Welbehealth
Director, Quality Operations
Remote, CA, USA. Posted a month ago
The role
The Director, Quality Operations develops and implements a PACE quality program to ensure participant care. This role leads Quality Operations teams and collaborates cross-functionally to translate data into actionable insights for clinical excellence and regulatory readiness.
What you will do
- Develop and standardize enterprise metrics in clinical excellence, quality, and patient safety
- Develop standardized quality operations workflows, playbooks, tools, and resources
- Implement scalable approaches for collecting, analyzing, and visualizing data
- Partner with Analytics and Performance Excellence Teams to review operational performance
- Monitor and analyze quality improvement plan metrics, HPMS entries, and corrective action plans
- Act as a QI subject matter expert on program and company initiatives
- Collaborate with the Compliance Officer to ensure PACE program complaints are investigated and documented
- Ensure timely submission of information required by regulatory agencies including HPMS and CMS
Required qualifications
- Bachelor’s degree in relevant field or professional experience may be substituted
- Five years of experience required
- Three years of experience as a QI/assurance Director/Manager in a healthcare setting, or in managing health/elder care programs with oversight of QI or compliance
- Three years of supervisory experience
- Experience with regulatory compliance and audits including CMS and DHCS
- Demonstrated experience developing, implementing, and managing QI plans
- Experience managing data and conducting analyses using productivity suite software including complex spreadsheets and data visualization tools
Nice to have
- Master’s degree in relevant field
- Experience as Lean Six Sigma green belt or black belt
- Formal QI and analytics certifications
- Hands-on experience working with the California DHCS
- Experience working with and implementing PACE regulations
- Excel and PowerBI experience
Benefits
- Medical insurance coverage (Medical, Dental, Vision)
- 17 days of personal time off (PTO)
- 12 holidays observed annually
- 6 sick days
- 401K savings + match
- Base pay and bonus
Before you apply
- Candidates must reside in California
- Proof of vaccination, or a vaccine declination form will be required prior to employment
About the company
WelbeHealth serves vulnerable seniors through shared intention, pioneering spirit, and the courage to love.