Top 693 Auditor Jobs in Remote.+work+from+home

Auditor/Investigator I
Qlarant —Remote
- $60,000 - $72,000 a year
- Full-time
- Remote
- Analysis skills
- Bachelor's degree
- Entry level
Quick Apply
1d
Internal Auditor
Treliant LLC —Remote
- $60 - $150 an hour
- Mid-level
- 3 years
- Accounting
- Health insurance
- 401(k)
Audit Associate
Orora Visual —Remote
- $63,617.53 - $76,614.66 a year
- Part-time
- Remote
- CPA
- Mid-level
- Finance
Quick Apply
Claims Auditor
RiteChoice Rx —Remote
- Full-time
- Remote
- Mid-level
- Continuous improvement
- Travel
- Health insurance
- Dental insurance
Quick Apply
Auditor
Contact Government Services, LLC —Remote
- $50,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Branch Auditor
Edward Jones —St. Louis, MO
- $63,200 - $104,200 a year
- Full-time
- Remote
- Mid-level
- Office
- Bachelor's degree
- Profit sharing
- Health savings account
Senior Audit Accountant
Christianson PLLP —Remote
- $75,000 - $83,000 a year
- Full-time
- Background check
- CPA
- Research
- AD&D insurance
- Health insurance
Senior Professional Fee Coding Auditor / Educator
ECLAT Health Solutions —Remote
- $45.99 - $55.39 an hour
- Full-time
- Surgery
- 5 years
- Research
- Health savings account
- Health insurance
Quick Apply
4d
Tax Manager
Atlas Search LLC —Remote
- $100,000 - $200,000 a year
- Full-time
- Remote
- Management
- CPA
- Bachelor of Science
- Health insurance
- 401(k)
Quick Apply
9d
Managing Director, Complex Accounting & Litigation (Insurance Solvency Analysis)
J.S. Held LLC —Reston, VA
- $200,000 - $300,000 a year
- Full-time
- Remote
- CPA
- 11+ years
- Analysis skills
- Commuter assistance
- Health insurance
Quick Apply
Senior Financial Analyst
ReproTech LLC —Remote
- $85,000 - $95,000 a year
- Full-time
- Remote
- Mid-level
- Finance
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
4d
Managing Director, Complex Accounting & Litigation (Insurance Solvency Analysis)
J.S. Held LLC —New York, NY
- $200,000 - $300,000 a year
- Full-time
- Remote
- CPA
- 11+ years
- Analysis skills
- Commuter assistance
- Health insurance
Quick Apply
Coding and Medical Records Auditor- Remote - Franklin, TN
TruHealth LLC —Franklin, TN
- Full-time
- Remote
- Mid-level
- 2 years
Quick Apply
11h
Government Assurance Associate
LSL —Remote
- $25 - $38 an hour
- Remote
- CPA
- Research
- Office
Quick Apply
Remote Accountants & Auditors
Turing —Remote
- $100 - $150 an hour
- Contract
- Remote
- CPA
- English
- Research
Quick Apply
2d
Staff Accountant (Virtual/Remote)
InductiveHealth —Remote
- $80,000 - $90,000 a year
- Full-time
- Remote
- CPA
- 5 years
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Compliance Auditor
Covenant Health —Remote
- Full-time
- Remote
- RN License
- 5 years
- Word processing
- Health savings account
- Health insurance
Remote Senior Accountants & Auditors
Turing —Remote
- $100 - $200 an hour
- 4 hour shift
- Remote
- Management
- CPA
- 8 years
Quick Apply
2d
Internal Auditor
Humana —Remote
- $53,700 - $72,600 a year
- Full-time
- Remote
- Microsoft Excel
- 3 years
- Bachelor's degree
- Paid parental leave
- Paid holidays
1d
Internal Auditor
City of Hope —Remote
- $33.80 - $52.29 an hour
- Full-time
- Microsoft Outlook
- Mid-level
- Finance

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Auditor/Investigator I

Qlarant -
Remote

Quick Apply

Job Details

Full-time
$60,000 - $72,000 a year
1 day ago

Qualifications

Stakeholder management

Full Job Description

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Qlarant is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for underserved communities.

Best People, Best Solutions, Best Results

Job Summary:

Serves as an entry level professional who develops baseline plans for ensuring the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and company policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes.

Essential Functions:

Conducts routine and impartial audits/investigations into customer claims, ensuring accurate and fair assessments of claims validity.
Provides customer service by addressing inquiries and concerns, and escalates audit/investigation, as needed.
Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements.
Applies functional knowledge to create and implement strategies to identify and prevent fraudulent activities, safeguarding the integrity of the claims process.
Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives on claims.
Communicates with appropriate internal teams to ensure the proper processing of audits/investigations, while adhering to legal and regulatory standards.
Ensures that all audit and investigative documents and records are processed into the database in a timely and accurate manner.
Communicates audit/investigation findings clearly and professionally to customers, claimants, and other stakeholders, managing expectations and providing updates.
Supports management in regular audit and investigation proceedings, ensuring full compliance with all applicable regional and federal standards, regulations, and protocols.

Level of Supervision Received:
Under general supervision, proceeds alone on regular duties, referring questionable cases to manager.

Education (can be substituted for experience):
Minimum Bachelor's Degree required

Work Experience (can be substituted for education):
0 - 2 years of experience required; 2 - 4 years preferred

Certification(s):
Certified Fraud Examiner or Accredited Healthcare Anti-Fraud Investigator preferred

Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.

Qlarant is a drug-free workplace. All offers of employment are contingent upon successful completion of pre-employment background and drug screens.

Quick Apply

Refine Your Search

auditor jobs in remote.+work+from+home

Auditor/Investigator I

Internal Auditor

Audit Associate

Claims Auditor

Auditor

Branch Auditor

Senior Audit Accountant

Senior Professional Fee Coding Auditor / Educator

Tax Manager

Managing Director, Complex Accounting & Litigation (Insurance Solvency Analysis)

Senior Financial Analyst

Managing Director, Complex Accounting & Litigation (Insurance Solvency Analysis)

Coding and Medical Records Auditor- Remote - Franklin, TN

Government Assurance Associate

Remote Accountants & Auditors

Staff Accountant (Virtual/Remote)

Compliance Auditor

Remote Senior Accountants & Auditors

Internal Auditor

Internal Auditor

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