Internal Auditor

Job DetailsJob Location: Remote - Corp - Tustin, CA 92782Position Type: Full TimeJob Category: Compliance & AuditMake an Impact at LIBERTY At Liberty Dental Plan, we are committed to enhancing the oral health of the communities we serve through operational excellence, integrity, and innovation. As an Internal Auditor, you play a critical role in ensuring accuracy, compliance, and continuous improvement across our claims and provider systems—directly supporting our mission to deliver high-quality, accessible care. This role is ideal for a detail-oriented, analytical professional who thrives in a fast-paced environment and enjoys uncovering insights that drive smarter decisions and stronger outcomes. What You’ll Do As an Internal Auditor, you will evaluate the accuracy and integrity of claims processing, group setup, and provider compensation structures across individual, group, and enterprise levels. Core Responsibilities Conduct high-volume audits (approx. 1,250/month) to ensure claims accuracy, compliance, and adherence to contractual requirements Analyze claims data, identify trends, and generate actionable insights to improve operational performance Review and validate group setups, including benefit schedules, frequencies, and plan configurations Audit provider fee schedules and compensation structures to ensure alignment with contractual agreements Document audit findings and partner with internal teams to implement timely and effective corrections Monitor service levels and compliance reporting for performance guarantee groups Support ongoing process improvement initiatives and recommend enhancements Collaborate cross-functionally with Operations, Compliance, and IT to strengthen systems and workflows Maintain confidentiality and integrity of audit data at all times How You’ll Lead (SMILE Leadership Behaviors) Serve with Integrity: Ensure compliance and accuracy in every audit Make Data-Driven Decisions: Translate audit findings into meaningful insights Innovate & Improve: Identify opportunities to optimize processes and systems Lead Through Collaboration: Partner across teams to resolve issues and elevate performance Engage & Empower: Share knowledge and contribute to training and development efforts What You’ll Bring Experience Minimum 2 years of experience in: Claims processing Claims auditing Data analysis and review At least 1 year of auditing experience required Experience in a Dental PPO or DHMO environment strongly preferred Education Bachelor’s degree in a related field OR equivalent combination of education and relevant experience Key Skills & Capabilities Strong knowledge of claims processing and audit methodologies Advanced analytical and problem-solving skills Proficiency in Microsoft Excel and Word Ability to interpret complex data and identify trends High attention to detail with strong organizational skills Effective written and verbal communication Ability to manage workload independently and meet deadlines Sound judgment and discretion when handling sensitive information What Sets You Apart Passion for continuous improvement and operational excellence Ability to connect data insights to real business impact Comfortable working in a high-volume, metrics-driven environment Collaborative mindset with a proactive approach to problem-solving Why LIBERTY? At Liberty Dental Plan, we live our PEOPLE philosophy by investing in our team members’ growth, well-being, and success. You’ll be part of a collaborative culture where your expertise is valued and your contributions directly impact the health of the communities we serve. Additional Details Performs other duties as assigned May participate in policy development and system enhancement initiatives Works within established protocols to maintain a productive, compliant work environment 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.   What Liberty Offers Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.   Our first-class benefits package supports employees and their dependents with: Competitive pay structure and savings options to help you reach your financial goals. Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines. Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan. 100% employer-paid dental coverage for employees and eligible dependents. Vision insurance with low-cost premiums for employee-only coverage and dependents. Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage. Flexible Spending Accounts for healthcare and dependent care expenses. Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance. Long-term disability coverage. Expansive wellness programs, including company-wide wellness challenges, and gym discounts. Employee Assistance Program (EAP) to support mental health and well-being. Generous vacation and sick leave policies, with the ability to roll over unused time. 10 paid company holidays. Tuition reimbursement for eligible educational expenses. Remote or hybrid work options available for various positions.   Compensation In the spirit of pay transparency, the base salary range for this position is $24.50 - $29.00 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. Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth. Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.  Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.  We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.   Sponsorship and Relocation Specifications Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled. No relocation assistance or sponsorship available at this time.