Clinical Services Auditor

Are you passionate about ensuring quality and compliance in healthcare? Do you have a keen eye for detail and the ability to analyze complex data? If so, we have an exciting opportunity for you to join our team as a Clinical Services Auditor at Molina Healthcare. In this role, you will play a crucial part in maintaining our high standards of care by conducting audits of clinical services and programs. We are seeking a dedicated and experienced professional with a strong understanding of healthcare regulations and a commitment to improving patient outcomes. If this sounds like you, we encourage you to apply and be a part of our mission to provide affordable, quality healthcare to our members.

1. Conduct audits of clinical services and programs to ensure compliance with healthcare regulations and company standards.
2. Analyze complex data and identify areas of improvement in clinical processes.
3. Collaborate with various departments to develop and implement action plans for addressing audit findings.
4. Stay up-to-date with industry regulations and standards to ensure the organization's practices are in line with best practices.
5. Communicate audit results and recommendations to relevant stakeholders, including management and clinical staff.
6. Provide guidance and support to clinical teams to ensure they understand and adhere to compliance standards.
7. Develop and maintain audit protocols and templates to ensure consistency and accuracy in audits.
8. Monitor and track corrective action plans and provide updates to management on progress.
9. Conduct training sessions for clinical staff on compliance and quality assurance.
10. Participate in quality improvement initiatives to promote better patient outcomes.
11. Identify potential risks and areas for improvement in clinical processes and make recommendations for changes.
12. Collaborate with external auditors, regulatory bodies, and other stakeholders as needed.
13. Maintain accurate and organized records of audits and findings.
14. Uphold the organization's mission and values in all aspects of the job.
15. Continuously seek opportunities to improve and streamline audit processes to increase efficiency and effectiveness.

According to JobzMall, the average salary range for a Clinical Services Auditor in Los Angeles, CA, USA is $65,000 to $100,000 per year. This may vary depending on factors such as experience level, education, and specific job responsibilities.

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.