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Salary: USD 82,074 - 108,337 / annual
WelbeHealth is seeking a Senior Regional Quality Operations Specialist to drive regulatory compliance and continuous quality improvement across their organization serving vulnerable seniors in a PACE (Program of All-Inclusive Care for the Elderly) environment.
Reporting to the Quality Operations Directors and Vice President of Quality Operations, you will play a critical role in strengthening regulatory compliance and quality performance across Southern California markets, directly impacting participant safety and care outcomes. This is a hands-on senior individual contributor role focused on complex, cross-functional quality initiatives.
Key responsibilities include:
- Partner with Quality Operations Directors and market leadership to implement quality activities and ensure compliance with federal, state, and contractual regulatory requirements
- Lead and facilitate root cause analyses (RCAs) with required stakeholders to identify systemic issues and prevent recurrence
- Support regulatory process improvement by translating RCA outcomes into actionable, measurable corrective action plans (CAPs)
- Assist in the development and implementation of CAPs following audit findings, complaints, or regulatory observations
- Track, monitor, and validate CAP progress to ensure timely completion and measurable improvement in compliance performance
- Prepare summary reports for leadership review and partner with leadership to evaluate CAP effectiveness and ensure sustainability of improvements
- Collaborate with Executive Directors and Medical Directors to address regulatory findings and compliance issues at the market level
Required qualifications:
- Bachelor's degree in a relevant field (Master's preferred)
- Minimum 3 years of experience in quality improvement/assurance in a healthcare setting or health/eldercare programs with quality/compliance oversight
- Experience with process improvement, risk assessment, and quality improvement methodologies (PDSA, Lean, Six Sigma)
- Knowledge of healthcare compliance, PACE-specific program compliance, and HIPAA requirements
- Experience working with multidisciplinary teams
- Proficiency with data management and analysis using productivity suite software, Smartsheet, and Power BI
- Experience with electronic medical records, preferably Athena
- Must be residing in Los Angeles County for frequent travel to Southern California markets
WelbeHealth offers competitive compensation, comprehensive healthcare coverage (medical, dental, vision), 401(k) match, 17 days PTO, 12 observed holidays, 6 sick days, and a bonus structure.
