Top 122 Compliance auditor Jobs in Detroit Mi

Auditor, Healthcare Services (Remote in MI)
Molina Healthcare —Detroit, MI
- $26.41 - $51.49 an hour
- Full-time
- Remote
- Microsoft Excel
- RN License
- LPC
- Health insurance
COMPLIANCE ANALYST
Full Circle Communities —Detroit, MI
- $75,000 - $82,000 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Quick Apply
2d
Junior Compliance Officer/Auditor
SGI Global, LLC —Detroit, MI
- 8 hour shift
- Bachelor of Science
- Research
- Finance
Quick Apply
Specialist, Risk and Compliance Services (Onboarding)
Deloitte —Detroit, MI
- $63,000 - $116,000 a year
- Full-time
- Microsoft Word
- Mid-level
- 3 years
Night Auditor-Part Time
PONTCHARTRAIN DETROIT HOTEL LLC —Detroit, MI
- Part-time
- Microsoft Outlook
- Hotel
- High school diploma or GED
- Free parking
- Flexible schedule
Quick Apply
Data Entry & Compliance Specialist
GDI Services Inc US —Southfield, MI
- Customer service
- Research
- Office
Quick Apply
Specialist, Risk and Compliance Services (DESC)
Deloitte —Detroit, MI
- $63,000 - $116,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- 3 years
4d
Night Auditor
The Detroit Club —Detroit, MI
- $16 - $17 an hour
- Part-time
- Mid-level
- 3 years
- Hotel
- Health insurance
- Employee discount
Quick Apply
Internal Auditor - FT
MotorCity Casino Hotel —Detroit, MI
- Full-time
- CPA
- Mid-level
- Finance
- Free parking
- Health insurance
Quick Apply
Compliance Specialist II
AAA Life Insurance Company —Livonia, MI
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
- Life insurance
Compliance Senior Analyst
Blue Cross Blue Shield of Michigan —Detroit, MI
- Full-time
- Mid-level
- Office
- Bachelor's degree
5d
Specialist, Risk and Compliance Services (PC)
Deloitte —Detroit, MI
- $63,000 - $116,000 a year
- Full-time
- Microsoft Word
- Research
- Mid-level
Clinical Compliance AND Operations Auditor
Centria Autism —Dearborn, MI
- $95,000 - $110,000 a year
- Full-time
- Doctoral degree
- Computer literacy
- Writing skills
Quick Apply
4d
Senior Audit Associate - Public Accounting (CPA Firm)
Everforth, Cybercoders —Troy, MI
- $80,000 - $110,000 a year
- Full-time
- CPA
- Research
- Mid-level
- Health insurance
- Dental insurance
11d
Internal Audit Director
Robert Half —Bloomfield Hills, MI
- $59.38 - $68.75 an hour
- Temporary
- Writing skills
- Office
- Continuous improvement
- Disability insurance
- Dental insurance
Quick Apply
9d
Corporate Auditor
Blue Cross Blue Shield of Michigan —Detroit, MI
- Full-time
- CPA
- Writing skills
- Mid-level
Auditor
Capstone Logistics LLC —Romulus, MI
- High school diploma or GED
- Ability to lift 50 pounds
- Warehouse
Quick Apply
Night Audit ("Auditor/a de Turno Nocturno")
AC Detroit at the Bonstelle —Detroit, MI
- Part-time
- Computer literacy
- Writing skills
- Windows
Quick Apply
Night Auditor
Namou Hotels - Embassy suites by Hilton Livonia/Novi —Livonia, MI
- Full-time
- Hotel
- In-person
- Communication skills
- Free parking
- Paid time off
Quick Apply
Research Compliance Program Specialist, Division of Research & Innovation
Wayne State University —Detroit, MI
- Full-time
- Background check
- Management
- Office

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compliance auditor jobs near detroit mi

Auditor, Healthcare Services (Remote in MI)

Molina Healthcare -
Detroit, MI

Apply Now

Job Details

Full-time
$26.41 - $51.49 an hour

Benefits

Health insurance

Qualifications

Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job Description

JOB DESCRIPTION

This position will offer remote work flexibility, but the selected candidate must reside in Michigan.

Opportunity for an RN who has a US license in good standing to join our Medicaid Team as a Clinical Auditor. The person filling this role will be an instrumental part of the team work to align the Medicaid Team compliance guidelines with those followed by our corporate teams. Knowledge and experience working with Waiver Program is vital to success in this role.

The preferred candidate will have 3 – 5 years of experience in a MCO and at least 2 years of clinical auditing and/or review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill sets we are seeking. Licensure should be an LPC, RN, LLMSW, LMSW, LBSW.

Hours are Monday – Friday, 8:30AM – 5PM EST.

Job Summary

Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. May also perform non-clinical system and process audits as needed.
Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met.
Assesses clinical staff regarding appropriate clinical decision-making.
Reports monthly outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
Ensures auditing approaches follow a Molina standard in approach and tool use.
Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA), and professionalism in all communications.
Adheres to departmental standards, policies and protocols.
Maintains detailed records of auditing results.
Assists healthcare services training team with developing training materials or job aids as needed to address findings in audit results.
Meets minimum production standards related to clinical auditing.
May conduct staff trainings as needed. • Communicates with quality and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.

Required Qualifications

At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.

Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

Strong attention to detail and organizational skills.

Strong analytical and problem-solving skills.

Ability to work in a cross-functional, professional environment.

Ability to work on a team and independently.• Excellent verbal and written communication skills.

Microsoft Office suite/applicable software program(s) proficiency.

Preferred Qualifications

Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) clinical review/auditing experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Refine Your Search

compliance auditor jobs in detroit mi

Auditor, Healthcare Services (Remote in MI)

COMPLIANCE ANALYST

Junior Compliance Officer/Auditor

Specialist, Risk and Compliance Services (Onboarding)

Night Auditor-Part Time

Data Entry & Compliance Specialist

Specialist, Risk and Compliance Services (DESC)

Night Auditor

Internal Auditor - FT

Compliance Specialist II

Compliance Senior Analyst

Specialist, Risk and Compliance Services (PC)

Clinical Compliance AND Operations Auditor

Senior Audit Associate - Public Accounting (CPA Firm)

Internal Audit Director

Corporate Auditor

Auditor

Night Audit ("Auditor/a de Turno Nocturno")

Night Auditor

Research Compliance Program Specialist, Division of Research & Innovation

I want to receive the latest job alert for compliance auditor in detroit mi

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