[Hiring] Senior Quality Operations Specialist, Audit @WelbeHealth

Role Description

The Senior Quality Operations Specialist, Audit is accountable for leading PACE regulatory audits, mock audits, audit readiness activities, and related regulatory response efforts across the organization. This role serves as the primary operational lead for assigned audits, driving accountability, coordinating cross-functional audit activities, evaluating documentation and evidence, identifying and escalating risks, and supporting timely resolution of audit readiness gaps.

This role is different because the Senior Quality Operations Specialist, Audit at WelbeHealth:

• Owns the end-to-end execution and oversight of complex PACE regulatory audits and audit readiness activities.
• Drives cross-functional audit readiness and regulatory response, partnering with clinical, operational, quality, and compliance leaders.

On the day-to-day, you will:

• Lead the planning, coordination, and execution of assigned PACE regulatory audits, mock audits, and audit readiness activities.
• Facilitate audit kickoff meetings, readiness sessions, deliverable reviews, interview preparation activities, and stakeholder communications.
• Review and validate audit documentation and evidence for completeness, accuracy, organization, and regulatory alignment.
• Provide onsite and virtual audit support, including audit logistics, center activities, interview coordination, issue tracking, document retrieval, and real-time response management.
• Develop and maintain audit plans, dashboards, tracking tools, reports, and leadership updates.
• Provide functional guidance, mentoring, and technical support to Audit Specialists and Audit Coordinators.
• Collaborate with clinical, operational, quality, and compliance leaders to support regulatory response activities.

Qualifications

• Bachelor's degree in healthcare administration, nursing, public health, business administration, health information management, regulatory affairs, quality management, compliance, or related field required.
• Minimum of three (3) years of experience in healthcare quality, regulatory compliance, audit, operational readiness, performance improvement, or related functions; five (5) years of experience preferred.
• Experience leading or coordinating regulatory audits, mock audits, accreditation reviews, compliance assessments, readiness activities, or regulatory response efforts preferred.
• Experience working in PACE, Medicare, Medicaid, managed care, healthcare operations, quality, regulatory, or compliance environment preferred.
• Strong knowledge of regulatory audit methodologies, audit readiness practices, evidence validation, documentation standards, and regulatory response processes.
• Demonstrated ability to independently lead complex projects, manage multiple concurrent audits, priorities, stakeholders, and deadlines in a fast-paced environment.
• Strong facilitation, communication, stakeholder management, and relationship-building skills.

Requirements

• We are seeking a highly organized, analytical, and collaborative Senior Quality Operations Specialist, Audit who is passionate about regulatory compliance, audit readiness, and driving meaningful operational improvement.
• The ideal candidate brings strong project management, critical-thinking, communication, and problem-solving skills.
• Ability to lead complex audits, manage competing priorities and stakeholders, identify risks and root causes, and drive timely and sustainable resolution.
• Comfortable navigating complexity and ambiguity, and energized by using data, technology, and continuous improvement to strengthen regulatory readiness and operational performance.

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.

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.