Quality Operations Coordinator (Quality Monitoring)

Quality Operations Coordinator (Assignment: Quality Monitoring)

WelbeHealth is a value-based healthcare organization thats transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population.

Under the supervision of the Quality Operations Director (QOD), the Quality Operations Coordinator (Assignment: Quality Monitoring) provides administrative and operational support to ensure that our PACE market operations run smoothly and that participant concerns are addressed in a timely, organized, and respectful manner. This role focuses on carefully tracking, reviewing, and helping resolve participant grievances while maintaining clear documentation and communication throughout the process.

This role is different because the Quality Operations Coordinator at WelbeHealth:

• Makes a direct impact in participant satisfaction by communicating effectively and resolving any complaints or concerns
• Plays a critical role in supporting a growing, mission-driven healthcare organization, ensuring vulnerable seniors feel supported and have access to high-quality care

We care about our team members. Thats 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:

• Review and investigate participant grievances by gathering relevant information, speaking with appropriate staff members when needed, and documenting findings to help determine what occurred and how it should be addressed
• Manage communication related to grievances with participants, ensuring that required information is accurate, prepared, and submitted according to established regulatory timelines
• Log, track, and maintain records of grievances in the appropriate systems so that each issue is properly documented, monitored, and resolved according to organizational and regulatory requirements

Job requirements include:

• Associates degree preferred; three (3) years of experience may be substituted
• Minimum of two (2) years of experience managing grievances; PACE experience preferred
• Must be comfortable with working a varied schedule, which may require nights and weekends, and must be comfortable travelling onsite for business needs
• Ability to interpret and apply policies and Health Information Management expertise
• Extensive MS office suite experience, strong data gathering skills, and technical skills with computer navigation required

We are seeking a Quality Operations Coordinator that ideally has strong written and verbal communication skills and EHR experience. If youre ready to join a team that values both its participants and its team members, we would love to hear from you!