Program Manager - Hospital Compliances & Regulations

Responsibilities

• Regulatory Compliance & Licensing
• Lead procurement and renewal of all statutory licences (CTE, CTO, Fire NOC, Trade Licence, etc.)
• Manage approvals related to electrical systems, boilers, medical gases, and hazardous materials
• Liaise with regulatory authorities including PCB, PESO, Electrical Inspectorate, and municipal bodies
• Bio-Medical Waste & Safety Compliance
• Establish and manage biomedical waste systems as per regulatory norms
• Ensure proper documentation, reporting, and staff adherence to safety protocols
• Medico-Legal Compliance
• Set up and manage medico-legal systems (MLC, POCSO, NDPS, MTP compliance)
• Ensure accurate documentation and coordination with legal and enforcement agencies
• Medical College Operationalisation (NMC Compliance)
• Lead NMC approval processes including LOI and affiliation
• Ensure compliance with infrastructure, faculty, and clinical requirements
• Coordinate inspections and ensure readiness of hospital departments for academic use
• Accreditation & Quality Systems
• Drive NABH accreditation (entry-level and full)
• Establish SOPs, conduct audits, and track quality indicators
• Labour & Employment Compliance
• Ensure adherence to labour laws and statutory requirements
• Coordinate with HR on EPF, ESIC, contract labour, and filings
• Compliance Tracking & Governance
• Maintain a central compliance tracker and reporting system
• Provide regular updates to leadership and proactively mitigate risks
• Act as the primary interface for all regulatory interactions

Preferred candidate profile

• Masters degree in Hospital Administration / Management
• 1015 years of experience in hospital compliance / operations
• Mandatory experience in medical college setup or NMC compliance
• Strong exposure to licensing, NABH accreditation, and regulatory processes
• Experience in greenfield hospital projects preferred