Quality Improvement & Compliance Manager

Home Portfolio Portfolio Team Team Research Research Jobs Jobs Home Portfolio Portfolio Team Team Research Research Jobs Jobs Let's build together... Join our exceptional founders forging an intelligent future Search jobs Explore companies Join talent network Talent Quality Improvement & Compliance Manager Seen Health Legal, Quality Assurance Alhambra, CA, USA USD 120k-150k / year + Equity Posted on Sep 3, 2026 Apply now About Seen Health At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen Health is a culturally-focused, technology-enabled healthcare organization that integrates comprehensive medical care and social support with a high-touch, interdisciplinary approach. Our mission is to empower seniors to age-in-place with dignity and provide their families peace of mind. We are building upon a proven Home and community based services model to create a culturally-competent and scalable PACE program. We are also building a comprehensive operating system focused on data and workflows that span across systems, processes, people, and care contexts. We want to empower our clinicians and staff with tools that deliver relevant data at the time and site of care and enable them to deliver exceptional care to our participants, which improve clinical outcomes, participant & provider satisfaction, and ultimately our strength as an organization. We are a mission-driven, multidisciplinary team with deep healthcare, technology, and operations expertise, each inspired by our own personal stories of caring for seniors in our lives. Our name, Seen Health, was chosen to reflect our commitment to provide the highest standard of care to underserved older adults while respecting and incorporating their individual beliefs, heritage, and values, so that they can truly be seen. About The Role The Quality Improvement & Compliance (QIC) Manager translates Seen Health's quality and compliance strategy into reliable day-to-day execution. This role identifies and investigates compliance risk, ensures participant concerns are thoroughly evaluated, manages regulatory monitoring and corrective action, and drives deficiencies to sustainable resolution. The Manager serves as the Director's primary operational partner, independently managing routine and moderately complex quality and compliance matters while escalating significant organizational risk. Responsibilities Quality & Compliance Monitoring Execute the annual QIC monitoring and audit plan; conduct or assign targeted auditsReview findings for severity, frequency, regulatory exposure, and participant impact; track corrective actions through verified closureEscalate material or repeat deficiencies to the QIC Director Grievance Investigation & Administration Own grievance administration: confirm classification, lead fact-finding and interviews, evaluate evidence, and ensure written resolutions are complete and appropriateTrack remedies and corrective actions; review trends for systemic issues and escalate significant participant-rights or regulatory concerns Regulatory Compliance Translate CMS, DHCS, and other regulatory requirements into monitoring tools and crosswalksConduct compliance reviews and support departments in interpreting and implementing requirementsEscalate unresolved regulatory risk Corrective Action Management Ensure CAPs identify root cause, corrective action, owner, due date, monitoring methodology, and effectiveness evidenceReopen or revise CAPs that don't demonstrate effectiveness Regulatory Readiness Coordinate internal audit readiness, maintain evidence repositories, conduct mock reviews, and support CMS/DHCS audits Team Supervision Directly supervise the QIC Coordinator: assign priorities, review work quality, coach performance, and build technical competency Quality Improvement Oversight Review dashboards and trends, support PIPs, and ensure improvement actions have accountable owners AI-Enabled QIC Operations Identify QIC workflows suited for AI/automation; validate that automated monitoring accurately detects what it's designed to catchReview AI-generated findings for accuracy before incorporating into audits, investigations, or compliance conclusionsEnsure staff apply professional judgment rather than relying on AI output alone Qualifications Bachelor's degree in healthcare administration, public health, nursing, quality, business, or related field (equivalent substantial experience considered)4+ years of healthcare quality, compliance, regulatory, managed-care, or clinical operations experienceExperience conducting audits or investigations, and managing corrective actions and regulatory deadlinesSupervisory, project leadership, or team-lead experienceProfessional verbal fluency in Mandarin required, sufficient to independently conduct participant/caregiver interviews and investigate grievances; Cantonese preferredPACE experience, CMS/DHCS regulatory experience, grievance/appeals/participant-rights investigation experience, and a clinical license or quality/compliance certification are all preferred Location Los Angeles required. Ability to commute to Alhambra required.Relocation benefits available. Salary & Benefits Salary: $120,000 – $150,000 per year, depending on experienceEquity: included as part of founding team packageBenefits: Seen Health is proud to offer a robust benefits offering for our employees. In addition to traditional healthcare coverage, we also offer additional benefits to help further your wellness and feeling of being part of the team.Medical, Dental, and Vision benefits for you and your familyLife Insurance and Disability BenefitsParental and Caregiver LeaveLunch, as well as delicious snacks and coffee to keep you energizedPaid Time Off across holidays, vacation time, personal days, and sick days401k PlanPersonal and professional development, including CME support and career growth opportunitiesSubscriptions and training on using AI tools including ChatGPT Apply now See more open positions at Seen Health Powered by Getro.com Privacy policyCookie policy Portfolio Portfolio Research Research Team Team Read our FAQs © 2025 Basis Set Builders. All rights reserved Basis Set Ventures®, BSV® and the Basis Set Logo are registered trademarks of Basis Set Builders, LLC