Hospital Quality Expert

About the Role

We are seeking a highly experienced Hospital Quality Expert (HQE) to serve as the Team Leader for quality assurance across four secondary-care hospitals being developed under the Affordable Healthcare Project. This pivotal position will ensure that hospital operations adhere to the highest standards of clinical quality, patient safety, and the National Accreditation Board for Hospitals and Healthcare

Providers (NABH) compliance in a Public-Private Partnership (PPP) environment.

Key Responsibilities

• Develop comprehensive Standard Operating Procedures (SOPs) for hospital operations in alignment with NABH standards; conduct Training of Trainers (ToTs) for project stakeholders.
• Monitor each hospital's progress toward achieving and sustaining NABH accreditation; advise on corrective actions for non-conformities in audits.
• Conduct patient satisfaction surveys bi-annually using random sampling and established protocols as per project agreements.
• Oversee and coordinate quarterly site visits for quality checks across departments (OPD, IPD, diagnostics, emergency, surgery, and support services); supervise quality assurance activities of the monitoring team.
• Prepare and submit quarterly reports on KPI compliance, addressing performance gaps, and ensuring thorough documentation.
• Ensure strict adherence to protocols related to patient safety, infection control, biomedical waste management, and regulatory requirements.
• Engage in regular review of hospital policies/SOPs to ensure alignment with evolving best practices (NABH and beyond).
• Serve as the official representative for all quality communications with the Authority and Concessionaire, with delegated authority for approvals.
• Participate in periodic review meetings with project stakeholders, presenting audit findings and plans for quality improvement.
• Champion sustainability and safety initiatives.
• Coordinate and facilitate prompt resolution of quality, compliance, or dispute issues related to hospital operations.

Essential Qualifications & Experience

• Master's Degree/PG Diploma in Hospital Management/Administration.
• Certification as an Internal Counsellor for NABH Standards by the Quality Council of India (QCI) or equivalent.
• Minimum 15 years of experience in successful NABH accreditation of multispecialty/super-speciality hospitals.
• Proven leadership in quality management at least three hospitals (minimum 100 beds each) in roles such as NABH Expert, Advisor, Consultant, or Manager within the past seven years.
• Deep knowledge of healthcare accreditation systems, SOP development, and quality benchmarking.
• Strong communication, training, and report writing skills.
• Proven track record in stakeholder engagement and managing multi-disciplinary hospital teams.

Preferred Attributes

• Prior experience implementing NABH standards in the Odisha context or other public healthcare projects.
• Experience with PPP hospital operations or government contracts is an added advantage.

Contract Terms

• Location: Monitoring and coordination from Bhubaneswar (state HQ) with regular travel to districts covered.
• Duration: 3 years (extendable based on project requirements and performance).

Reporting: Directly to the Project Management Unit

Application Process

Interested candidates should submit:

• A detailed CV highlighting relevant experience and qualifications.
• A cover letter explaining suitability for the role and experience related to the key responsibilities.
• References from previous relevant assignments.

Applications should be sent to EHI International via email to

EHII is an equal opportunity employer. Every qualified applicant will be considered for employment. EHII does not discriminate based on race, colour, religion, gender, sexual orientation, gender identity, age, national origin, marital status, disability status, political ideology, or any other characteristic protected by applicable or local law.