Clinical Auditor Jobs in Florida
Clinical Auditor jobs in Florida are open across Jacksonville, Orlando, and Plantation and other Florida metros, with employers like Molina Healthcare and Machinify hiring at every experience level. Find a role that fits below and apply directly.
Find Clinical Auditor JobsOverview
Showing 5 of 6+ Clinical Auditor jobs
JOB SUMMARY
Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.
ESSENTIAL JOB DUTIES
- Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. May also perform non-clinical system and process audits as needed.
- Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met.
- Assesses clinical staff regarding appropriate clinical decision-making.
- Reports monthly outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
- Ensures auditing approaches follow a Molina standard in approach and tool use.
- Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA), and professionalism in all communications.
- Adheres to departmental standards, policies and protocols.
- Maintains detailed records of auditing results.
- Assists healthcare services training team with developing training materials or job aids as needed to address findings in audit results.
- Meets minimum production standards related to clinical auditing.
- May conduct staff trainings as needed.
- Communicates with quality and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.
REQUIRED QUALIFICATIONS
- At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
- Registered Nurse (RN). License must be active and restricted in state of practice.
- Strong attention to detail and organizational skills.
- Strong analytical and problem-solving skills.
- Ability to work in a cross-functional, professional environment.
- Ability to work on a team and independently.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
PREFERRED QUALIFICATIONS
- Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) clinical review/auditing experience.
PAY RANGE
- Pay Range: $29.05 - $56.64 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
JOB SUMMARY
Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care.
ESSENTIAL JOB DUTIES
- Performs audits in utilization management, care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. May also perform non-clinical system and process audits as needed.
- Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met.
- Assesses clinical staff regarding appropriate clinical decision-making.
- Reports monthly outcomes, identifies areas of re-training for staff, and communicates findings to leadership.
- Ensures auditing approaches follow a Molina standard in approach and tool use.
- Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA), and professionalism in all communications.
- Adheres to departmental standards, policies and protocols.
- Maintains detailed records of auditing results.
- Assists healthcare services training team with developing training materials or job aids as needed to address findings in audit results.
- Meets minimum production standards related to clinical auditing.
- May conduct staff trainings as needed.
- Communicates with quality and/or healthcare services leadership regarding issues identified, and works collaboratively to subsequently resolve/correct.
REQUIRED QUALIFICATIONS
- At least 2 years health care experience, with at least 1 year experience in utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience.
- Registered Nurse (RN). License must be active and restricted in state of practice.
- Strong attention to detail and organizational skills.
- Strong analytical and problem-solving skills.
- Ability to work in a cross-functional, professional environment.
- Ability to work on a team and independently.
- Excellent verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
PREFERRED QUALIFICATIONS
- Utilization management, care management, behavioral health and/or long-term services and supports (LTSS) clinical review/auditing experience.
PAY RANGE
- Pay Range: $29.05 - $56.64 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
See All 6 Clinical Auditor Jobs in Florida
Find roles in Florida that match your experience and apply in just a few clicks.
Find Clinical Auditor JobsClinical Auditor Jobs by City in Florida
Where Florida roles are concentrated, by current openings.
Clinical Auditor Job Market in Florida
A snapshot from current Florida openings, updated as new roles post.
Who's Hiring
- Molina Healthcare5
- Machinify1
Top Industries Hiring
- Healthcare & Medical Services5
- Technology & Software1
What Florida Employers Look For
The qualifications that appear most often in clinical auditor jobs across Florida.
- Knowledge of ICD-10-CM/PCS coding guidelines and clinical documentation standards
- Experience conducting medical record audits in an acute care or managed care setting
- Certification such as CPC, RHIA, RHIT, or CCS from a recognized credentialing body
- Proficiency with electronic health record systems such as Epic, Cerner, or Meditech
- Familiarity with CMS regulations, RAC audit processes, and payer-specific requirements
- Strong written communication skills for producing clear, actionable audit reports
Clinical Auditor Jobs in Florida: Frequently Asked Questions
How many clinical auditor jobs are there in Florida?
There are 6+ clinical auditor openings in Florida on Migrate Mate as of June 2026, with the most roles in Jacksonville, Orlando, and Plantation. New positions post regularly as employers across Florida hire.
Which Florida cities have the most clinical auditor jobs?
Jacksonville, Orlando, and Plantation have the most clinical auditor openings in Florida right now, with additional roles spread across smaller metros statewide.
Which companies hire clinical auditors in Florida?
Employers hiring clinical auditors in Florida include Molina Healthcare and Machinify, based on current listings on Migrate Mate as of June 2026.
Are there remote clinical auditor jobs in Florida?
Yes. About 17% of clinical auditor openings tied to Florida are remote or hybrid as of June 2026. The rest are on-site roles based in Florida metros.
How do I apply for clinical auditor jobs in Florida?
You can apply to clinical auditor jobs in Florida directly on Migrate Mate. Search the listings above, find roles that match your experience and preferred Florida location, then apply to each one that fits.
See All 6 Clinical Auditor Jobs in Florida
Find roles in Florida that match your experience and apply in just a few clicks.
Find Clinical Auditor Jobs