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WelbeHealth

Senior Quality Operations Specialist, Audit

WelbeHealth

. Lead planning, coordination, and execution of assigned PACE regulatory audits, mock audits, and audit readiness activities .

Posted 10/8/2026full-timeRemote • California • United StatesSenior💰 $74,613 - $98,489 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in leading regulatory audits and ensuring compliance through effective planning, coordination, and execution. Proficient in stakeholder management, evidence validation, and continuous improvement of audit processes.

Highest-signal resume keywords
Regulatory Audit MethodologiesHealthcare Quality ManagementStakeholder ManagementAudit Readiness PracticesEvidence Validation

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Regulatory ComplianceAudit CoordinationPerformance ImprovementDocument ManagementData Analysis
Soft Skills
FacilitationCommunicationRelationship BuildingMentoring
Tools & Technologies
Audit Tracking ToolsDashboardsReporting Software
Industry Keywords
PACEMedicareMedicaidHealthcare OperationsQuality Assurance

About the role

Key responsibilities & impact
  • Lead planning, coordination, and execution of assigned PACE regulatory audits, mock audits, and audit readiness activities
  • Serve as primary operational lead and audit subject matter resource for complex or high-priority audits
  • Facilitate audit kickoff meetings, readiness sessions, deliverable reviews, interview preparation, and stakeholder communications
  • Manage document requests, evidence collection, submissions, and audit-related workstreams
  • Review and validate audit documentation and evidence for completeness, accuracy, organization, and regulatory alignment
  • Identify readiness gaps, documentation deficiencies, operational barriers, and regulatory risks, and drive resolution with stakeholders
  • Provide onsite and virtual audit support, including logistics, center activities, interview coordination, issue tracking, document retrieval, and real-time response management
  • Develop and maintain audit plans, dashboards, tracking tools, reports, and leadership updates
  • Provide guidance, mentoring, and technical support to Audit Specialists and Audit Coordinators
  • Collaborate with clinical, operational, quality, compliance, and CAP & Monitoring teams on regulatory response, corrective action, and organizational readiness
  • Support standardization and continuous improvement of audit processes, tools, and readiness practices

Requirements

What you’ll need
  • Bachelor's degree in healthcare administration, nursing, public health, business administration, health information management, regulatory affairs, quality management, compliance, or related field required; equivalent combination of education and progressive healthcare, regulatory, quality, compliance, or audit experience may be considered
  • Minimum of three (3) years of experience in healthcare quality, regulatory compliance, audit, operational readiness, performance improvement, or related functions
  • 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
  • Strong knowledge of regulatory audit methodologies, audit readiness practices, evidence validation, documentation standards, and regulatory response processes
  • Ability to independently lead complex projects and manage multiple concurrent audits, priorities, stakeholders, and deadlines
  • Strong facilitation, communication, stakeholder management, and relationship-building skills
  • Must reside in California or within approximately a 2-hour flight of California due to travel requirements
  • Proof of COVID-19 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