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Senior Director, Audit & Oversight
Senior Director, Audit & OversightWelbeHealth • Murrieta, CA, US
Senior Director, Audit & Oversight

Senior Director, Audit & Oversight

WelbeHealth • Murrieta, CA, US
20 days ago
Job type
  • Permanent
Job description

Senior Director, Audit & Oversight

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

Under the direction of the VP, Compliance, the Senior Director, Audit & Oversight is a key leader within the Compliance team, and is accountable for developing, implementing and maintaining WelbeHealth's internal audit, monitoring, and oversight functions to ensure compliance with applicable federal and state requirements, particularly Program for All Inclusive Care for the Elderly (PACE) regulations. The Senior Director, Audit & Oversight provides strategic direction and practical resources to ensure that WelbeHealth maintains a robust, data-driven compliance oversight program that supports operational integrity, risk mitigation, and continuous improvement across all PACE centers and business functions.

This role is different because the Senior Director, Audit & Oversight at WelbeHealth :

  • Builds and shapes systems that directly impact participant care and organizational integrity combines the mission-driven heart of PACE with the innovation and scale of a fast-growing organization

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, bonus, and equity
  • And additional benefits!
  • On the day-to-day, you will :

  • Develop and oversee the annual Compliance Audit and Monitoring Plan, ensuring alignment with relevant regulatory requirements, industry and organizational risk areas, and the company's operational priorities, including, but not limited to mock audits of the company's multi-state PACE Organizations and oversight of internal and external First Tier, Downstream, and Related Entity (FDR) compliance
  • Collaborate with operational, clinical, and quality leadership to ensure that audit findings drive enterprise-wide improvements and regulatory readiness
  • Devise tools to promote monitoring of and permanent adherence to corrective actions of internal and external entities
  • Serve as the subject matter expert and trusted advisor to leadership, acting as a key stakeholder in the annual compliance risk assessment
  • Oversee strategy and implementation of existing audit tools and job aids, as well as the development of novel tools and job aids based on identified needs
  • Serve as a consultant to PACE operations leaders for all external PACE audits and as primary author of audit management written standards
  • Oversee direct reports including hiring, training, supervising, and mentoring
  • Job requirements include :

  • Bachelor's degree nursing, business administration, public administration, healthcare administration, or other related field required; master's degree or other relevant advanced degree preferred
  • Minimum of seven (7) years of progressive leadership experience in healthcare compliance, audit, administration, or operations, with a minimum of five (5) years interacting with audit activities in a healthcare setting
  • Professional certifications such as Certification in Healthcare Compliance (CHC), Certified Compliance and Ethics Professional (CCEP), or similar preferred
  • Data-driven decision-maker with experience leading through metrics
  • Two (2) years of supervisory experience with demonstrated ability to mentor and develop team members
  • We are seeking a Senior Director, Audit & Oversight that ideally has a deep understanding of PACE and clinical compliance regulations, and experience in all stages of the auditing and monitoring process. If you're ready to join a team that values both its participants and team members, we'd love to hear from you!

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