Senior Regional Quality Operations Specialist

WelbeHealth•Los Angeles, CA

3d•$82,074 - $108,337•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. Under the direct supervision of the Quality Operations Directors (QODs) and in close collaboration with the Vice President of Quality Operations, the Senior Regional Quality Operations Specialist plays a key role in driving regulatory compliance and continuous quality improvement across the organization. This role ensures effective management and follow-through of quality initiatives stemming from internal and external audits, complaint investigations, and performance assessments. The Senior Regional Quality Operations Specialist leads the coordination and implementation of corrective action plans (CAPs) and preventive measures, facilitates comprehensive root cause analyses (RCA) with cross-functional partners, and supports the design, execution, and evaluation of targeted quality improvement strategies. This role also ensures accurate and consistent collection and reporting of enterprise trends and analysis of CAP outcomes, progress of interventions, and risk assessment. This role is different because the Senior Regional Quality Operations Specialist at WelbeHealth: Plays a critical role in strengthening regulatory compliance and quality performance across markets, directly impacting participant safety and care outcomes in a highly regulated PACE environment Leads complex, cross-functional quality initiatives, driving sustainable process improvements across clinical and operational teams

Requirements

Bachelor’s degree in relevant field required
Must be located in Los Angeles County for frequent travel to Southern California Markets
Minimum of three (3) years of experience in quality improvement/assurance in a healthcare setting, or in health or eldercare programs with oversight of quality/compliance
Previous experience with process improvement, risk assessment, and quality improvement methodologies (e.g., PDSA, Lean, Six Sigma)
Experience in or knowledge of healthcare compliance, PACE-specific program compliance, and HIPAA requirements required
Experience working with multidisciplinary teams required
Experience with managing data and conducting analyses using software including but not limited to productivity suite software, Smartsheet, and Power BI
Experience with electronic medical records, preferably Athena

Nice To Haves

master’s degree preferred
experience in healthcare quality, compliance, and regulatory oversight (ideally within PACE, Medicare, or Medicaid environments)
ability to lead root cause analyses, drive corrective action plans, and partner across multidisciplinary teams to improve quality outcomes
passion for continuous improvement and making a meaningful impact on participant care

Responsibilities

Partner with QODs and market leadership to implement quality activities, ensuring compliance with federal, state, and contractual regulatory requirements
Collaborate with QODs, Executive Directors (EDs), and Medical Directors (MDs) to address regulatory findings and compliance issues at the market level
Lead and facilitate RCAs with required stakeholders to identify systemic issues and prevent recurrence
Support regulatory process improvement by ensuring that RCA outcomes are translated into actionable and measurable CAPs
Assist QODs in the development and implementation of CAPs following audit findings, complaints, or regulatory observations
Track, monitor, and validate the progress of CAPs to ensure timely completion and measurable improvement in compliance performance, as well as prepare summary reports for leadership review
Partner with QODs to evaluate the effectiveness of CAPs and ensure sustainability of improvements