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Carelon Audit information

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$25K

$71.8K

$108K

How much do carelon audit jobs pay per year?

As of Sep 1, 2026, the average yearly pay for carelon audit in the United States is $71,776.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,500.00 and $81,500.00 per year, depending on experience, location, and employer.

What is the difference between Carelon Audit vs Carelon Compliance Analyst?

AspectCarelon AuditCarelon Compliance Analyst
Required CredentialsCPA, CIA, or related certifications often preferredCompliance certifications like CCEP or CCEP-I beneficial
Work EnvironmentAuditing financial and operational processes within healthcareMonitoring and ensuring adherence to healthcare regulations
Employer & Industry UsageUsed in healthcare organizations for financial auditsUsed in healthcare for regulatory compliance and policy adherence

Carelon Audit focuses on evaluating financial and operational processes through audits, often requiring accounting or auditing credentials. Carelon Compliance Analyst concentrates on ensuring healthcare practices meet regulatory standards, emphasizing compliance certifications. Both roles operate within healthcare organizations but serve different functions—one audits financials, the other ensures regulatory adherence.

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Cities with the most Carelon Audit job openings:

What states have the most Carelon Audit jobs?

States with the most job openings for Carelon Audit jobs include:

What job categories do people searching Carelon Audit jobs look for?

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Carelon Audit jobs near you
Infographic showing various Carelon Audit job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $71,776 per year, or $34.5 per hour.

Authorization Monitoring and Tracking Specialist

Allcare Home Health

Glendale, CA • On-site

$21 - $22/hr

Full-time

Medical, Dental, Vision, PTO

Re-posted 25 days ago

Job description

Position Summary:
The Authorization Monitoring and Tracking Specialist is responsible for managing and overseeing all payer authorization processes to ensure timely approval and continuity of patient care. This position plays a vital role in coordinating with care coordinators, payers, and clinical teams to track, follow up, and record all initial and additional authorizations accurately and efficiently.

Key Responsibilities:
  • Review new referrals & additional visit requests daily, log into the Authorization Tracker.
  • Monitor payer portals (e.g., Kaiser, Carelon, other insurance); follow up if no response in 48 hours.
  • Notify care coordinators on approvals/denials with authorization, dates, visit counts, and conditions.
  • Enter approvals into the back-office/EMR; attach letters/screenshots; ensure billing/scheduling visibility.
  • Flag expiring authorizations (7–10 days out); compile weekly summary for DPCS.
  • Escalate after 5 business days without response or for repeated denials/urgent cases.
  • Maintain organized, audit-ready records (letters, emails, date-stamped trackers).

Qualifications:
  • Experience in Home Health or Hospice setting (required).
  • Strong knowledge of payer portals (Kaiser, Carelon, and other insurance).
  • Excellent attention to detail and organizational skills.
  • Proficiency with Excel, EMR/Back Office systems, and email communication.
  • Strong communication skills (verbal and written).
  • Ability to manage multiple authorizations and deadlines in a fast-paced environment.

Preferred:
  • Prior experience as an Authorization Coordinator, Intake Coordinator, or Care Coordination Assistant in home health or healthcare setting.
  • Familiarity with CMS and payer authorization guidelines.

Benefits:
  • Competitive pay.
  • Health, dental, and vision insurance.
  • Paid time off (PTO), paid sick days and holidays.
  • Opportunities for growth within the agency.
  • Supportive and team-oriented work environment.

To Apply
Send your resume and cover letter to this posting with the subject line:
“Authorization Monitoring and Tracking Specialist – [Your Name]”