Senior Quality Operations Specialist, Audit
New
W
WelbeHealthHealthcare quality
Location: Remote, CA, USA. This role requires the team member to reside in California or within approximately a 2-hour flight of California due to travel requirementsFull-TimeSenior
Salary$74,612.76 — $98,488.84 USD
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Job Details
- Experience
- Minimum of three (3) years of experience; five (5) years of experience preferred.
- Required Skills
- Project ManagementStakeholder management
Requirements
- Bachelor's degree in healthcare administration, nursing, public health, business administration, health information management, regulatory affairs, quality management, compliance, or a related field; equivalent education and progressive relevant experience may be considered.
- At least 3 years of experience in healthcare quality, regulatory compliance, audit, operational readiness, performance improvement, or a related function; 5 years preferred.
- Experience leading or coordinating regulatory audits, mock audits, accreditation reviews, compliance assessments, readiness activities, or regulatory response efforts is preferred.
- Experience in PACE, Medicare, Medicaid, managed care, healthcare operations, quality, regulatory, or compliance environments is preferred.
- Strong knowledge of regulatory audit methodologies, audit readiness practices, evidence validation, documentation standards, and regulatory response processes.
- Ability to independently lead complex projects and manage multiple concurrent audits, priorities, stakeholders, and deadlines.
- Strong facilitation, communication, stakeholder management, and relationship-building skills, including the ability to influence and collaborate across organizational levels.
- Must reside in California or within approximately a 2-hour flight of California due to travel requirements.
- Proof of vaccination or a vaccine declination form is required prior to employment.
Responsibilities
- Lead planning, coordination, and execution of assigned PACE regulatory audits, mock audits, and audit readiness activities.
- Facilitate kickoff meetings, readiness sessions, deliverable reviews, interview preparation, and stakeholder communications.
- Manage document requests, evidence collection, submissions, and other audit-related workstreams.
- Review and validate audit documentation and evidence for completeness, accuracy, organization, and regulatory alignment.
- Identify readiness gaps, documentation deficiencies, operational barriers, and regulatory risks, and partner with stakeholders to drive resolution.
- Provide onsite and virtual audit support, including logistics, center activities, interview coordination, issue tracking, document retrieval, and real-time response management.
- Develop and maintain audit plans, dashboards, tracking tools, reports, and leadership updates.
- Guide and mentor Audit Specialists and Audit Coordinators, and coordinate with the Audit, CAP & Monitoring Manager on workloads and team readiness.
- Collaborate with clinical, operational, quality, and compliance leaders on regulatory responses, corrective action transitions, and ongoing organizational readiness.
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