Job Details

At WelbeHealth PACE, we are dedicated to helping seniors maintain their independence within their communities by providing exceptional medical care and supportive services. We go above and beyond to make a meaningful impact in the lives of our participants.

As a Quality Assurance Operations Specialist, you will work under the guidance of the Quality Operations Director (QOD) to uphold and enhance the WelbeHealth Quality Operations (QO) program. Your role involves ensuring staff adherence to state and federal regulations, as well as WelbeHealth's policies and procedures. You will also play a key role in coordinating WelbeHealth audits.

Key Responsibilities:

• Collaborate with the QOD to develop and prioritize Quality Improvement (QI) Program initiatives.

• Act as a primary resource for QO Coordinators, ensuring the correct application of quality policies and procedures.

• Manage communications for the QO team, including overseeing email inboxes and other messaging platforms.

• Collect, analyze, and generate reports for regulatory QO department data in accordance with the QI plan, HPMS, and state and federal regulations.

• Assist in auditing processes and guarantee timely completion of all regulatory requirements.

• Compile universe data elements for PACE and mock audits, and support data requests during audits.

• Conduct investigations and notifications, as well as manage grievances, appeals, and HPMS processes as needed.

Qualifications:

• A bachelor's degree in a relevant field is required; a master's degree is preferred. Alternatively, five (5) years of professional experience may be considered in lieu of a degree.

• A minimum of two (2) years of experience in Quality Improvement within a healthcare setting is essential.

• Demonstrated experience with healthcare compliance, particularly PACE program compliance, is highly regarded.

• Proficiency in managing data and conducting analyses using productivity software, including advanced spreadsheets.

• Strong knowledge of Microsoft Office Suite, Smartsheet, and Health Information Management is required.

• Must be highly motivated, self-directed, and capable of thriving in a fast-paced environment while making informed decisions during emergencies.

Join Our Team:

At WelbeHealth, you can leverage your skills in innovative ways as we grow. Experience a fulfilling work culture that emphasizes support, care, and the well-being of every individual involved.

• Standard business hours.

• Full medical, dental, and vision insurance effective from day one.

• Generous work/life balance with 17 days of personal time off (PTO), 12 recognized holidays, and 6 sick days.

• Additional benefits available.

The salary range for this position is $68,640 - $89,535 per year, plus bonuses. WelbeHealth offers a comprehensive total rewards package that includes a 401k match, healthcare coverage, and more. Actual compensation will be adjusted based on your experience and qualifications.

COVID-19 Vaccination Policy:

Please note that WelbeHealth has a vaccination policy for all employees. Proof of vaccination or a declination form will be required before employment. We uphold strict infection control and PPE standards, with vaccination requirements applicable to all team members.

Commitment to Diversity, Equity, and Inclusion:

WelbeHealth celebrates the diversity of our workforce and is devoted to fostering an inclusive environment. We are proud to be an equal opportunity employer, considering applicants without discrimination on any basis protected by law.

Be Aware of Scams:

Ensure your application is submitted through an official WelbeHealth site. Communications from us will originate from @welbehealth.com email addresses. We will never require you to purchase your own employment equipment. Any suspicious activity can be reported to the designated email.