Quality Operations Coordinator (Quality Monitoring)

Job Description

Job Description

Quality Operations Coordinator (Assignment: Quality Monitoring)

WelbeHealth is a value-based healthcare organization that's transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population.

Under the supervision of the Quality Operations Director (QOD), the Quality Operations Coordinator (Assignment: Quality Monitoring) provides administrative and operational support to ensure that our PACE market operations run smoothly and that participant concerns are addressed in a timely, organized, and respectful manner. This role focuses on carefully tracking, reviewing, and helping resolve participant grievances while maintaining clear documentation and communication throughout the process.

This role is different because the Quality Operations Coordinator at WelbeHealth:

• Makes a direct impact in participant satisfaction by communicating effectively and resolving any complaints or concerns
• Plays a critical role in supporting a growing, mission-driven healthcare organization, ensuring vulnerable seniors feel supported and have access to high-quality care

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:

• Review and investigate participant grievances by gathering relevant information, speaking with appropriate staff members when needed, and documenting findings to help determine what occurred and how it should be addressed
• Manage communication related to grievances with participants, ensuring that required information is accurate, prepared, and submitted according to established regulatory timelines
• Log, track, and maintain records of grievances in the appropriate systems so that each issue is properly documented, monitored, and resolved according to organizational and regulatory requirements

Job requirements include:

• Associate's degree preferred; three (3) years of experience may be substituted
• Minimum of two (2) years of experience managing grievances; PACE experience preferred
• Must be comfortable with working a varied schedule, which may require nights and weekends, and must be comfortable travelling onsite for business needs
• Ability to interpret and apply policies and Health Information Management expertise
• Extensive MS office suite experience, strong data gathering skills, and technical skills with computer navigation required

We are seeking a Quality Operations Coordinator that ideally has strong written and verbal communication skills and EHR experience. If you're ready to join a team that values both its participants and its team members, we would 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.

Compensation Offering

$26.89—$35.50 USD

COVID-19 Vaccination Policy

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 ziprecruiter.com