- 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 Dibrugarh's 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 hospital's 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
- Robust 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
Authority: Direct access to Unit Head; authority to stop or escalate practices presenting immediate patient-safety or licensing risks.
Interested candidates can share their updated CV along with: