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Clinical Auditor Jobs (NOW HIRING)

Molina Healthcare

Auditor, Clinical Services

Orlando, FL · On-site

$29.05 - $56.64/hr

Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality ...

Molina Healthcare

Auditor, Clinical Services

Miami, FL

$29.05 - $56.64/hr

Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality ...

Molina Healthcare

Auditor, Clinical Services

Miami, FL · On-site

$29.05 - $56.64/hr

Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality ...

Molina Healthcare

Auditor, Clinical Services

Tampa, FL

$29.05 - $56.64/hr

Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality ...

Molina Healthcare

Auditor, Clinical Services

Tampa, FL · On-site

$29.05 - $56.64/hr

Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality ...

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Clinical Auditor information

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$38.5K

$92.8K

$151K

How much do clinical auditor jobs pay per year?

As of Jul 17, 2026, the average yearly pay for clinical auditor in the United States is $92,797.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,000.00 and $112,000.00 per year, depending on experience, location, and employer.

What is a Clinical Auditor job?

A Clinical Auditor is responsible for reviewing and evaluating clinical processes, medical records, and healthcare services to ensure compliance with regulatory standards and best practices. They assess the quality of patient care, identify areas for improvement, and recommend corrective actions to enhance efficiency and safety. Clinical Auditors work closely with healthcare professionals to maintain high standards and ensure adherence to policies and procedures. Their role helps improve patient outcomes, reduce risks, and support continuous quality improvement initiatives.

What are the key skills and qualifications needed to thrive in the Clinical Auditor position, and why are they important?

To thrive as a Clinical Auditor, you need a solid background in healthcare, data analysis, and clinical documentation review, often supported by a nursing, medical, or health information management qualification. Familiarity with audit management software, electronic health records (EHRs), and compliance standards such as HIPAA or Joint Commission requirements is commonly expected. Attention to detail, strong organizational skills, and the ability to communicate findings effectively with multidisciplinary teams are valuable soft skills. These competencies ensure that audits are accurate, regulatory standards are met, and opportunities for quality improvement are clearly communicated and implemented.

What are some common challenges faced by Clinical Auditors and how are they addressed?

Clinical Auditors often encounter challenges such as navigating complex medical records, staying current with ever-evolving regulations, and ensuring consistent compliance across diverse departments or facilities. To address these, auditors rely on up-to-date training, collaboration with clinical staff, and the use of advanced audit tools to streamline their review processes. Strong communication and problem-solving skills are key to overcoming obstacles and providing valuable feedback. Many organizations also support auditors through ongoing education and access to collaborative team environments, empowering them to maintain high standards and achieve audit objectives efficiently.

More about Clinical Auditor jobs
What cities are hiring for Clinical Auditor jobs? Cities with the most Clinical Auditor job openings:
What are the most commonly searched types of Clinical Auditor jobs? The most popular types of Clinical Auditor jobs are:
What states have the most Clinical Auditor jobs? States with the most job openings for Clinical Auditor jobs include:
What job categories do people searching Clinical Auditor jobs look for? The top searched job categories for Clinical Auditor jobs are:
Clinical Auditor jobs near you
Infographic showing various Clinical Auditor job openings in the United States as of July 2026, with employment types broken down into 15% Locum Tenens, 71% Full Time, 12% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $92,797 per year, or $44.6 per hour.
Auditor, Clinical Services

Auditor, Clinical Services

Molina Healthcare

Long Beach, CA • On-site

Full-time

Re-posted 15 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

133rd of 281 rated insurance

Job description

JOB DESCRIPTION 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. 
Registered Nurse (RN). License must be active and restricted 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.

#PJCorp

#LI-AC1
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

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About Molina Healthcare

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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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