WelbeHealth · 11 hours ago
Director, Quality Operations (Audit)
United States
Full-time
Remote
Lead/Staff, Director/Executive
$160K/yr - $211K/yr
5+ years expWelbeHealth is dedicated to providing all-inclusive medical care and community-based services to vulnerable seniors. The Director, Quality Operations (Audit) will lead the Audit team, develop a robust quality program, and ensure compliance while improving care excellence and participant satisfaction.
Health CareHealth DiagnosticsHospital
Responsibilities
Collaborate with VP, Quality Operations to develop and standardize enterprise metrics in clinical excellence, quality, and patient safety in alignment with all policies and procedures, as well as local, state, federal and CDC guidelines
Partner with Analytics and Operations Support and Strategy teams to analyze and review operational performance for continuous process improvements, increased efficiency, and greater participant satisfaction
Monitor and analyze data including plan metrics, HPMS entries, company and market initiatives, and corrective action plans to identify trends and areas for process improvement
Collaborate with WelbeHealth’s Compliance team on initiatives to monitor and improve compliance issues, corrective action plans, and the Fraud, Waste, and Abuse program
Ensure complete and timely submission of all information required by regulatory agencies including but not limited to HPMS quality reporting, CMS Quarterly calls, enrollment denials, and audit requirements
Ensure successful implementation and follow up for all Program Committees, including but not limited to the Quality Improvement Committee and Participant Advisory Committee
Frequent travel to our WelbeHealth centers will be required based on business needs
Qualification
Required
Bachelor's degree in relevant field; professional experience may be substituted; master's degree in relevant field preferred
Five (5) years of experience specifically within Audit, three (3) years must be experience as a Quality/assurance director or manager in a healthcare setting, or directing health or elder care programs with oversight of QI or compliance
Two (2) years of supervisory experience with demonstrated ability to mentor and develop team members
Experience in or knowledge of health care compliance, including WelbeHealth-specific program compliance and HIPAA requirements, strongly preferred
Experience and exceptional capabilities managing data and conducting analyses using productivity suite software including complex spreadsheets and data visualization tools; Excel and PowerBI experience a plus
Preferred
Formal Quality Improvement and Analytics Certifications preferred
Experience as Lean Six Sigma green belt or black belt preferred
Benefits
401k + employer match
Medical insurance coverage (Medical, Dental, Vision) starting day one of employment
Work life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time
And additional benefits
Company
WelbeHealth
Unlocking the full potential of our most vulnerable seniors with empathy and love.
501-1000 employees
H1B Sponsorship
WelbeHealth has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (1)
2023 (2)
2022 (1)
2021 (2)
Funding
Current Stage
Late StageTotal Funding
$61.23M2020-02-10Series C· $30M
2018-06-29Series B· $15M
2017-02-08Series A· $15M
Leadership Team
Si France
Founder & CEO
Becca Miller Rose
Chief Operating Officer
Recent News
2025-09-02
2025-07-08
2025-06-27
Company data provided by crunchbase