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Medical Management Auditor Jobs (NOW HIRING)

YO AI Labs

Medical Auditor - Remote

Boston, MA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Houston, TX · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

San Francisco, CA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Palo Alto, CA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Boston, MA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

San Jose, CA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Chicago, IL · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Philadelphia, PA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Phoenix, AZ · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Washington, DC · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Atlanta, GA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Seattle, WA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Dallas, TX · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Miami, FL · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

New York, NY · Remote

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Austin, TX · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Seattle, WA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

YO AI Labs

Medical Auditor - Remote

Los Angeles, CA · Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... Support audit program management and quality improvement initiatives. Required Qualifications * 10+ ...

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Medical Management Auditor information

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How much do medical management auditor jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for medical management auditor in the United States is $21.62, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $27.40 per hour, depending on experience, location, and employer.

What is a medical management auditor?

A Medical Management Auditor is a professional responsible for reviewing and evaluating healthcare processes, records, and billing to ensure compliance with regulations and standards. They analyze medical documentation to verify accuracy, appropriateness of care, and adherence to policies. Their work helps healthcare organizations maintain quality, reduce errors, and prevent fraud or abuse. Medical Management Auditors often collaborate with medical staff and administrators to recommend improvements and provide training. This role is essential in supporting patient safety and organizational efficiency.

What are some common challenges medical management auditors face when reviewing healthcare claims and records?

Medical Management Auditors frequently encounter challenges such as deciphering incomplete or inconsistent documentation, ensuring compliance with evolving healthcare regulations, and identifying potential billing errors or fraudulent activity. They must balance attention to detail with efficiency to meet audit deadlines, often collaborating closely with clinicians, billing teams, and compliance officers. Staying updated on coding standards and payer requirements is essential to ensure accurate audits and support quality patient care.

What are the key skills and qualifications needed to thrive as a medical management auditor, and why are they important?

To thrive as a Medical Management Auditor, you need expertise in healthcare regulations, auditing methodologies, and a background in nursing or healthcare administration, often supported by certifications like Certified Professional Medical Auditor (CPMA). Proficiency with medical coding systems (ICD-10, CPT), audit software, and electronic health records (EHRs) is typically required. Attention to detail, analytical thinking, and strong communication skills help auditors identify discrepancies and collaborate with clinical staff. These skills ensure accurate compliance assessments, reduce financial risk, and support quality care within healthcare organizations.

What are popular job titles related to Medical Management Auditor jobs?

For Medical Management Auditor jobs, the most frequently searched job titles are:

Medical Management Auditor jobs near you
Infographic showing various Medical Management Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $44,967 per year, or $21.6 per hour.

Healthcare Quality Management Auditor (Field-Based - Maricopa County, Arizona)

Scottsdale, AZ • On-site

CVS Health
Health Care and Social Assistance • 10K+ employees
Learn more about CVS Healthexternal

$43K - $85K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted yesterday

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,376 frontline employees who took The Breakroom Quiz

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

The Healthcare Quality Management Auditor participates in the development and ongoing implementation of QM (quality management) Work Plan activities. This person will improve quality products and services by using measurement and analysis to process, evaluate, and make recommendations to meet QM objectives.

General Responsibilities

  • Completes a variety of medical and clinical audits.
  • Conducts exit interviews with clinical and leadership staff to review audit results.
  • Assists with developing corrective action plans.
  • Develops audit tools for all populations.
  • Tracks completion of corrective action plans.
  • Completes data entry on all audit tools.
  • Participates in completing inter rater reliability and scoring guidelines.
  • Participates in QM meetings.
  • Performs other duties as needed.


Required Qualifications

  • 3+ years of experience in behavioral health.
  • Must reside in Maricopa County, Arizona.
  • Willingness to travel up to 75% of the time within Arizona.


Preferred Qualifications

  • Strong organizational skills.
  • Ability to audit independently.
  • Ability to learn quickly and remain adaptable amidst an evolving environment.
  • Strong relationship building skills.
  • Previous experience in an outpatient behavioral health environment.
  • Previous experience working with medical records and/or Electronic Health Records (EHR).


Education

  • Bachelor's degree or equivalent experience (4 years of relevant experience + high school diploma or GED).

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/11/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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