Jagruti Rehab - Senior Manager - Licensing/Compliance & Accreditation

Description:

Role Summary

We are looking for a professional who can independently lead, obtain, and audit all statutory licences and accreditations for our rehabilitation centers. This role will own end-to-end regulatory compliance including NABH and other mandatory healthcare licences. The person should be hands-on, process-driven, and confident dealing with government authorities and auditors.

Key Responsibilities

1. Licensing & Regulatory Compliance

- Identify and secure all mandatory licences required for rehabilitation and mental healthcare facilities.

- Lead the complete process for NABH accreditation documentation, implementation, gap analysis, mock audits, and final inspection.

- Ensure compliance with MHCA and other applicable healthcare regulations.

- Coordinate with local authorities for registrations, renewals, and statutory approvals.

- Maintain an updated compliance calendar and ensure timely renewals.

2. Accreditation & Quality Systems

- Develop, implement, and standardize SOPs across centers as per NABH standards.

- Conduct internal audits and compliance reviews across locations.

- Prepare centers for external audits and inspections.

- Track non-conformities and ensure corrective and preventive actions are implemented.

3. Documentation & Process Management

- Draft policies, manuals, and documentation aligned with accreditation standards.

- Maintain statutory records and compliance dashboards.

- Train center heads and operational teams on compliance requirements.

4. Stakeholder Management

- Liaise with consultants, legal advisors, and regulatory authorities.

- Act as the single point of contact during inspections and audits.

- Present compliance reports to leadership.

Eligibility Criteria

- Bachelors/Masters degree in Healthcare Administration, Hospital Management, or related field.

- Minimum 7 to 10 years of experience in hospital/rehabilitation accreditation and licensing.

- Proven track record of securing NABH accreditation independently.

- Strong understanding of MHCA and healthcare regulatory frameworks.

Key Skills

- Strong knowledge of NABH standards and healthcare regulations

- Audit management and documentation expertise

- Policy drafting and SOP development

- Strong coordination and negotiation skills

- High attention to detail and ownership mindset

What We Expect

- Ability to build compliance systems from scratch.

- Zero-dependency approach during audits.

- Practical, solution-oriented mindset.

- Willingness to travel across centers as required.