[Hiring] Senior Quality Operations Specialist @WelbeHealth

Role Description

Under the direct supervision of the Quality Operations Director, the Senior Quality Operations Specialist, CAP & Monitoring leads the development, implementation, and monitoring of corrective action plans (CAPs) related to PACE regulatory audit findings. This role partners with Operational, Clinical, Compliance, and Quality leaders to drive accountability, resolve barriers, support timely closure, and validate sustained compliance. The Senior Quality Operations Specialist, CAP & Monitoring manages multiple CAPs, analyzes monitoring results, escalates risks, and supports continuous improvement.

This role is different because the Senior Quality Operations Specialist, CAP & Monitoring at WelbeHealth:

• Owns the end-to-end lifecycle of CAPs resulting from PACE regulatory audits, monitoring activities, complaints, and other compliance reviews from root cause analysis (RCA) and remediation planning through implementation, monitoring, validation, and sustained closure.
• Serves as a cross-functional driver of regulatory remediation, partnering with leaders to identify risks, remove barriers, strengthen accountability, and use data and monitoring results to validate that corrective actions are effective and sustainable.

On the day-to-day, you will:

• Lead the development, implementation, monitoring, and validation of CAPs resulting from PACE regulatory audits, mock audits, monitoring activities, complaints, and other compliance-related reviews.
• Proactively identify and escalate risks, overdue actions, implementation challenges, and systemic issues.
• Partner with center and departmental leadership to develop remediation strategies, establish timelines, resolve barriers, and drive timely completion of corrective actions.
• Facilitate CAP meetings, RCA, and remediation workgroups to support accountability and progress toward closure.
• Review documentation, monitoring results, and evidence submissions to assess implementation effectiveness, sustainability, and compliance with regulatory requirements.
• Develop and maintain CAP dashboards, tracking tools, reports, and status updates.
• Leverage data, monitoring results, and performance metrics to identify trends, risks, and opportunities for continuous improvement.
• Identify opportunities to leverage AI and technology to automate workflows and improve operational effectiveness.
• Support PACE regulatory audits, mock audits, complaint investigations, and other Quality Operations initiatives as assigned.

Qualifications

• Bachelor’s degree in healthcare administration, nursing, public health, business administration, health information management, regulatory affairs, quality management, compliance, or related field required; master’s degree preferred.
• Previous experience with process improvement, risk assessment, and quality improvement methodologies (e.g., PDSA, Lean, Six Sigma) preferred.
• Minimum of three (3) years of experience in healthcare quality, compliance, auditing, performance improvement, corrective action management, or related operations; five (5) years of experience preferred.
• Experience developing, implementing, monitoring, and sustaining regulatory CAPs.
• Experience in RCA, PACE, Medicare, Medicaid, managed care, healthcare operations, quality, or compliance preferred.
• Experience developing dashboards, reports, tracking tools, and performance measures; Power BI experience preferred.
• Strong data-driven approach and critical-thinking skills, including identifying trends, evaluating risks, determining root causes, and developing actionable recommendations.
• Ability to use AI and technology to automate workflows, streamline processes, and improve operational efficiency and effectiveness.
• Travel to WelbeHealth centers as needed to support business-related activities, including occasional overnight stays.

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.
• Additional benefits!

Compensation Offering

$74,612.76 — $98,488.84 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.