Senior Regional Quality Operations Specialist
Core
Ensures regulatory compliance and drives continuous quality improvement for vulnerable seniors in a highly regulated PACE environment.
Role type
Senior Regional Quality Operations Specialist (Healthcare Quality & Compliance)
Builds
Corrective action plans, preventive measures, and quality improvement strategies for Southern California markets
Domain
Healthcare / Elderly Care / PACE Program
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Root cause analysis (RCA), corrective action plan (CAP) management, regulatory compliance (federal/state/contractual), risk assessment, data analysis, process improvement methodologies (PDSA, Lean, Six Sigma), multidisciplinary team collaboration, electronic medical records (EMR) management
Preferred skills
Master's degree, experience with Athena EMR, PACE/Medicare/Medicaid environment experience
Technologies
Smartsheet, Power BI, Athena
Responsibilities
Partner with leadership to implement quality activities ensuring regulatory compliance; Collaborate with market leaders to address regulatory findings and compliance issues; Lead and facilitate RCAs to identify systemic issues; Support development and implementation of CAPs following audit findings; Track, monitor, and validate progress of CAPs; Evaluate effectiveness of CAPs to ensure sustainability of improvements
Seniority
Senior, hands-on IC