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Health Auditor Jobs (NOW HIRING)

Contact Government Services, LLC

Auditor

Knoxville, TN · On-site

$80K - $100K/yr

The Auditor will perform audit activities related to the detection and investigation of fraud, waste or abuse in Government programs, including health care fraud, defense procurement fraud ...

Central Health

Healthcare Delivery Auditor

Austin, TX · On-site

Overview The Healthcare Delivery Auditor supports Central Health's mission to provide access to high-quality care for underserved populations by conducting internal audits of healthcare delivery ...

Central Health

Healthcare Delivery Auditor

Austin, TX · On-site

Overview The Healthcare Delivery Auditor supports Central Health's mission to provide access to high-quality care for underserved populations by conducting internal audits of healthcare delivery ...

Merieux NutriSciences

Remote Auditor

Remote Auditor Remote Regular (US Only) MERIEUX NUTRISCIENCES As a trusted partner, our Public Health mission is to make food systems safer, healthier and more sustainable. Throughout our global ...

Lee Health

Internal Auditor - Compliance

Fort Myers, FL · On-site

$30.32 - $39.42/hr

This role is pivotal in ensuring the accuracy and integrity of the financial and operational practices within the not-for-profit healthcare organization. The Internal Auditor will evaluate the ...

Lee Health

Internal Auditor - Compliance

Fort Myers, FL

$30.32 - $39.42/hr

This role is pivotal in ensuring the accuracy and integrity of the financial and operational practices within the not-for-profit healthcare organization. The Internal Auditor will evaluate the ...

Baptist Health Care

Senior Auditor

Pensacola, FL · On-site

$71K - $87K/yr

The Senior Auditor/Consultant performs professional internal auditing services which include ... Baptist Health Care is a not-for-profit health care system committed to improving the quality of ...

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Health Auditor information

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$30.5K

$72.6K

$117.5K

How much do health auditor jobs pay per year?

As of Jul 23, 2026, the average yearly pay for health auditor in the United States is $72,633.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What does a healthcare auditor do?

A healthcare auditor reviews medical records, billing practices, and healthcare provider compliance to ensure accuracy and adherence to regulations. They analyze data, identify discrepancies, and help prevent fraud, often using auditing tools and requiring knowledge of healthcare laws and coding standards.

What type of auditor gets paid the most?

For health auditors, those with advanced certifications such as Certified Healthcare Auditor (CHA) or Certified Professional in Healthcare Quality (CPHQ), along with extensive experience in compliance and risk management, tend to earn higher salaries. Senior-level health auditors working in large healthcare organizations or government agencies generally receive higher pay compared to entry-level auditors.

Is an auditor a high paying job?

Health auditors typically earn a competitive salary that varies based on experience, location, and certifications. While some auditors can earn high wages, salaries generally depend on the complexity of the role and the organization they work for.

What is the difference between Health Auditor vs Health Inspector?

AspectHealth AuditorHealth Inspector
Required CredentialsCertification in health auditing, public health degreeEnvironmental health certification, public health training
Work EnvironmentHealthcare facilities, insurance companies, government agenciesRestaurants, food establishments, public health departments
Employer & Industry UsageHealthcare organizations, insurance firms, government health agenciesLocal health departments, food safety agencies

Health Auditors focus on evaluating healthcare facilities' compliance with health standards and improving health management systems, often working in healthcare settings. Health Inspectors primarily assess food safety and sanitation in public venues like restaurants, working within local health departments. While both roles promote public health, they differ in their specific environments and certification requirements.

What are the key skills and qualifications needed to thrive as a Health Auditor, and why are they important?

To thrive as a Health Auditor, you need expertise in health regulations, auditing practices, and healthcare compliance, often supported by a degree in health administration or a related field. Familiarity with auditing software, electronic health records (EHR) systems, and certifications such as Certified Internal Auditor (CIA) or Certified Healthcare Internal Audit Professional (CHIAP) is highly valuable. Strong attention to detail, analytical thinking, and clear communication skills help auditors identify discrepancies and convey findings effectively. These capabilities ensure accurate assessments, regulatory compliance, and improved healthcare quality.

What are some common challenges Health Auditors face when conducting audits in healthcare facilities?

Health Auditors often encounter challenges such as navigating complex regulatory requirements, obtaining accurate and complete documentation from staff, and addressing resistance to change within healthcare teams. They must also stay updated with evolving healthcare laws and standards, which can vary by region or facility type. Building strong communication skills and fostering collaborative relationships with medical and administrative staff are essential for overcoming these obstacles and ensuring a thorough, effective audit.

What are Health Auditors?

Health Auditors are professionals who evaluate healthcare organizations, facilities, or programs to ensure compliance with regulatory standards, internal policies, and best practices. Their work includes reviewing medical records, billing procedures, and operational processes to identify areas of risk or non-compliance. By conducting thorough audits, they help maintain quality and safety standards, prevent fraud, and support continuous improvement in healthcare delivery.

How do you become a healthcare auditor?

To become a healthcare auditor, typically a bachelor's degree in health administration, accounting, or a related field is required. Relevant experience in healthcare or finance, along with certifications such as the Certified Healthcare Auditor (CHA), can enhance job prospects. Strong analytical skills and knowledge of healthcare regulations are also important for success in this role.
More about Health Auditor jobs
What states have the most Health Auditor jobs? States with the most job openings for Health Auditor jobs include:
What job categories do people searching Health Auditor jobs look for? The top searched job categories for Health Auditor jobs are:
Health Auditor jobs near you
Infographic showing various Health Auditor job openings in the United States as of July 2026, with employment types broken down into 13% Locum Tenens, 78% Full Time, 6% Part Time, 2% Contract, and 1% Summer. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.
(RN)Auditor, Healthcare Services - NCQA

(RN)Auditor, Healthcare Services - NCQA

Molina Healthcare

Roswell, NM • On-site

$29.05 - $56.64/hr

Full-time

Posted 22 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 195 frontline employees who took The Breakroom Quiz

147th 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. This role supports the New Mexico Turquoise Care Contract. 
 

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

Prior experience in clinical review/auditing of care management.

Familiarity with the New Mexico Turquoise Care Contract, NCQA (National Committee for Quality Assurance) auditing and performance standards or  IPRO. 

Analytical ability to review data and determine quality trends. 
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: $29.05 - $56.64 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

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Hours and flexibility

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About Molina Healthcare

Sourced by ZipRecruiter

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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