Associate Manager - Quality
Manipal Hospitals (MHEL) · Greater Bengaluru Area
Apply & track with Apply EdgeAbout the CompanyManipal Hospitals is one of India's leading healthcare providers, known for delivering high-quality, patient-centric healthcare services. As part of its commitment to providing comprehensive healthcare solutions, Manipal Hospitals manages and operates Occupational Health Centers (OHCs) for leading corporate organizations, ensuring employee well-being, preventive care, regulatory compliance, and workplace health excellence.About the RoleThe Quality Manager - Occupational Health Center (OHC) will be based at the Goldman Sachs Occupational Health Center, Bellandur, Bengaluru. The incumbent will be responsible for driving quality initiatives, ensuring NABH and regulatory compliance, managing accreditation requirements, conducting audits, implementing quality standards, monitoring quality indicators, and promoting a culture of patient safety and continuous improvement within the OHC. The role will work closely with OHC leadership, clinical teams, and the Central Quality Team to maintain the highest standards of healthcare quality and operational excellence.
The role focuses on ensuring compliance with NABH and other accreditation standards, managing documentation, conducting audits, driving quality improvement initiatives, coordinating statutory compliance, and fostering a culture of continuous quality enhancement and patient safety.
Key Responsibilities
Documentation ManagementDevelop, review, and maintain SOPs, Manuals, Policies, and Procedures across departments.Maintain a comprehensive document control system and ensure timely updates.Coordinate with the Central Quality Team for document approvals and revisions.Ensure annual review and updating of all quality documents.Maintain records of forms and formats with appropriate numbering and version control.Ensure removal of obsolete documents from all departments.Identify and complete new documentation requirements within 15 days of request initiation.Implementation of Quality StandardsIdentify gaps in compliance and ensure closure within one month of identification.Implement quality standards across the healthcare facility in coordination with departmental leaders.Monitor ongoing medical education programs and quality-related initiatives on a monthly basis.Support the implementation of NABH and other accreditation requirements.Audits & AccreditationConduct monthly quality audits.Coordinate and ensure completion of internal audits as per the annual audit plan.Facilitate cross audits, corporate audits, and accreditation assessments.Serve as the primary coordinator for external accreditation audits.Ensure timely closure of audit observations and non-conformities.Manage submission and verification of documents required for accreditation portals and audit closures.Quality Indicators & Data ManagementDevelop and monitor quality indicators aligned with organizational objectives and accreditation requirements.Ensure timely collection, validation, and submission of quality data.Coordinate with departments for indicator monitoring and corrective actions.Resolve queries related to submitted quality data.Ensure accurate extraction and reporting of data from HIS and other software platforms.Quality Improvement ProjectsFacilitate quality improvement initiatives using recognized quality tools and methodologies.Mentor departments in identifying improvement opportunities.Monitor progress and outcomes of quality improvement projects as defined by the Central Quality Team.Committee CoordinationEnsure regular committee meetings are conducted as per Terms of Reference (TOR).Monitor committee action plans and compliance.Facilitate annual committee audits.Mock Drills & Emergency PreparednessCoordinate and monitor mock drills as per the approved schedule.Ensure corrective and preventive actions are implemented following drills.Training & Quality AwarenessConduct training programs on NABH standards, quality policies, and patient safety initiatives.Educate healthcare staff on quality systems and compliance requirements.Promote awareness and engagement in quality improvement activities.Statutory ComplianceMaintain and monitor statutory licenses and regulatory requirements.Provide advance reminders to process owners at least three months prior to license expiry.Ensure timely renewals and compliance with applicable regulations.Other ResponsibilitiesSupport patient safety initiatives and risk management programs.Prepare quality reports and presentations for management review.Undertake additional responsibilities assigned by management.QualificationsMaster's Degree in Hospital Administration (MHA), Hospital Management, Healthcare Management, Quality Management, or related field.Bachelor's degree in Life Sciences, Nursing, Pharmacy, Allied Health Sciences, or other healthcare disciplines may also be considered.NABH Internal Assessor/Quality certifications preferred.3-8 years of experience in healthcare quality management, accreditation, or hospital operations.Required SkillsStrong knowledge of NABH standards and accreditation processes.Experience in quality audits and compliance management.Excellent documentation and policy development skills.Data analysis and quality indicator monitoring.Knowledge of patient safety and risk management practices.Strong communication, coordination, and presentation skills.Proficiency in MS Office applications and hospital information systems.Preferred SkillsExperience handling NABH accreditation assessments.Knowledge of healthcare quality tools such as RCA, FMEA, PDCA, and Lean methodologies.Project management and change management capabilities.Training and facilitation skills.Experience in quality improvement projects and committee management.