Manager, Quality Audit Operations

***Candidates must reside in California or within a 2-hour direct flight of Los Angeles, with the ability to travel onsite as needed for business and regulatory requirements***

At WelbeHealth, we serve our communities’ most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what.

The Manager, Quality Audit Operations is accountable for the operational management and coordination of WelbeHealth’s regulatory audit and mock audit activities, as well as ensuring audit deliverables are prepared in accordance with regulatory requirements and internal standards. This role leads day-to-day audit readiness activities, manages audit preparation processes, and supports the successful execution of federal, state, and internal mock audits across WelbeHealth markets. Working under the direction of the Director, Audit, the Manager, Quality Audit Operations helps operationalize enterprise audit processes and promote consistency in audit readiness practices across markets.

This role is different because the Manager, Quality Audit Operations at WelbeHealth:

• Leads enterprise-wide audit readiness efforts by coordinating regulatory and mock audits across multiple markets, helping ensure our organization is prepared for CMS, State Administering Agency (SAA), and internal reviews through standardized processes, operational excellence, and cross-functional collaboration
• Partners with leaders across Quality, Compliance, Operations, and market teams to strengthen audit readiness, drive continuous process improvement, and translate audit findings into sustainable corrective actions that enhance regulatory performance and support exceptional care for the vulnerable seniors we serve

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:

• Manage the operational coordination and execution of regulatory audits including CMS, SAA, and internal mock audits
• Assist with onsite and remote audit preparation activities with market and central teams
• Coordinate and track audit deliverables including but not limited to universes, pre-audit documentation requests, RAIs, and other documentation submissions to ensure timely and accurate audit execution
• Coordinate responses to auditor requests and facilitate communication between Operational, Quality, and center teams during audits, as well as support the execution of enterprise mock audits and audit readiness assessments
• Collaborate with Quality Directors on audit findings to ensure accurate and timely completion of corrective action plans (CAPs), as well as collaborate with Quality and Operational teams to support root cause analyses and development of CAPs related to audit findings as needed
• Develop and implement standardized audit processes, tools, and workflows to support all audit activities, as well as collaborate with Compliance, Training, and Operational stakeholders to support audit readiness education
• Maintain audit tracking systems, tools, and dashboards to monitor audit readiness, findings, remediation status, and operational progress

Job requirements include:

• Bachelor’s degree in relevant field; professional experience may be substituted; master’s degree preferred
• Minimum of five (5) years of experience in quality, compliance or regulatory audits in a healthcare setting
• Minimum of two (2) years of supervisory experience with demonstrated ability to mentor and develop team members; three (3) years of experience supervising programs and program development may be substituted
• PACE experience highly desired
• Experience with managing data and conducting analyses using productivity suite software including complex spreadsheets
• Extensive MS office suite experience, health information management expertise, and experience with SmartSheets preferred
• Highly motivated, inspirational leader who is able to innovatively engage, support and remove barriers to ensure the team consistently meets established goals

We are seeking a Manager, Quality Audit Operations who is passionate about building a culture of audit readiness and operational excellence in a mission-driven healthcare environment. The ideal candidate brings experience leading regulatory audit operations, managing complex cross-functional initiatives, and driving continuous quality improvement through data, collaboration, and process standardization. If you're looking for an opportunity to make a meaningful impact by helping ensure the highest standards of regulatory compliance and quality for the seniors we serve, we'd love to hear from you.

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.

Beware of Scams

Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com