Manager, Quality Audit Operations

***Candidates must reside in Californiaor within a 2-hour direct flight of Los Angeles with the ability to travel onsite as needed for business and regulatory requirements***

At WelbeHealth we serve our communities most vulnerable seniors through shared intention pioneering spirit and the courage to love. These core values and our participant-focus lead the way no matter what.

The Manager Quality Audit Operations is accountable for the operational management and coordination of WelbeHealths regulatory audit and mock audit activities as well as ensuring audit deliverables are prepared in accordance with regulatory requirements and internal standards. This role leads day-to-day audit readiness activities manages audit preparation processes and supports the successful execution of federal state and internal mock audits across WelbeHealth markets. Working under the direction of the Director Audit the Manager Quality Audit Operations helps operationalize enterprise audit processes and promote consistency in audit readiness practices across markets.

This role is different because the Manager Quality Audit Operations at WelbeHealth:

• Leads enterprise-wide audit readiness efforts by coordinating regulatory and mock audits across multiple markets helping ensure our organization is prepared for CMS State Administering Agency (SAA) and internal reviews through standardized processes operational excellence and cross-functional collaboration
• Partners with leaders across Quality Compliance Operations and market teams to strengthen audit readiness drive continuous process improvement and translate audit findings into sustainable corrective actions that enhance regulatory performance and support exceptional care for the vulnerable seniors we serve

We care about our team members. Thats 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:

• Manage the operational coordination and execution of regulatory audits including CMS SAA and internal mock audits
• Assist with onsite and remote audit preparation activities with market and central teams
• Coordinate and track audit deliverables including but not limited to universes pre-audit documentation requests RAIs and other documentation submissions to ensure timely and accurate audit execution
• Coordinate responses to auditor requests and facilitate communication between Operational Quality and center teams during audits as well as support the execution of enterprise mock audits and audit readiness assessments
• Collaborate with Quality Directors on audit findings to ensure accurate and timely completion of corrective action plans (CAPs) as well as collaborate with Quality and Operational teams to support root cause analyses and development of CAPs related to audit findings as needed
• Develop and implement standardized audit processes tools and workflows to support all audit activities as well as collaborate with Compliance Training and Operational stakeholders to support audit readiness education
• Maintain audit tracking systems tools and dashboards to monitor audit readiness findings remediation status and operational progress

Job requirements include:

• Bachelors degree in relevant field; professional experience may be substituted; masters degree preferred
• Minimum of five (5) years of experience in quality compliance or regulatory audits in a healthcare setting
• Minimum of two (2) years of supervisory experience with demonstrated ability to mentor and develop team members; three (3) years of experience supervising programs and program development may be substituted
• PACE experience highly desired
• Experience with managing data and conducting analyses using productivity suite software including complex spreadsheets
• Extensive MS office suite experience health information management expertise and experience with SmartSheets preferred
• Highly motivated inspirational leader who is able to innovatively engage support and remove barriers to ensure the team consistently meets established goals

We are seeking a Manager Quality Audit Operations who is passionate about building a culture of audit readiness and operational excellence in a mission-driven healthcare environment. The ideal candidate brings experience leading regulatory audit operations managing complex cross-functional initiatives and driving continuous quality improvement through data collaboration and process standardization. If youre looking for an opportunity to make a meaningful impact by helping ensure the highest standards of regulatory compliance and quality for the seniors we serve wed love to hear from you.

COVID-19 Vaccination Policy

At WelbeHealth our mission is to unlock the full potential of our vulnerable 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 were committed to building a culture of inclusion and belonging. Were 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.

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