Senior Quality Operations Specialist, CAP & Monitoring

WelbeHealth

. Lead the development, implementation, monitoring, and validation of CAPs resulting from PACE regulatory audits, mock audits, monitoring activities, complaints, and other compliance-related reviews .

Posted 10/6/2026full-timeRemote • United StatesSenior💰 $74,613 - $98,489 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in developing and implementing Corrective Action Plans (CAPs) in compliance with regulatory standards, utilizing data-driven methodologies for continuous improvement. Proficient in risk assessment, quality improvement, and leveraging technology to enhance operational effectiveness.

Highest-signal resume keywords

Corrective Action Plan DevelopmentRegulatory ComplianceProcess Improvement MethodologiesData Analysis and ReportingRoot Cause Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare Quality ManagementRisk AssessmentQuality ImprovementPerformance ImprovementRegulatory AuditingDashboard DevelopmentPerformance MetricsData-Driven Decision MakingAI Workflow AutomationLean Six Sigma

Soft Skills

Critical ThinkingProblem SolvingCollaborationCommunicationLeadership

Tools & Technologies

Power BITracking ToolsMonitoring ToolsCAP DashboardsData Analysis Software

Industry Keywords

PACEMedicareMedicaidManaged CareHealthcare OperationsComplianceQuality AssuranceHealthcare AdministrationPublic HealthHealth Information Management

About the role

Key responsibilities & impact

Lead the development, implementation, monitoring, and validation of CAPs resulting from PACE regulatory audits, mock audits, monitoring activities, complaints, and other compliance-related reviews
Identify and escalate risks, overdue actions, implementation challenges, and systemic issues
Partner with center and departmental leadership to develop remediation strategies, establish timelines, resolve barriers, and drive timely completion of corrective actions
Facilitate CAP meetings, root cause analysis, and remediation workgroups
Review documentation, monitoring results, and evidence submissions to assess implementation effectiveness, sustainability, and regulatory compliance
Develop and maintain CAP dashboards, tracking tools, reports, and status updates
Use data, monitoring results, and performance metrics to identify trends, risks, and continuous improvement opportunities
Identify opportunities to leverage AI and technology to automate workflows and improve operational effectiveness
Support PACE regulatory audits, mock audits, complaint investigations, and other Quality Operations initiatives

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
Previous experience with process improvement, risk assessment, and quality improvement methodologies (e.g., PDSA, Lean, Six Sigma) preferred
Minimum of three (3) years of experience in healthcare quality, compliance, auditing, performance improvement, corrective action management, or related operations; five (5) years of experience preferred
Experience developing, implementing, monitoring, and sustaining regulatory CAPs
Experience in RCA, PACE, Medicare, Medicaid, managed care, healthcare operations, quality, or compliance preferred
Experience developing dashboards, reports, tracking tools, and performance measures; Power BI experience preferred
Strong data-driven approach and critical-thinking skills, including identifying trends, evaluating risks, determining root causes, and developing actionable recommendations
Ability to use AI and technology to automate workflows, streamline processes, and improve operational efficiency and effectiveness
Travel to WelbeHealth centers as needed to support business-related activities, including occasional overnight stays
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