Quality Operations Coordinator

WelbeHealth, LLC.; United States; On-site; USD 37,000 - 49,000; Full time

Benefits offered by this job

Medical insurance

PTO 17 days

Holidays 12

401K match

Bonus

Comprehensive benefits

Job summary

WelbeHealth is a value-based healthcare organization transforming senior care by providing an all-inclusive care option to our most vulnerable population.

The Quality Operations Coordinator will audit participant electronic health records, collect data, and ensure regulatory-compliant documentation while collaborating with clinical and operational teams to strengthen processes and readiness across the PACE organization.

Qualifications

• 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 with grievances, complaints, appeals, or member/provider issues within a healthcare, health plan, managed care, PACE, or other regulated healthcare environment is highly desired.

Responsibilities

• Identify potential deficiencies, facilitate, and monitor corrections to ensure data integrity in the EHR.
• Participate in team documentation, process improvements and other QO team initiatives.
• Conduct medical records audits to ensure all required documentation is timely and accurate.
• Assist with WelbeHealth audits by preparing documents for desk review submission and EMR navigation/impact analysis.
• Review and reconcile assigned regulatory logs.
• Complete all required tasks in a timely and accurate manner.
• Complete required investigations and notifications.

Skills

Communication skills

Multitasking

MS Office

Healthcare quality standards

Grievances handling

Education

Associate’s degree preferred

Tools

EMR navigation

Job description

WelbeHealth is a value-based healthcare organization that’s transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population. We step in as the care provider and care planner that work to keep our participants within their communities, out of institutions, and cared for like family, all while receiving the healthcare and social services needed to thrive.

Under the supervision of the Quality Operations Supervisor, the Quality Operations Coordinator (QOC) will be responsible for delivering excellent support and service to our PACE market operations through a process of record review to ensure a complete and accurate participant medical record. Responsibilities will include collecting data, auditing participant electronic health records by utilizing comprehensive tools specific to the area of quality improvement, complete reporting and confirming all regulatory required elements. This role collaborates effectively with colleagues and stakeholders to promote the WelbeHealth values, team culture and mission.

This role is different because the Quality Operations Coordinator at WelbeHealth:

• Plays a direct role in the quality and accuracy of participant care, ensuring medical records are complete, accurate, timely, and compliant with regulatory requirements. Your work helps identify gaps in documentation and supports our care teams in maintaining the highest standards of quality for our participants.
• Combines quality auditing with meaningful process improvement, giving you the opportunity to identify trends and deficiencies, investigate root causes, and collaborate with clinical and operational teams to strengthen processes, improve documentation, and support regulatory readiness across the PACE organization.

We care about our team members. That’s why we offer:

• Medical insurance coverage (Medical, Dental, Vision)
• Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
• 401K savings + match
• Comprehensive compensation package including base pay and bonus
• And additional benefits!

On the day-to-day, you will:

• Identify potential deficiencies, facilitate, and monitor appropriate corrections to ensure data integrity in the EHR. Monitor participant medical records for complete and timely documentation and promptly report to Quality Operations Supervisor when policies and procedures are not being followed
• Participate in team documentation, process improvements and other QO team initiatives
• Conduct medical records audits to ensure all required documentation is timely and accurate
• Assist with WelbeHealth audits by preparing documents for desk review submission (universe lists) as well as assist with EMR navigation and impact analysis
• Review and reconcile assigned regulatory logs
• Complete all required tasks in a timely and accurate manner
• Complete required investigations and notifications

Job requirements include:

• 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 is necessary; Excellent communication, listening, and organization skills
• Extensive MS office suite experience (Intermediate to advanced level proficiency is desired)

If you’re detail-oriented and passionate about healthcare quality, auditing, and continuous improvement, we’d love to hear from you!

Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications.

Compensation Offering

• $26.89 — $35.50 USD

COVID-19 Vaccination Policy

At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

Our Commitment to Diversity, Equity and Inclusion

At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.