SlipstreamJobs tracks this role from the company's public career site. Apply directly on the employer's site.
Salary: USD 74,612.76 - 98,488.84 / annual
WelbeHealth is seeking a Senior Quality Operations Specialist, Audit to lead PACE regulatory audits, mock audits, audit readiness activities, and regulatory response efforts across the organization. This role serves as the primary operational lead for assigned audits, driving accountability, coordinating cross-functional audit activities, evaluating documentation and evidence, identifying and escalating risks, and supporting timely resolution of audit readiness gaps. The role also serves as a senior audit subject matter resource, providing guidance to Audit Specialists and Audit Coordinators and supporting the standardization and continuous improvement of audit processes, tools, and readiness practices.
Key responsibilities include:
- Leading the planning, coordination, and execution of assigned PACE regulatory audits, mock audits, and audit readiness activities, serving as the primary operational lead and audit subject matter resource for complex or high-priority audits
- Facilitating audit kickoff meetings, readiness sessions, deliverable reviews, interview preparation activities, and stakeholder communications while managing document requests, evidence collection, submissions, and other audit-related workstreams
- Reviewing and validating audit documentation and evidence for completeness, accuracy, organization, and regulatory alignment, while identifying readiness gaps, documentation deficiencies, operational barriers, and regulatory risks
- Providing onsite and virtual audit support, including audit logistics, center activities, interview coordination, issue tracking, document retrieval, and real-time response management
- Developing and maintaining audit plans, dashboards, tracking tools, reports, and leadership updates to support audit oversight, risk identification, and decision-making
- Providing functional guidance, mentoring, and technical support to Audit Specialists and Audit Coordinators
- Collaborating with clinical, operational, quality, and compliance leaders to support regulatory response activities, transition of findings to corrective action processes, and ongoing organizational readiness
Note: This role requires the team member to reside in California or within approximately a 2-hour flight of California due to travel requirements.
Requirements:
- Bachelor's degree in healthcare administration, nursing, public health, business administration, health information management, regulatory affairs, quality management, compliance, or related field required; equivalent combination of education and progressive healthcare, regulatory, quality, compliance, or audit experience may be considered
- Minimum of three (3) years of experience in healthcare quality, regulatory compliance, audit, operational readiness, performance improvement, or related functions; five (5) years of experience preferred
- Experience leading or coordinating regulatory audits, mock audits, accreditation reviews, compliance assessments, readiness activities, or regulatory response efforts preferred
- Experience working in PACE, Medicare, Medicaid, managed care, healthcare operations, quality, regulatory, or compliance environment preferred
- Strong knowledge of regulatory audit methodologies, audit readiness practices, evidence validation, documentation standards, and regulatory response processes
- Demonstrated ability to independently lead complex projects, manage multiple concurrent audits, priorities, stakeholders, and deadlines in a fast-paced environment
- Strong facilitation, communication, stakeholder management, and relationship-building skills, with the ability to effectively influence and collaborate across all levels of the organization
