MANAGER | QUALITY & COMPLIANCE

Job Summary


Key Responsibilities

• Establish and manage a common Quality & Compliance framework across both hospitals
• Lead NABH accreditation process for Tinsukia hospital, including gap analysis, application, assessment and closure of non-conformities
• Maintain Dibrugarhs existing entry-level NABH certification and manage surveillance/renewal
• Develop policies, SOPs, quality indicators and documentation
• Conduct internal audits and coordinate quality committees
• Manage clinical governance including incident/near-miss reporting, infection control, clinical audits and patient complaints
• Conduct staff training on quality, patient safety and infection control
• Maintain statutory licence and registration records
• Coordinate compliance related to Clinical Establishments, Biomedical Waste, AERB/eLORA, Fire, Pollution Control Board, Pharmacy, PC-PNDT and other applicable licences
• Lead the hospitals Digital Personal Data Protection Act (DPDP Act 2023) compliance programme
• Maintain data-processing inventory, consent, retention/erasure and data-breach processes

Eligibility

• Graduate in Nursing, Life Sciences, Medicine or Hospital Administration (MHA/equivalent)
• Minimum 5 years experience in hospital quality & compliance
• Must have completed at least one NABH accreditation/certification cycle through award
• Working knowledge of Indian healthcare statutory licensing
• Strong policy and SOP documentation skills
• Willingness to be based in Tinsukia with regular travel to Dibrugarh

Desirable

• NABH Assessor Training / NABH-recognised quality qualification
• Experience in commissioning a new hospital
• Exposure to DPDP/ISO 27001 or equivalent
• Working knowledge of Assamese

How to Apply

• Current Location
• Total Experience
• NABH Experience

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