Sr. Internal Auditor

About the role

Help protect integrity, strengthen compliance, and improve how we serve our members.

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.
• Aid in 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.

Qualifications

• 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: Strong understanding of dental claims processing and audit methodologies. Proficiency in Microsoft Word and Excel. Strong analytical, reporting, and trend-analysis skills. Excellent attention to detail and comfort working with complex data. Ability to work independently while managing multiple priorities. Strong written and verbal communication skills. Discretion and professionalism when handling confidential information. Collaborative mindset with the ability to promote teamwork across departments.

Benefits

This role offers the opportunity to:

• Work remotely in a supportive, mission-driven environment
• Partner closely with Compliance, Claims, UM, and IT teams
• Contribute to regulatory readiness and operational excellence
• Grow your audit expertise within a reputable dental benefits organization

Pay

In the spirit of pay transparency, the base salary range for this position is $24 - $28 an hour not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.

Schedule

Full-time

Location

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.

Additional Information

All your information will be kept confidential according to EEO guidelines.