Quality Operations Coordinator (Quality Monitoring)

WelbeHealth•Los Angeles, CA

3d•Hybrid

About The Position

WelbeHealth is a value-based healthcare organization that’s transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population. Under the supervision of the Quality Operations Director (QOD), the Quality Operations Coordinator (Assignment: Quality Monitoring) provides administrative and operational support to ensure that our PACE market operations run smoothly and that participant concerns are addressed in a timely, organized, and respectful manner. This role focuses on carefully tracking, reviewing, and helping resolve participant grievances while maintaining clear documentation and communication throughout the process. This role is different because the Quality Operations Coordinator at WelbeHealth: Makes a direct impact in participant satisfaction by communicating effectively and resolving any complaints or concerns Plays a critical role in supporting a growing, mission-driven healthcare organization, ensuring vulnerable seniors feel supported and have access to high-quality care

Requirements

Associate’s degree preferred; three (3) years of experience may be substituted
Minimum of two (2) years of experience in a healthcare setting; PACE experience preferred
Must be comfortable with working a varied schedule, which may require nights and weekends, and must be comfortable travelling onsite for business needs
Ability to interpret and apply policies and Health Information Management expertise
Extensive MS office suite experience, strong data gathering skills, and technical skills with computer navigation required
strong written and verbal communication skills
EHR experience

Nice To Haves

PACE experience preferred

Responsibilities

Review and investigate participant grievances by gathering relevant information, speaking with appropriate staff members when needed, and documenting findings to help determine what occurred and how it should be addressed
Manage communication related to grievances with participants, ensuring that required information is accurate, prepared, and submitted according to established regulatory timelines
Log, track, and maintain records of grievances in the appropriate systems so that each issue is properly documented, monitored, and resolved according to organizational and regulatory requirements