submission of CQI data to the Central Quality Team.
  
• Ensuring correctness of data and proper validation before submission.
  

5. Committee Meetings

• Ensuring committee meetings are conducted as per the Terms of Reference (TOR).
  
• Ensuring committee audits are conducted every six months.
  

6. Mock Drills

- Ensuring that mock drills are conducted as per schedule and that timely action is taken.

7. Training

- Training unit stakeholders on internal and external standards.

8. Statutory Compliance

• Overseeing all statutory compliances.
  
• Liaising with concerned internal staff and assisting the Unit Head in ensuring that all regulations are adhered to and licenses are current.
  

9. Quality Improvement Projects

• Using appropriate quality tools to perform quality improvement projects.
  
• Identifying opportunities for quality improvement and undertaking quality improvement projects regularly.
  

10. Other Responsibilities

• Performing other quality-related responsibilities assigned by the Unit Head.
  
• Performing other operational responsibilities assigned by the Unit Head in consultation with Corporate HR and the Central Quality Team.
  

KEY SUCCESS FACTORS

• Implementation of quality standards across the unit.
  
• Achieving accreditation and certifications with minimum observations.
  

MAJOR CHALLENGES

• Coordinating with accreditation boards.
  
• Managing multiple stakeholders within the organization to achieve standardization of quality policies and indicators across units.
  

SKILLS, KNOWLEDGE & COMPETENCIES

1. Qualification and Experience

Qualification:

• Postgraduate degree, preferably MBA / MHA, with special training in quality audits and accreditations.
  
• Preferably formal training in Lean Six Sigma, especially for units with more than 200 beds.
  

Experience:

• 2+ years of experience in the quality function (for units with fewer than 200 beds).
  
• 4+ years of experience in the quality function (for units with more than 200 beds).
  

2. Skills and Knowledge

Knowledge:

• Technical knowledge of NABH standards.
  
• Knowledge of ISO 9000 standards is preferable.
  
• Knowledge of relevant equipment, policies, procedures, and strategies to promote effective operations for the protection of the organization.
  
• Knowledge upgradation about international accreditation standards.
  

Skills:

• Problem-solving.
  
• Researching.
  

3. Competencies

• People Management.
  
• Teamwork.
  
• Critical Thinking.
  
• Commitment to Continuous Learning.
  
• Resource Management.
  
• Quality and Safety Consciousness.