Senior Internal Auditor – Dental Claims & Compliance

About the role

Liberty Dental Plan is seeking a detail‑driven Senior Internal Auditor to support audit activities across claims, utilization management, and system configuration. The role focuses on regulatory compliance, quality improvement, and data‑driven insights to enhance member service.

Key responsibilities

• Audit and analyze claims data to ensure processing accuracy and service‑level standards at individual, group, and enterprise levels.
• Review specialty referrals, prior authorizations, benefit plans, group setup, and system configuration for contract and policy alignment.
• Support CMS ODAG and Part C audits, including file preparation, tracking, and data validation.
• Analyze audit results, identify trends, and document findings to drive training and continuous improvement.
• Collaborate with Claims, UM, Compliance, IT, and other departments to resolve audit findings and ensure timely corrections.

Required profile

• Minimum 2 years of experience in claims processing, claims auditing, or claims data analysis (Dental PPO or DHMO preferred).
• At least 1 year of internal audit experience in a dental or healthcare setting.
• Strong analytical, reporting, and trend‑analysis abilities with excellent attention to detail.
• Ability to work independently while managing multiple priorities.

Required skills

• Proficiency in Microsoft Word.
• Proficiency in Microsoft Excel.

What we offer

• Remote work in a mission‑driven environment.
• Competitive hourly pay ($24‑$28) with comprehensive benefits including 401(k) match, medical, dental, vision, life insurance, and wellness programs.
• Generous paid time off, tuition reimbursement, and flexible work options.