Senior Quality Operations Lead - Regulatory Audits

WelbeHealth, LLC.; Sacramento (CA); On-site; USD 75,000 - 98,000; Full time

Benefits offered by this job

Medical insurance coverage (Medical,

Dental

Vision

401K savings + match

Base pay plus bonus

Additional benefits

Job summary

WelbeHealth seeks a Senior Quality Operations Specialist, Audit to lead PACE regulatory audits and audit readiness across the organization. You will coordinate cross-functional teams, evaluate evidence, identify risks, and support timely remediation—driving continuous improvement and regulatory readiness.

You will provide guidance to Audit Specialists and Coordinators, manage multiple audits, and ensure regulatory deadlines are met while maintaining strong stakeholder relationships.

Qualifications

• Bachelor's degree in healthcare administration, nursing, public health, business administration, health information management, regulatory affairs, quality management, or related field.
• Minimum of three (3) years of experience in healthcare quality, regulatory compliance, audit, operational readiness, or related functions; five (5) years 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.

Responsibilities

• Lead the planning, coordination, and execution of assigned PACE regulatory audits, mock audits, and audit readiness activities, while serving as the primary operational lead and audit subject matter resource for complex or high-priority audits
• Facilitate audit kickoff meetings, readiness sessions, deliverable reviews, interview preparation activities, and stakeholder communications while managing document requests, evidence collection, submissions, and other audit-related workstreams
• Review and validate audit documentation and evidence for completeness, accuracy, organization, and regulatory alignment, while identifying readiness gaps, documentation deficiencies, operational barriers, and regulatory risks, partnering with stakeholders to drive resolution
• Provide onsite and virtual audit support, including audit 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 to support audit oversight, risk identification, and decision-making
• Provide functional guidance, mentoring, and technical support to Audit Specialists and Audit Coordinators while partnering with the Audit, CAP & Monitoring Manager to coordinate workloads, support team readiness, and ensure regulatory deadlines and departmental priorities are met
• Collaborate with clinical, operational, quality, and compliance leaders, as well as the CAP & Monitoring team, to support regulatory response activities, transition of findings to corrective action processes, and ongoing organizational readiness

Skills

Audit leadership

Regulatory compliance

Project management

Stakeholder management

Communication

Regulatory audits

Education

Bachelor's degree in healthcare administration or related field

Job description

WelbeHealth seeks a Senior Quality Operations Specialist, Audit to lead PACE regulatory audits and audit readiness across the organization. You will coordinate cross-functional teams, evaluate evidence, identify risks, and support timely remediation—driving continuous improvement and regulatory readiness.

You will provide guidance to Audit Specialists and Coordinators, manage multiple audits, and ensure regulatory deadlines are met while maintaining strong stakeholder relationships.