Job Summary

The Elite Job is seeking a highly experienced and detail-oriented Senior Auditor – Value-Based Healthcare to join our growing remote team. This role is responsible for evaluating financial, operational, and compliance processes within value-based healthcare programs to ensure accuracy, regulatory adherence, and performance efficiency.

As a Senior Auditor, you will work closely with healthcare providers, finance teams, and compliance departments to analyze risk areas, review healthcare payment models, and ensure that value-based reimbursement programs are properly implemented. The ideal candidate possesses strong auditing expertise, healthcare industry knowledge, and the ability to deliver actionable insights that improve organizational performance.

This is a fully remote position offering flexibility, professional growth, and the opportunity to contribute to innovative healthcare payment models focused on quality outcomes and cost efficiency.

Key Responsibilities

Conduct comprehensive audits of value-based healthcare programs, contracts, and reimbursement structures.

Evaluate compliance with healthcare regulations, payer requirements, and internal policies.

Review financial records, clinical documentation, and operational workflows for accuracy and completeness.

Identify risk areas, discrepancies, and inefficiencies in value-based payment models.

Develop detailed audit reports and present findings to senior management and stakeholders.

Collaborate with finance, compliance, and healthcare operations teams to implement corrective actions.

Monitor performance metrics tied to value-based care initiatives.

Support internal controls development and continuous improvement initiatives.

Assist in preparing organizations for external regulatory audits and healthcare program reviews.

Stay current with evolving healthcare regulations, auditing standards, and value-based reimbursement frameworks.

Required Skills and Qualifications

Bachelors degree in Accounting, Finance, Healthcare Administration, or a related field.

Professional certifications such as CPA, CIA, CISA, or CHC are strongly preferred.

Strong understanding of healthcare reimbursement models including value-based care and risk-sharing arrangements.

Advanced analytical and problem-solving skills.

Excellent written and verbal communication skills.

High proficiency in auditing tools, financial systems, and data analysis platforms.

Ability to work independently in a remote environment while meeting strict deadlines.

Strong attention to detail and organizational skills.

Experience

Minimum 5–8 years of auditing experience, preferably within healthcare, insurance, or healthcare consulting environments.

Prior experience auditing value-based healthcare programs, healthcare claims, or provider payment models.

Demonstrated experience working with regulatory frameworks and healthcare compliance standards.

Experience in remote or distributed team environments is considered an advantage.

Working Hours

Full-time remote position

Flexible schedule within standard business hours (Monday to Friday).

Occasional extended hours may be required during audit cycles or reporting periods.

Knowledge, Skills and Abilities

In-depth knowledge of healthcare auditing methodologies and internal controls.

Strong understanding of value-based care metrics and healthcare performance measurement.

Ability to analyze large datasets and interpret financial and operational trends.

Strong project management and multitasking abilities.

Capability to collaborate effectively with cross-functional teams in a virtual environment.

High level of integrity, confidentiality, and professional judgment.

Benefits

Competitive salary package

Fully remote work environment

Health and wellness benefits

Paid time off and holidays

Retirement savings plan

Professional development and certification support

Performance-based bonuses

Career advancement opportunities within a growing organization

Why Join

At The Elite Job, we are committed to driving innovation in the healthcare industry by supporting value-based care initiatives that improve patient outcomes while reducing costs. By joining our team, you will have the opportunity to work with experienced professionals, contribute to meaningful healthcare improvements, and grow your career in a supportive and forward-thinking organization.

We value integrity, collaboration, and excellence, and we empower our employees with the tools and flexibility they need to succeed in a remote work environment.

How to Apply

Interested candidates are encouraged to submit their updated resume along with a brief cover letter highlighting their auditing experience in healthcare and value-based care programs.

Applications will be reviewed on a rolling basis, and shortlisted candidates will be contacted for the next steps in the recruitment process.