Performance and Compliance Auditor

Department/Care Stream: Compliance

LIA Reporting Structure

Timecard Approver: Compliance and Operational Risk Manager

Primary: Compliance and Operational Risk Manager

Secondary: VP of Compliance and Risk Management

Status: Full-Time

FLSA: Exempt

Location: Admin Center

Pay Range: $95,680-$108,500/yr

EEO-1: Professional

WellSpace's mission is, "Achieving regional health through high quality comprehensive care." We believe that everyone deserves to be seen, no matter who you are, where you come from, where you work or what place you call home. At WellSpace, we see you!

We are driven to serve the whole person through comprehensive, integrated care, spanning medical, dental, behavioral health, and supportive services across the region. We do this by building a team of exceptional colleagues who are dedicated to our mission and becoming part of the communities we serve.

As the region's largest Community Health System, WellSpace utilizes a Confluence Model to integrate an internal network of healthcare modalities, including Federally Qualified Health Centers (FQHC), Certified Community Behavioral Health Center (CCBHC), Drug Medi-Cal and Specialty Mental Health programs, California's second largest 988 Suicide and Crisis Lifeline Center, an independent Risk Bearing Organization (WellSpace Nexus), and more into a seamless confluence of care.

To ensure the highest quality of care, WellSpace is accredited by the Joint Commission for Ambulatory Care, Behavioral Health and as a CCBHC. Further, it is certified by the Joint Commission as a Primary Care Medical Home and a Behavioral Health Home. WellSpace's crisis programs are accredited by the American Association of Suicidology and the International Council for Helplines.

This is a full-time, in-person position. The Performance and Compliance Auditor supports the Compliance Department by conducting internal audits, assessments, and monitoring activities to evaluate operational performance, contractual obligations, regulatory compliance, and internal controls. Reporting to the Compliance Manager, this position independently conducts assigned audits using established methodologies, documents findings, validates corrective actions, and identifies opportunities for improvement.

A primary responsibility is evaluating performance related to county, governmental, payer, grant-funded, and other organizational agreements by assessing compliance with contractual deliverables, reporting obligations, and performance expectations. The position also conducts audits of other priorities identified through the annual Compliance Audit Plan.

Success in this role requires strong analytical skills, sound judgment, attention to detail, professional integrity, and the ability to communicate objective findings while fostering collaborative relationships across the organization.

• Bachelor’s degree in Business, Public Administration, or a related field preferred OR a combination of education and five (5) + years of progressively responsible experience in healthcare compliance, auditing, quality improvement, regulatory oversight, healthcare operations, or related field.
• Experience conducting audits, compliance reviews, monitoring activities, or operational assessments preferred.
• AHC Certified Healthcare Auditor (AHC) certification preferred. Employees who are not certified at the time of hire must obtain certification within twelve (12) months of employment.
• Working knowledge of healthcare regulations, accreditation standards, contractual requirements, and auditing principles.
• Strong Analytical, critical thinking, investigative, and problem-solving skills.
• Excellent Professional-level written and verbal communication skills.
• Proficiency with Microsoft Office applications and compliance or audit-related systems.
• Ability to independently manage multiple priorities with accuracy, objectivity, and attention to detail.
• Demonstrated professionalism, integrity, discretion, and sound judgment.
• Maintains required licenses and certifications in good standing.
• High level of integrity and discretion in handling confidential and sensitive information.
• Exceptional organizational and time management skills.
• Exceptional interpersonal and collaboration skills across departments and levels.
• Ability to prepare clear, objective audit reports and communicate findings effectively.
• Ability to travel up to 20% as required.
• Must have a valid driver’s license and an insurable driving record.
• Commitment to HIPAA and professional ethics.
• Adherence to infection control procedures and High Reliability standards.

• Conduct assigned internal audits, assessments, and monitoring activities using established audit methodologies.
• Evaluate compliance with federal, state, local, payer, accreditation, contractual, and organizational requirements.
• Assess operational performance, internal controls, documentation, and adherence to organizational policies and procedures.
• Identify compliance gaps, control weaknesses, and opportunities for operational improvement.
• Conduct follow-up reviews to validate implementation and effectiveness of corrective actions.

• Evaluate organizational performance related to county, governmental, payer, grant-funded, and other organizational agreements.
• Assess compliance with contractual deliverables, reporting requirements, quality measures, and performance expectations.
• Evaluate processes supporting contract oversight and identify opportunities to strengthen compliance, accountability, and performance.
• Assess whether contractual obligations are being fulfilled by all applicable parties and communicate observations to Compliance leadership.

• Conduct audit readiness reviews for regulatory agencies, payers, accreditation organizations, and other external oversight entities.
• Review external audit findings and monitor corrective action implementation to support sustained compliance.
• Assist with special reviews, investigations, and focused compliance assessments as assigned.

• Collect, analyze, and validate audit evidence, documentation, performance data, and supporting records.
• Prepare objective audit workpapers, reports, summaries, and recommendations.
• Communicate audit findings and improvement opportunities to the Compliance Manager and operational leadership.
• Maintain accurate audit documentation in accordance with departmental standards.

• Collaborate with operational departments to facilitate audits and promote continuous compliance and performance improvement while maintaining auditor independence.
• Maintain current knowledge of applicable laws, regulations, accreditation standards, contractual requirements, and auditing practices.
• Participate in departmental meetings, training, and professional development activities.
• Perform other related duties as assigned.