Top 123 Compliance auditor Jobs in Annapolis, Md

Vendor Auditor
Johns Hopkins Health Plans —Hanover, MD
- $28.90 - $47.71 an hour
- Full-time
- Nursing
- Mid-level
- 3 years
- Health insurance
9d
Compliance Auditor (ADMINISTRATOR III)
State of Maryland - Governor's Ofc of Crime Prev, Youth & Victim Serv —Crownsville, MD
- $81,298 a year
- Online Application
- High school
- Military
- Office
12d
Auditor
Contact Government Services, LLC —Baltimore, MD
- $50,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Internal Auditor
Shore United Bank —Annapolis, MD
- $67,500 - $100,000 a year
- Full-time
- CPA
- Mid-level
- Office
- Paid training
- Paid parental leave
Quick Apply
5d
Coding Compliance Auditor, Remote
University of Maryland Medical System —Baltimore, MD
- $33.46 - $46.70 an hour
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
6d
Quality Assurance and Compliance Coordinator (HUMAN SERVICE SPECIALIST IV SUPERVISOR)
State of Maryland - DHS - Prince George's County DSS —Prince George's County, MD
- $63,154 - $81,705 a year
- Online Application
- Bilingual
- Management
- Mid-level
- Paid parental leave
- Health insurance
6d
STAFF AUDITOR (Internal Auditor II)
MD Department of General Services —Baltimore, MD
- $71,805 - $113,243 a year
- Online Application
- Background check
- CPA
- Military
- Health insurance
- Dental insurance
Quick Apply
Staff Auditor
Premier Group —Hyattsville, MD
- $26 - $33 an hour
- Full-time
- Remote
- Mentoring
- QuickBooks
- 1 year
- Disability insurance
- Health insurance
Quick Apply
9d
Compliance Analyst II
Maxim Healthcare —Columbia, MD
- $58,000 a year
- Full-time
- Computer literacy
- Bachelor of Science
- HIPAA
- Profit sharing
- Commuter assistance
Quick Apply
12d
Senior Staff Auditor
Anne Arundel County – County Auditor Department —Annapolis, MD
- Full-time
- Management
- CPA
- Office
- Health insurance
- Dental insurance
IT Audit Senior Associate (TS/SCI w/ Poly Required)
Kearney & Company —Fort Meade, MD
- $60,000 - $100,000 a year
- Research
- Mid-level
- Bachelor's degree
- Health savings account
- AD&D insurance
Audit Associate (TS/SCI w/ Poly Required)
Kearney & Company —Fort Meade, MD
- $60,000 - $78,000 a year
- Research
- Mid-level
- Office
- Health savings account
- AD&D insurance
Senior Audit Associate (TS/SCI w/ Poly Required)
Kearney & Company —Fort Meade, MD
- $60,000 - $100,000 a year
- Research
- Mid-level
- Office
- Health savings account
- AD&D insurance
Senior Audit Associate (TS/SCI w/ Poly Required)
Kearney & Company —Fort Meade, MD
- $60,000 - $100,000 a year
- Research
- Mid-level
- Office
- Health savings account
- AD&D insurance
Staff Auditor
Jones, Maresca & McElwaney, P.A. —Largo, MD
- $60,000 - $80,000 a year
- Full-time
- Writing skills
- Basic math
- Research
- Health savings account
- Health insurance
Quick Apply
Home Energy Auditor
Atlas Home Energy Solutions —Hanover, MD
- $85,000 - $135,000 a year
- Full-time
- Hybrid work
- Clean driving record
- Sales
- English
- Paid holidays
- Disability insurance
Quick Apply
Prin Compliance Specialist, NERC
Constellation Energy —Baltimore, MD
- $135,000 - $150,000 a year
- Engineering
- 11+ years
- High school diploma or GED
- Employee stock purchase plan
- Paid holidays
2d
Sr Staff Engineer Supplier Quality
Northrop Grumman —Baltimore, MD
- $167,400 - $251,000 a year
- Overtime
- Up to 50% travel
- Master's degree
- Bachelor's degree
- Paid holidays
- Disability insurance
2d
Sr Staff Engineer Supplier Quality
Northrop Grumman —Linthicum Heights, MD
- $167,400 - $251,000 a year
- Overtime
- Up to 50% travel
- Master's degree
- Bachelor's degree
- Paid holidays
- Disability insurance
2d
IT Audit Associate (TS/SCI w/ Poly Required)
Kearney & Company —Fort Meade, MD
- $60,000 - $78,000 a year
- Research
- Mid-level
- Office
- Health savings account
- AD&D insurance

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Vendor Auditor

Johns Hopkins Health Plans -
Hanover, MD

Apply Now

Job Details

Full-time
$28.90 - $47.71 an hour
9 days ago

Benefits

Health insurance

Qualifications

Continuous quality improvement (CQI)

Full Job Description

Requisition #:

672269

Location:

Johns Hopkins Health Plans, Hanover, MD 21076

Category:

Healthcare Operations

Schedule:

Day Shift

Employment Type:

Full Time

Position Summary

Under the general supervision of the Department Director, the Vendor Auditor is responsible for independently conducting claims and vendor performance audits to ensure compliance with contractual obligations, regulatory requirements, and Johns Hopkins Health Plans' quality standards. This position manages the day-to-day oversight of the organization's highest-risk vendor population by evaluating claims accuracy, monitoring vendor performance, identifying operational risks, and recommending corrective actions.

The Vendor Auditor analyzes medical, pharmacy, and PBM claims data to assess payment accuracy, performs root cause analysis of identified trends and discrepancies, and reviews vendor compliance with contracts and Service Level Agreements (SLAs). This role prepares formal audit reports, presents findings to leadership and oversight committees, monitors remediation efforts, and maintains vendor performance scorecards.

The ideal candidate possesses advanced knowledge of claims adjudication, Medicare and Medicaid reimbursement, authorizations, appeals, and healthcare reimbursement policies. Success in this role requires exceptional analytical, critical thinking, communication, and interpersonal skills, along with the ability to work independently, manage multiple priorities, and effectively collaborate with internal stakeholders and external vendors to promote continuous quality improvement.

Requirements:

College Degree, preferred degree in Nursing, Accounting, Business, or Healthcare. Primary preference is a Nursing degree. Three (3) years of advanced claims auditing experience will be considered in lieu of college degree.

Salary Range: Minimum 28.90/hour - Maximum 47.71/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Apply Now

Refine Your Search

compliance auditor jobs in annapolis, md

Vendor Auditor

Compliance Auditor (ADMINISTRATOR III)

Auditor

Internal Auditor

Coding Compliance Auditor, Remote

Quality Assurance and Compliance Coordinator (HUMAN SERVICE SPECIALIST IV SUPERVISOR)

STAFF AUDITOR (Internal Auditor II)

Staff Auditor

Compliance Analyst II

Senior Staff Auditor

IT Audit Senior Associate (TS/SCI w/ Poly Required)

Audit Associate (TS/SCI w/ Poly Required)

Senior Audit Associate (TS/SCI w/ Poly Required)

Senior Audit Associate (TS/SCI w/ Poly Required)

Staff Auditor

Home Energy Auditor

Prin Compliance Specialist, NERC

Sr Staff Engineer Supplier Quality

Sr Staff Engineer Supplier Quality

IT Audit Associate (TS/SCI w/ Poly Required)

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