Senior Quality Operations Specialist, Audit

The role

The Senior Quality Operations Specialist, Audit leads PACE regulatory audits, mock audits, and audit readiness activities. This person coordinates cross-functional activities, evaluates documentation, and provides guidance to Audit Specialists and Coordinators.

What you will do

• Lead the planning, coordination, and execution of assigned PACE regulatory audits, mock audits, and audit readiness activities
• Facilitate audit kickoff meetings, readiness sessions, deliverable reviews, and interview preparation
• Review and validate audit documentation and evidence for completeness and regulatory alignment
• Provide onsite and virtual audit support including logistics, interview coordination, and real-time response management
• Develop and maintain audit plans, dashboards, tracking tools, reports, and leadership updates
• Provide functional guidance, mentoring, and technical support to Audit Specialists and Audit Coordinators
• Collaborate with clinical, operational, quality, and compliance leaders to support regulatory response activities

Required qualifications

• Bachelor's degree in healthcare administration, nursing, public health, business administration, health information management, regulatory affairs, quality management, compliance, or related field
• Minimum of three (3) years of experience in healthcare quality, regulatory compliance, audit, operational readiness, performance improvement, or related functions
• Strong knowledge of regulatory audit methodologies, audit readiness practices, evidence validation, documentation standards, and regulatory response processes
• Demonstrated ability to independently lead complex projects, manage multiple concurrent audits, priorities, stakeholders, and deadlines
• Strong facilitation, communication, stakeholder management, and relationship-building skills

Nice to have

• Five (5) years of experience preferred
• Experience leading or coordinating regulatory audits, mock audits, accreditation reviews, compliance assessments, readiness activities, or regulatory response efforts preferred
• Experience working in PACE, Medicare, Medicaid, managed care, healthcare operations, quality, regulatory, or compliance environment preferred

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

• Must reside in California or within approximately a 2-hour flight of California
• Proof of vaccination, or a vaccine declination form will be required prior to employment

About the company

WelbeHealth serves communities’ most vulnerable seniors through shared intention, pioneering spirit, and the courage to love.