[Hiring] Quality Operations Coordinator @WelbeHealth

Role Description

Under the supervision of the Quality Operations Supervisor, the Quality Operations Coordinator (QOC) will be responsible for delivering excellent support and service to our PACE market operations through a process of record review to ensure a complete and accurate participant medical record. Responsibilities will include:

• Collecting data and auditing participant electronic health records by utilizing comprehensive tools specific to the area of quality improvement.
• Completing reporting and confirming all regulatory required elements.
• Collaborating effectively with colleagues and stakeholders to promote the WelbeHealth values, team culture, and mission.

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

• Plays a direct role in the quality and accuracy of participant care, ensuring medical records are complete, accurate, timely, and compliant with regulatory requirements.
• Combines quality auditing with meaningful process improvement, giving you the opportunity to identify trends and deficiencies, investigate root causes, and collaborate with clinical and operational teams to strengthen processes, improve documentation, and support regulatory readiness across the PACE organization.

On the day-to-day, you will:

• Identify potential deficiencies, facilitate, and monitor appropriate corrections to ensure data integrity in the EHR.
• Monitor participant medical records for complete and timely documentation and promptly report to Quality Operations Supervisor when policies and procedures are not being followed.
• Participate in team documentation, process improvements, and other QO team initiatives.
• Conduct medical records audits to ensure all required documentation is timely and accurate.
• Assist with WelbeHealth audits by preparing documents for desk review submission (universe lists) as well as assist with EMR navigation and impact analysis.
• Review and reconcile assigned regulatory logs.
• Complete all required tasks in a timely and accurate manner.
• Complete required investigations and notifications.

Qualifications

• Associate’s degree preferred; may substitute three years’ experience in lieu of education.
• Minimum two (2) years’ work experience in a healthcare setting or related areas.
• Familiarity with healthcare quality standards, auditing, regulatory requirements, documentation, and maintaining operational controls in a regulated environment.
• Experience working with grievances, complaints, appeals, or member/provider issues within a healthcare, health plan, managed care, PACE, or other regulated healthcare environment is highly desired.
• Bilingual is a plus.
• Ability to multi-task in a challenging environment is necessary; Excellent communication, listening, and organization skills.
• Extensive MS office suite experience (Intermediate to advanced level proficiency is desired).

Benefits

• Medical insurance coverage (Medical, Dental, Vision).
• Work/life balance - 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!

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.

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 [email protected].