EXECUTIVE, QUALITY

KPJ Batu Pahat Specialist Hospital; Batu Pahat; On-site; MYR 60,000 - 90,000; Full time

Job summary

KPJ Batu Pahat Specialist Hospital is seeking a Quality & Compliance Lead to oversee hospital-wide quality initiatives and accreditation readiness. You will coordinate activities spanning IMS, MSQH, JCI, and ISO standards, ensuring regulatory adherence and robust risk management.

You will report to Top Management and keep the GM, CNO, and Finance Manager informed of any quality issues. Experience in healthcare quality programs and strong leadership are essential for success.

Qualifications

• Degree in any discipline or equivalent work experience.
• Minimum one year of relevant experience in hospital/healthcare.
• Fluent Malay and English communications (written and spoken).
• Able to work as a team, under pressure and meet deadlines.
• Strong leadership, interpersonal and time-management skills.
• Willing to travel for training.
• Knowledgeable and committed toward job responsibilities.

Responsibilities

• Coordinate quality activities across the hospital to ensure ISO and accreditation compliance.
• Direct and coordinate quality programs such as IMS, MSQH, JCI, and related standards.
• Inform GM, CNO, and Finance Manager of quality issues requiring actions.
• Prepare audit programs, schedule audits, and monitor effectiveness.
• Liaise with external agencies (Ministry of Health, MSQH, etc.).
• Disseminate quality improvement information to staff.
• Maintain records and ensure confidentiality as per PDPA.
• Support management reviews and corrective/preventive actions.
• Act as advisor for ICC and Suggestion Scheme.

Skills

Leadership

Interpersonal skills

Team work

Time management

Communication (Malay & English)

Working under pressure

Independent work

Willingness to travel

Education

Bachelor degree or equivalent

Job description

1) MAIN RESPONSIBILITIES

Responsibility to assist in directing clinical and quality compliance by coordinating activities throughout the hospital in the line with KPJ clinical governing policy, KPJ policy and procedure and hospital policies and procedure. Direct co-ordinate quality activities example IMS, MSQH, 5S, BFHI, JCI, ICC and etc. Responsible to keep General Manager, Chief Nursing Officer, Finance Manager informed of any quality issues or reportable situation that needs administrative involvement. To be responsible for the establishment, implementation and compliance of the delivery of the hospital services in accordance to ISO standards or accreditation of hospital / professional practice. Ensure systematic, structured, up-to-date, compliance with statutory and regulatory requirements and hospital`s policies and procedures. To compile, monitor and evaluate effectiveness of continuous quality improvement programs/ activities including risk management activities and ensure conformity to set standards / professional / ethics / best practice and report to Top Management. To come up with suggestion/ recommendation inclusive of corrective action, preventive action and innovation for continuous quality improvement. To disseminate quality improvement information to all staff of the organization. To conduct independent audit from time to time and report audit findings to GM. To prepare audit programs and schedule, coordinate and monitor to evaluate the adequacy and effectiveness of control in the performance of the quality system. To liaise, co-ordinate and develop networking with external agencies e.g. Ministry of Health, SIRIM, INTERTEK SDN BHD, MSQH, MPC & potential customers etc. Updating and reporting the progress and charges of Quality Activities in Hospital to BOM/BOD/KPJHQ. Coordinating Management Review Meeting and any related Quality Meeting. To review, file and retain the audit reports on non-conformance and highlight to relevant personnel and assist in formulation the corrective action to be taken. To recommend, participate and assist in formulation and conducting of awareness and refresher, education and training for Quality related programs for staff. Identify the suitability of award and certification to be involved and present to Top Management. To coordinate certification audit/ survey with third party auditor / surveyor. Involved and facilitate in committee related to Quality. Act as advisor for ICC and Suggestion Scheme team. Other duties as assigned by Top Management. To ensure conformance to all policies and procedures and /or Hospital Accreditation Standards, Guidelines, Relevant Acts, Regulations by-Laws and statutory requirement are adhered to and records maintained, if and when these programs are implemented. Responsible and accountable to carry out all activities directed by the Management. Maintain strict confidentiality of any information encountered during the course of your duty in accordance with the Personal Data Protection Act 2010.

2) JOB REQUIREMENT

Degree in any discipline or equivalent work experience. Minimum one (1) year experience of relevant experience or any equivalent combination of education and work related experience. Preferably with relevant experience in Hospital/ Health care business or any equivalent combination or education and work related experience. Able to communicate and write in Malay and English Language. Prepare to work as a team member in the manner the best. Ability to work under pressure and meet deadlines. Good leadership, good interpersonal and communication skills, team work, good time management. Able to work independently with minimum supervision. Willing to travel attending training/ courses organized by the management. Knowledgeable & committed toward job responsibilities.

KPJ Healthcare Berhad is founded on the vision of being the preferred healthcare provider in the region. We are focused on delivering world-class quality healthcare services throughout our regional footprint across 5 countries, namely Malaysia, Indonesia, Thailand, Bangladesh, and Australia. We are in search of remarkable people to join us in exploring and discovering better healthcare solutions together. Whether you are a student, a graduate, or an experienced professional, discover the impact you could make with a career at KPJ.