Senior Quality Operations Specialist, Audit

This is a fully remote position, open to applicants in California.

📋 Description

• Oversee the planning, coordination, and implementation of assigned PACE regulatory audits, mock audits, and audit readiness initiatives.

• Act as the main operational leader and audit subject matter expert for complex or high-priority audits.

• Organize audit kickoff meetings, readiness sessions, deliverable assessments, interview preparations, and communications with stakeholders.

• Handle document requests, evidence collection, submissions, and audit-related workflows.

• Examine and confirm audit documentation and evidence for completeness, accuracy, organization, and compliance with regulations.

• Identify gaps in readiness, documentation shortcomings, operational challenges, and regulatory risks, and work with stakeholders to resolve them.

• Provide onsite and virtual audit support, including managing logistics, center activities, interview coordination, issue tracking, document retrieval, and real-time response management.

• Create and maintain audit plans, dashboards, tracking tools, reports, and updates for leadership.

• Offer guidance, mentorship, and technical support to Audit Specialists and Audit Coordinators.

• Collaborate with clinical, operational, quality, compliance, and CAP & Monitoring teams on regulatory responses, corrective actions, and organizational readiness.

• Promote the standardization and continuous enhancement of audit processes, tools, and readiness practices.

⛳️ Requirements

• A bachelor's degree in healthcare administration, nursing, public health, business administration, health information management, regulatory affairs, quality management, compliance, or a related field is required; an equivalent combination of education and relevant experience in healthcare, regulatory, quality, compliance, or audit may be acceptable.

• A minimum of three (3) years of experience in healthcare quality, regulatory compliance, auditing, operational readiness, performance improvement, or related roles.

• Preferred experience in leading or coordinating regulatory audits, mock audits, accreditation reviews, compliance assessments, readiness activities, or regulatory response initiatives.

• Experience in PACE, Medicare, Medicaid, managed care, healthcare operations, quality, regulatory, or compliance settings is preferred.

• Strong understanding of regulatory audit methodologies, audit readiness practices, evidence validation, documentation standards, and regulatory response procedures.

• Capability to independently lead complex projects while managing multiple concurrent audits, priorities, stakeholders, and deadlines.

• Excellent facilitation, communication, stakeholder management, and relationship-building skills.

• Must live in California or within approximately a 2-hour flight of California due to travel obligations.

• Proof of COVID-19 vaccination or a declination form is required prior to employment.

🏝️ Benefits

• Medical insurance coverage (Medical, Dental, Vision).

• 17 days of personal time off (PTO).

• 12 holidays recognized annually.

• 6 sick days.

• 401K savings plan with matching contributions.

• Comprehensive compensation package including base salary and bonuses.

• Additional benefits available.

• COVID-19 vaccination policy and infection control/PPE standards in place.