Senior Regional Quality Operations Specialist

About the Role Candidate must be residing in Los Angeles County as this role requires accessibility and occasional travel to Southern California WelbeHealth markets. WelbeHealth serves communities’ most vulnerable seniors with shared intention, pioneering spirit, and the courage to love. Responsibilities Partner with QODs and market leadership to implement quality activities, ensuring compliance with federal, state, and contractual regulatory requirements. Collaborate with QODs, Executive Directors, and Medical Directors 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 RCA outcomes are translated into actionable and measurable CAPs. Assist QODs in 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, and prepare summary reports for leadership review. Partner with QODs to evaluate the effectiveness of CAPs and ensure sustainability of improvements. Job Requirements Bachelor’s degree in a 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. Experience working with multidisciplinary teams. Experience managing data and conducting analyses using software including productivity suite software, Smartsheet, and Power BI. Experience with electronic medical records, preferably Athena. Benefits Medical, Dental, and Vision insurance coverage. 401(k) savings plan with match. Comprehensive compensation package including base pay and bonus. 17 days of personal time off, 12 holidays observed annually, and 6 sick days. Additional benefits as appropriate. Compensation Base salary plus bonus. Compensation range: $82,074—$108,337 USD, determined based on experience and qualifications. EEO Statement WelbeHealth is 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. COVID-19 Vaccination Policy WelbeHealth requires employees to maintain a current COVID-19 vaccination or a vaccine declination form prior to employment. Employees must comply with infection control and PPE standards. #J-18808-Ljbffr WelbeHealth