Top 107 Auditor Jobs in Saint Clair Shores, 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
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
Deputy Controller
City of Ecorse —Ecorse, MI
- $36 - $46 an hour
- Extended hours
- Mid-level
- Office
- Finance
- Health insurance
- Dental insurance
Quick Apply
Tax Manager - Hybrid, Audit & Tax up to $150k base
Everforth, Cybercoders —Troy, MI
- $130,000 - $150,000 a year
- Full-time
- Hybrid work
- CPA
- Office
- US work authorization
- Profit sharing
- Health insurance
Quick Apply
FBI Special Agent: CPA/Accounting/Finance Expertise
Federal Bureau of Investigation —Detroit, MI
- $103,263 - $133,200 a year
- Full-time
- Doctoral degree
- CPA
- Master's degree
Tax Staff/Senior - Hybrid, Audit & Tax up to $70k - $95k
Everforth, Cybercoders —Troy, MI
- $70,000 - $95,000 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- US work authorization
- Profit sharing
- Health insurance
General Accountant
Moceri Companies —Auburn Hills, MI
- From $28 an hour
- Full-time
- Microsoft Excel
- CPA
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
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
8d
Sr. Manager/Principal - Audit & Assurance
Everforth, Cybercoders —Detroit, MI
- $150,000 - $200,000 a year
- Extended hours
- CPA
- 5 years
- Office
- Health insurance
- Dental insurance
Quick Apply
Corporate Auditor
Blue Cross Blue Shield of Michigan —Detroit, MI
- Full-time
- CPA
- Writing skills
- Mid-level
Assurance Senior
BDO —Detroit, MI
- $75,000 - $115,000 a year
- Full-time
- CPA
- Finance
- Master's degree
- Employee stock ownership plan
- Retirement plan
Internal Auditor - FT
MotorCity Casino Hotel —Detroit, MI
- Full-time
- CPA
- Mid-level
- Finance
- Free parking
- Health insurance
Quick Apply
Auditor, Social Responsibility (Social Compliance Auditor)
Carhartt —Dearborn, MI
- Overtime
- Spanish
- English
- Research
Accounting Clerk
Ilitch Companies —Detroit, MI
- Full-time
- Oracle
- 5 years
- Computer literacy
Independent Contractor - Retail Food Safety Auditor - Detroit, MI
NSF International —Detroit, MI
- Part-time
- Bar
- Up to 50% travel
- ServSafe
5d
Audit Manager
UHY LLP —Sterling Heights, MI
- Full-time
- CPA
- 5 years
- Office
- Health insurance
- Dental insurance
Supervisor- Audit, Education, Analytics & Technology/Full Time/Hybrid
Henry Ford Health —Troy, MI
- Full-time
- Anatomy knowledge
- Mid-level
- Supervising experience
- Health insurance
- Dental insurance
Audit Senior
UHY LLP —Sterling Heights, MI
- Full-time
- CPA
- Research
- Office
- Health insurance
- Dental insurance
Audit Data Analyst
Blue Cross Blue Shield of Michigan —Detroit, MI
- Full-time
- Microsoft Access
- CPA
- Computer Science
Supplier Claims Auditor
Stellantis —Auburn Hills, MI
- 5 years
- Finance
- Continuous improvement

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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

auditor jobs in saint clair shores, mi

Auditor, Healthcare Services (Remote in MI)

Clinical Compliance AND Operations Auditor

Deputy Controller

Tax Manager - Hybrid, Audit & Tax up to $150k base

FBI Special Agent: CPA/Accounting/Finance Expertise

Tax Staff/Senior - Hybrid, Audit & Tax up to $70k - $95k

General Accountant

Internal Audit Director

Sr. Manager/Principal - Audit & Assurance

Corporate Auditor

Assurance Senior

Internal Auditor - FT

Auditor, Social Responsibility (Social Compliance Auditor)

Accounting Clerk

Independent Contractor - Retail Food Safety Auditor - Detroit, MI

Audit Manager

Supervisor- Audit, Education, Analytics & Technology/Full Time/Hybrid

Audit Senior

Audit Data Analyst

Supplier Claims Auditor

I want to receive the latest job alert for auditor in saint clair shores, mi

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