Open positions for compliance clinical auditor

The Clinical Compliance Auditor II conducts comprehensive audits of utilization management and clinical operations to ensure adherence to regulatory and contractual standards. This role also provides leadership through mentorship, process improvement, and the development of compliance monitoring frameworks. Candidates must hold an active, unrestricted Registered Nurse (RN) license and possess 3–5 years of experience in utilization management or clinical auditing. Proficiency in Microsoft Office and a strong understanding of Medicare and managed care compliance requirements are essential.