Quality Operations Specialist

WelbeHealth

4h

About The Position

WelbeHealth PACE helps seniors stay in their homes and communities by providing medical care and community-based services. We believe in going the extra mile and aim to make a genuine difference in our participants’ lives.
Under the supervision of the Quality Operations Director (QOD), the Quality Operations Specialist is accountable for the maintenance and oversight of the WelbeHealth Quality Operations (QO) program. This role monitors staff compliance with state and federal regulations and WelbeHealth policies and procedures, as well as coordinates WelbeHealth audits

Requirements

• Bachelor’s degree in a relevant field; master’s degree in relevant field preferred; professional experience of five (5) years may be substituted
• Minimum of two (2) years of work experience in QI in a healthcare setting
• Experience and knowledge of healthcare compliance, including PACE-specific program compliance; PACE experience is highly desired
• Experience with managing data and conducting analyses using productivity suite software, including complex spreadsheets
• Extensive Microsoft Office Suite, Smartsheet, and Health Information Management experience
• Highly motivated, self-directed, able to execute tasks in a quickly changing environment, and able to make sound decisions in emergency situations

Nice To Haves

• PACE experience is highly desired
• master’s degree in relevant field preferred

Responsibilities

• Collaborate with the QOD on the development of Quality Improvement (QI) Program initiatives and priorities
• Serve as a primary resource for QO Coordinators to ensure accurate application of quality policies and procedures
• Coordinate messaging for the QO team, including maintenance of email inboxes and other communication platforms
• Collect, analyze, and generate reports for regulatory QO department data including that specified in the QI plan, HPMS, and required by state and federal regulations
• Assist with auditing and ensuring timely completion of all regulatory requirements
• Gather universe data elements for PACE and mock audits, and support data requests during audits
• Complete investigations and notifications, along with the grievances, appeals, and HPMS processes as needed

Benefits

• Apply your expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.
• Standard business working hours
• Full medical, dental, and vision insurance, beginning day one
• Work/life balance - we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
• And additional benefits
• WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees