Walk-in || NABH & Quality Management Executive / Manager

AURA DENTAL
JOB DESCRIPTION
NABH & Quality Assurance Executive
CompanyAura Dental DepartmentQuality AssuranceLocationHyderabad, TelanganaEmployment TypeFull-time | On-siteExperience13 years preferred; relevant freshers may be consideredQualificationMBA in Hospital Administration, Healthcare Management, Quality Management, or a related fieldAbout Aura Dental Clinic
Aura Dental Clinic is committed to delivering quality dental care through patient safety, clinical excellence, standardized processes, and continuous improvement. We are looking for a detail-oriented professional to manage NABH accreditation requirements, quality assurance systems, regulatory documentation, inspections, and operational compliance.
Role Overview
The candidate will coordinate and manage NABH-related activities, quality management, internal inspections, compliance documentation, and continuous improvement initiatives. The role requires hands-on implementation of policies and procedures in daily clinic operations, monitoring compliance, identifying gaps, and keeping the clinic assessment-ready.
Key Responsibilities
1. NABH Accreditation & Compliance

• Coordinate the NABH accreditation process in line with the applicable accreditation programme and standards.
• Translate applicable NABH requirements into practical clinic-level processes and checklists.
• Prepare, maintain, and update policies, SOPs, manuals, registers, records, and supporting evidence.
• Maintain a compliance tracker, identify gaps, and follow up on corrective actions within agreed timelines.
• Coordinate accreditation applications, assessments, inspections, and follow-up activities.
• Ensure approved policies and procedures are implemented and understood by relevant staff.

2. Quality Management System

• Develop, implement, and maintain the clinic's Quality Management System (QMS).
• Monitor quality indicators, performance metrics, and quality objectives.
• Maintain records of incidents, complaints, non-conformities, and corrective/preventive actions.
• Coordinate root-cause analysis and track corrective action plans to closure.
• Review patient feedback and recommend improvements to patient experience and service quality.

3. Documentation & Record Management

• Maintain controlled documents, including quality policies, clinical and administrative policies, document-control registers, staff training records, equipment maintenance/calibration records, incident reports, and internal audit records.
• Maintain organized physical and digital filing systems.
• Ensure documents are approved, version-controlled, periodically reviewed, and accessible to authorized personnel.
• Ensure records are complete, current, traceable, and available during inspections.

4. Internal Inspections & Audits

• Conduct scheduled internal inspections and compliance audits across clinical and non-clinical areas.
• Review infection prevention, sterilization, hygiene, safety, and documentation practices.
• Prepare audit reports with observations, risks, gaps, and corrective actions.
• Coordinate mock assessments and maintain inspection-readiness checklists.
• Follow up with relevant staff to ensure timely closure of audit observations.

5. Biomedical Waste Management & Infection Control

• Coordinate compliance with applicable Biomedical Waste Management Rules and related requirements.
• Maintain waste segregation, collection, handover, disposal, agreement, and receipt records.
• Coordinate with the authorized biomedical waste treatment facility and track required documentation.
• Monitor waste segregation, colour-coded bins, labelling, storage, and staff practices.
• Coordinate infection-control, sterilization, disinfection, autoclave monitoring, and equipment-cleaning records, as applicable.
• Arrange relevant staff training and escalate deficiencies for corrective action.

6. Statutory & Regulatory Compliance

• Maintain a tracker of applicable registrations, licences, certificates, renewals, and statutory requirements.
• Coordinate with relevant authorities and external agencies for inspections, renewals, and documentation.
• Maintain applicable agreements and MoUs with service providers, laboratories, waste disposal agencies, and other partners.
• Track expiry dates and renewal deadlines to prevent lapses, in coordination with clinic management.

7. Staff Training & Awareness

• Conduct staff orientation and periodic training on quality standards, documentation, infection control, patient safety, fire safety, and biomedical waste management.
• Maintain training attendance, materials, assessments, and competency records.
• Ensure staff understand and follow approved SOPs and clinic policies.
• Identify training needs and coordinate refresher sessions.

8. Patient Safety & Experience

• Monitor patient feedback, complaints, and service-related concerns and track resolution.
• Support appropriate patient identification, consent documentation, confidentiality, and patient-safety processes.
• Coordinate incident reporting and review with the clinical team.
• Recommend improvements to patient flow, service quality, and operational efficiency.

9. Management Reporting

• Prepare periodic quality and compliance reports for clinic management.
• Maintain a dashboard covering NABH readiness, pending documentation, audit findings, corrective actions, and upcoming renewals.
• Promptly report critical compliance gaps and risks.
• Coordinate with doctors, clinic administrators, reception staff, and other employees to implement quality requirements.

Required Qualifications

• MBA in Hospital Administration, Healthcare Management, Quality Management, or a related discipline.
• Knowledge of quality management systems, healthcare documentation, audits, and compliance processes.
• Familiarity with NABH standards and accreditation procedures is strongly preferred.
• Knowledge of biomedical waste management, infection control, patient safety, and statutory compliance is desirable.
• Proficiency in Microsoft Word, Excel, documentation, reporting, and record management.
• Strong communication, coordination, planning, and problem-solving skills.

Preferred Certifications

• Relevant NABH/internal auditor training, where appropriate.
• Quality management or internal audit certification.
• Training in infection prevention and control or biomedical waste management.

Note: These certifications are preferred rather than mandatory unless specifically required for the position.
Skills & Competencies

• Strong attention to detail and documentation accuracy.
• Ability to interpret standards and implement them in daily operations.
• Excellent follow-up, coordination, and time-management skills.
• Ability to conduct inspections and identify compliance gaps.
• Clear written and verbal communication.
• Ability to manage multiple deadlines and maintain confidential records.
• Proactive approach to risk identification and continuous improvement.

Key Performance Indicators (KPIs)

• Progress against the NABH accreditation readiness plan.
• Completion, accuracy, and timely updating of required documentation.
• Timely closure of audit observations and corrective actions.
• Compliance with applicable statutory and renewal deadlines.
• Completion of scheduled internal inspections and quality audits.
• Maintenance of biomedical waste, sterilization, infection-control, and training records.
• Staff training completion and adherence to approved SOPs.
• Timely reporting of quality indicators and compliance status to management.

What We Expect From the Candidate
We are looking for an accountable professional who can take ownership of Aura Dental's quality and compliance activities from planning through implementation. The candidate should be able to identify requirements, prepare and maintain documentation, coordinate with staff, implement processes, retain evidence of compliance, and keep the clinic prepared for internal and external assessments.
How to Apply: Interested candidates may share their resume along with details of their healthcare quality, NABH, hospital administration, or compliance experience.
Aura Dental Clinic | NABH & Quality Assurance Page 1