Senior Internal Auditor

Job Summary

A company is looking for a Sr. Internal Auditor.

Key Responsibilities

• Audit and analyze claims data to ensure processing accuracy and compliance with service level standards
• Review claims processing and system configurations to ensure alignment with contracts and policies
• Collaborate with various departments to follow up on audit findings and support quality improvement initiatives

Required Qualifications

• Preferred Bachelor's degree or equivalent combination of education and relevant experience
• Minimum 2 years of experience in claims processing, auditing, or data analysis, preferably in a Dental PPO or DHMO environment
• At least 1 year of internal audit experience, preferably within a dental or healthcare setting
• Strong understanding of dental claims processing and audit methodologies
• Proficiency in Microsoft Word and Excel