Quality Operations Coordinator

WelbeHealth

. Deliver support and service to PACE market operations through record review .

Posted 10/2/2026full-timeRemote • California • United StatesJuniorMid-Level💰 $27 - $36 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare quality standards, auditing, and regulatory compliance, with a strong focus on data integrity and process improvement. Proficient in electronic health record management and effective communication within clinical and operational teams.

Highest-signal resume keywords

Healthcare Quality StandardsAuditing ExperienceRegulatory ComplianceElectronic Health Record ManagementProcess Improvement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data CollectionDocumentation ReviewMedical Records AuditingQuality-Improvement ToolsRegulatory ReportingEHR Data IntegrityOperational ControlsGrievance HandlingIntermediate to Advanced MS Office ProficiencyImpact Analysis

Soft Skills

Excellent CommunicationListening SkillsOrganizational SkillsMulti-tasking Ability

Tools & Technologies

Electronic Medical Records (EMR)Quality Operations Tools

Industry Keywords

PACEHealthcare SettingManaged CareRegulated EnvironmentDocumentation GapsPolicy Violations

About the role

Key responsibilities & impact

Deliver support and service to PACE market operations through record review
Collect data and audit participant electronic health records using quality-improvement tools
Complete reporting and confirm all regulatory-required elements
Identify documentation gaps, trends, deficiencies, and root causes
Collaborate with clinical and operational teams on process improvement and regulatory readiness
Identify potential deficiencies and facilitate and monitor corrections to ensure EHR data integrity
Monitor participant medical records for complete and timely documentation
Report policy and procedure violations to the Quality Operations Supervisor
Participate in team documentation, process improvements, and QO team initiatives
Conduct medical records audits for timely and accurate required documentation
Prepare documents and universe lists for audit desk-review submissions
Assist with EMR navigation and impact analysis
Review and reconcile assigned regulatory logs
Complete required tasks, investigations, and notifications accurately and timely

Requirements

What you’ll need

Associate’s degree preferred; may substitute three years’ experience in lieu of education
Minimum two (2) years’ work experience in a healthcare setting or related areas
Familiarity with healthcare quality standards, auditing, regulatory requirements, documentation, and maintaining operational controls in a regulated environment
Experience working with grievances, complaints, appeals, or member/provider issues within a healthcare, health plan, managed care, PACE, or other regulated healthcare environment is highly desired
Bilingual is a plus
Ability to multi-task in a challenging environment
Excellent communication, listening, and organization skills
Extensive MS Office suite experience; intermediate to advanced proficiency desired
Proof of vaccination or a vaccine declination form required prior to employment

Benefits

Comp & perks

Medical insurance coverage (Medical, Dental, Vision)
17 days of personal time off (PTO)
12 holidays observed annually
6 sick days
401K savings + match
Comprehensive compensation package including base pay and bonus
Additional benefits
COVID-19 vaccination policy and infection control/PPE standards