Senior Regional Quality Operations Specialist New Los Angeles, CA, USA

Senior Regional Quality Operations Specialist ***Candidate must be residing in Los Angeles County as this role will require accessibility and occasional travel to our Sothern California WelbeHealth markets. At WelbeHealth, we serve our communities’ most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what. Under the direct supervision of the Quality Operations Directors (QODs) and in close collaboration with the Vice President of Quality Operations, the Senior Regional Quality Operations Specialist plays a key role in driving regulatory compliance and continuous quality improvement across the organization. This role ensures effective management and follow-through of quality initiatives stemming from internal and external audits, complaint investigations, and performance assessments. The Senior Regional Quality Operations Specialist leads the coordination and implementation of corrective action plans (CAPs) and preventive measures, facilitates comprehensive root cause analyses (RCA) with cross-functional partners, and supports the design, execution, and evaluation of targeted quality improvement strategies. This role also ensures accurate and consistent collection and reporting of enterprise trends and analysis of CAP outcomes, progress of interventions, and risk assessment. This role is different because the Senior Regional Quality Operations Specialist at WelbeHealth: Plays a critical role in strengthening regulatory compliance and quality performance across markets, directly impacting participant safety and care outcomes in a highly regulated PACE environment Leads complex, cross-functional quality initiatives, driving sustainable process improvements across clinical and operational teams We care about our team members. That’s why we offer: Medical insurance coverage (Medical, Dental, Vision) Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days 401K savings + match Comprehensive compensation package including base pay and bonus And additional benefits! On the day-to-day, you will: Partner with QODs and market leadership to implement quality activities, ensuring compliance with federal, state, and contractual regulatory requirements Collaborate with QODs, Executive Directors (EDs), and Medical Directors (MDs) to address regulatory findings and compliance issues at the market level Lead and facilitate RCAs with required stakeholders to identify systemic issues and prevent recurrence Support regulatory process improvement by ensuring that RCA outcomes are translated into actionable and measurable CAPs Assist QODs in the development and implementation of CAPs following audit findings, complaints, or regulatory observations Track, monitor, and validate the progress of CAPs to ensure timely completion and measurable improvement in compliance performance, as well as prepare summary reports for leadership review Partner with QODs to evaluate the effectiveness of CAPs and ensure sustainability of improvements Job requirements include: Bachelor’s degree in relevant field required; master’s degree preferred; Must be located in Los Angeles County for frequent travel to Southern California Markets. Minimum of three (3) years of experience in quality improvement/assurance in a healthcare setting, or in health or eldercare programs with oversight of quality/compliance Previous experience with process improvement, risk assessment, and quality improvement methodologies (e.g., PDSA, Lean, Six Sigma) Experience in or knowledge of healthcare compliance, PACE-specific program compliance, and HIPAA requirements required Experience working with multidisciplinary teams required Experience with managing data and conducting analyses using software including but not limited to productivity suite software, Smartsheet, and Power BI Experience with electronic medical records, preferably Athena We are seeking a Senior Regional Quality Operations Specialist with experience in healthcare quality, compliance, and regulatory oversight (ideally within PACE, Medicare, or Medicaid environments), who can lead root cause analyses, drive corrective action plans, and partner across multidisciplinary teams to improve quality outcomes. If you’re passionate about continuous improvement and making a meaningful impact on participant care, we’d love to hear from you! Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications.

$82,074 - $108,337 USD

At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to View email address on click.appcast.io Create a Job Alert Interested in building your career at WelbeHealth? Get future opportunities sent straight to your email. Accepted file types: pdf, doc, docx, txt, rtf Enter manually Accepted file types: pdf, doc, docx, txt, rtf Are you currently residing in the Los Angeles County? * Select... Please describe your educational background, including any bachelor’s or master’s degree(s) relevant to healthcare, quality improvement, public health, healthcare administration, nursing, or a related field. * How many years of experience do you have in Quality Improvement (QI), Quality Assurance (QA), healthcare compliance, or quality oversight within a healthcare or eldercare setting? * Select... Do any of your relatives currently work for or at WelbeHealth? If so, who? * Please describe your experience supporting quality improvement, quality assurance, or compliance initiatives in a healthcare or eldercare environment. * Have you worked in any of the following healthcare settings? (Select all that apply) * PACE organization Managed Care Hospital/Health System Medical Group/Clinic Skilled Nursing Facility Home Health Other healthcare setting Please describe your experience with process improvement, risk assessment, or quality improvement methodologies such as PDSA, Lean, Six Sigma, Root Cause Analysis (RCA), or CAPA processes. * Which quality improvement or operational methodologies have you used professionally? (Select all that apply) * PDSA (Plan-Do-Study-Act) Lean Six Sigma Root Cause Analysis (RCA) Process Mapping None of the abovePDSA (Plan-Do-Study-Act) None of the above Do you have experience supporting healthcare compliance initiatives, including HIPAA regulations and regulatory audit readiness? * Select... What interests you most about supporting Quality Operations and compliance initiatives at WelbeHealth? * Are you a current employee of WelbeHealth? * Select... What is your desired pay? * For example: $XX.XX hourly or $XX,XXX annually Have you been referred by a current WelbeHealth employee? * Select... If you were referred, please specify the referring individual's first and last name. Otherwise, enter “N/A." * Texting Consent Policy * Select... Do you consent to receiving text messages as part of the recruitment process? By selecting Yes, you agree to receive SMS from WelbeHealth. Reply STOP to opt out at any time. Reply HELP for customer care contact information. Message and data rates may apply. Messaging frequency will vary. Visit welbehealth.com/privacy-policy/ to see our Privacy Policy. Visit careers.welbehealth.com/us/en/emailpersonalinfo for our Terms of Service. Have you ever worked for WelbeHealth? * Select... Will you now or in the future require employment visa sponsorship to legally work in the US? * Select... 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Disabilities include, but are not limited to: Alcohol or other substance use disorder (not currently using drugs illegally) Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS Blind or low vision Cancer (past or present) Cardiovascular or heart disease Celiac disease Cerebral palsy Deaf or serious difficulty hearing Diabetes Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders Epilepsy or other seizure disorder Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome Intellectual or developmental disability Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD Missing limbs or partially missing limbs Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS) Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities Partial or complete paralysis (any cause) Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema Short stature (dwarfism) Traumatic brain injury Disability Status Select... 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