Manager, Quality Audit Operations

WelbeHealth • Los Angeles, CA

1d • Hybrid

About The Position

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 WelbeHealth’s 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

Requirements

• Bachelor’s degree in relevant field; professional experience may be substituted; master’s 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

Nice To Haves

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

Responsibilities

• 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

Benefits

• Medical insurance coverage (Medical, Dental, Vision)
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Manager