Jobs for Humanity
More roles at Jobs for HumanitySr. Internal Auditor
Remote role where the employee must remain based in a particular country.
United States only
From the employer's advert: Our employees are distributed in office locations in multiple markets across the United States.
Employer listed it 6 months ago · Added 2 weeks ago
Been open since 6 months ago. Long-running listings are sometimes left up after the role is filled.
Salary
$24 to $28 per hour
Location
United States only
Timezone
US East
Contract
Full-time
Experience
Senior
Category
Finance
Published by the employer
What the advert says
Quoted word for word from the employer's advert. Where it says nothing, we say so.
- Working hours
- Not mentioned in the advert
- Where you can work from
Our employees are distributed in office locations in multiple markets across the United States.
- Contract
- Not mentioned in the advert
- Experience asked for
Minimum  2 years of experience  in claims processing, claims auditing, or claims data analysis (Dental PPO or DHMO environment strongly preferred)
- Pay
Validate benefit schedules, frequency limits, and provider compensation schedules to ensure accurate system configuration and payments.
Remote flexibility
Work from home
This is a remote role, but the employee must be based in United States. It is work from home rather than work from anywhere.
What the employer says
- Source listing states candidate location: "Tustin, CA, United States, Tustin, CA, us, Remote"
What Nomaders makes of it
- Residency required in United States
- Payroll and tax are likely handled in that country only
The quotes above are the employer's own words; the reading is ours. Always check the original listing and employment terms before working from another country.
Before you apply
Experience: employer states
Written as a nice-to-have
- “Preferred Bachelor’s degree or equivalent combination of education and relevant experience”
- “Minimum  2 years of experience  in claims processing, claims auditing, or claims data analysis (Dental PPO or DHMO environment strongly preferred)”
Questions worth asking: Nomaders interpretation
- The advert does not say whether this is employment or a contractor arrangement. Ask, as it affects tax and benefits.
Produced automatically from this advert's text; not reviewed by a person. The employer's own page is the final word.
About the role
At Liberty, we are committed to improving lives by expanding access to quality dental care. Our culture emphasizes collaboration, integrity, and accountability—and our People Philosophy centers on empowering employees to thrive while making a meaningful difference for the members and communities we serve.
Help protect integrity, strengthen compliance, and improve how we serve our members.
At Liberty Dental Plan, our Internal Audit team plays a critical role in ensuring accuracy, compliance, and operational excellence across our organization. We are looking for a  detail‑driven, analytical Sr. Internal Auditor  who brings strong claims or audit experience and a collaborative mindset to help support regulatory readiness, claims accuracy, and continuous improvement across the enterprise.
If you enjoy digging into data, identifying trends, and working cross‑functionally to drive quality and accountability, this role offers meaningful impact in a mission‑driven organization.
What You’ll Do
As a Sr. Internal Auditor, you will support day‑to‑day audit activities across claims, utilization management, and system configuration while playing an important role in regulatory compliance and quality improvement initiatives.
Key Responsibilities
Audit and analyze claims data to ensure processing accuracy and service‑level standards are met at individual, group, and enterprise levels.
Review claims processing, specialty referrals, prior authorizations, benefit plans, group setup, and system configuration to confirm alignment with contracts and policies.
Validate benefit schedules, frequency limits, and provider compensation schedules to ensure accurate system configuration and payments.
Create and maintain claims and UM client file packets used for external audits and internal reviews.
Support CMS ODAG and CMS Part C audits, including file preparation, tracking, and data validation activities.
Analyze audit results, identify trends, and document findings to support training, calibration, and continuous improvement efforts.
Collaborate with Claims, UM, Compliance, IT, and other departments to follow up on audit findings and ensure timely corrections.
Support and test automation tools and internal bots to help meet regulatory and client requirements.
Assist with departmental reporting, training activities, and the development or refinement of audit policies and procedures.
Maintain professionalism and confidentiality when handling sensitive audit information.
Perform additional duties as assigned. 
What Makes This Role a Senior Opportunity
Participation in CMS ODAG and Part C audits
Primary contributor to UM and Claims file packet creation
Involvement in quality improvement initiatives and system enhancement discussions with leadership and IT
Opportunity to influence audit practices and support multiple departments through shared audit resources.
What You Bring
Requirements
- ·Experience & Education
- ·Preferred Bachelor’s degree or equivalent combination of education and relevant experience
- ·Minimum  2 years of experience  in claims processing, claims auditing, or claims data analysis (Dental PPO or DHMO environment strongly preferred)
- ·1+ year of internal audit experience , preferably within a dental or healthcare setting 
- ·Skills & Knowledge
Benefits
- ·Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.
- ·What Liberty Offers
- ·Our first-class benefits package supports employees and their dependents with :
- ·Competitive pay structure and savings options  to help you reach your financial goals.
How to apply
- 1Check the flexibility label above, work from home, matches where you plan to live and work.
- 2Tailor your CV to the role at Jobs for Humanity, mentioning your remote working experience and working hours (US East).
- 3Apply directly on the employer's careers page using the button below. Nomaders never handles your application.
Found 17d ago. Last checked today. Always confirm the details on the original posting, salary and location can change after publication.
Listing sourced from Company boards.
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