H-1B Visa Audit Specialist Jobs
Audit Specialist roles qualify as H-1B specialty occupations because they require at least a bachelor's degree in accounting, finance, or a related field. Employers in public accounting, financial services, and corporate compliance regularly sponsor H-1B petitions for this role, and the annual 85,000-cap lottery applies unless your employer is a university or nonprofit research institution.
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Cigna partners with over 150 delegated medical groups in California to process healthcare claims. The California Department of Managed Health Care (DMHC) enforces strict requirements for claims processing, provider disputes, and regulatory compliance. As a Remote Claim Delegation Auditor, you will ensure these delegated groups meet all state and federal healthcare regulations. Through claims audits, performance monitoring, and collaboration, you’ll help improve member experience and support cost-saving initiatives.
Key Responsibilities:
- Conduct Commercial HMO (non Medicare) claims audits to ensure compliance with DMHC regulations, federal and state requirements.
- Review audit packages, including questionnaires and claims reports.
- Coordinate with delegated provider groups on claim and dispute selections; verify accuracy of self-reported scores.
- Perform onsite and virtual audits to assess operational security and identify compliance issues.
- Analyze medical claims and disputes for regulatory adherence; prepare detailed audit reports.
- Follow up on deficiencies, document corrective action plans, and conduct re-audits as needed.
- Present audit results at Delegation Oversight Committee meetings.
- Collaborate with functional areas (UM, Credentialing, Finance) on identified issues.
- Monitor monthly self-reported statistics for assigned groups and ensure corrective actions are implemented.
- Drive issue resolution by engaging cross-functional partners.
- Serve as the primary liaison between Cigna’s Contracting & Provider Services Hub and delegated risk groups.
Qualifications
- 3+ years of claims auditing experience, ideally with capitated HMO products or providers.
- Strong knowledge of claims payment methodologies, coding standards (Rev Code, CPT, DRG), and healthcare compliance regulations.
- Knowledge of California Knox-Keene Act a plus.
- Proficiency in Microsoft Word and Excel; experience preparing detailed reports.
- Excellent interpersonal, verbal, and written communication skills.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 68,700 - 114,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
About the Role:
Cigna partners with over 150 delegated medical groups in California to process healthcare claims. The California Department of Managed Health Care (DMHC) enforces strict requirements for claims processing, provider disputes, and regulatory compliance. As a Remote Claim Delegation Auditor, you will ensure these delegated groups meet all state and federal healthcare regulations. Through claims audits, performance monitoring, and collaboration, you’ll help improve member experience and support cost-saving initiatives.
Key Responsibilities:
- Conduct Commercial HMO (non Medicare) claims audits to ensure compliance with DMHC regulations, federal and state requirements.
- Review audit packages, including questionnaires and claims reports.
- Coordinate with delegated provider groups on claim and dispute selections; verify accuracy of self-reported scores.
- Perform onsite and virtual audits to assess operational security and identify compliance issues.
- Analyze medical claims and disputes for regulatory adherence; prepare detailed audit reports.
- Follow up on deficiencies, document corrective action plans, and conduct re-audits as needed.
- Present audit results at Delegation Oversight Committee meetings.
- Collaborate with functional areas (UM, Credentialing, Finance) on identified issues.
- Monitor monthly self-reported statistics for assigned groups and ensure corrective actions are implemented.
- Drive issue resolution by engaging cross-functional partners.
- Serve as the primary liaison between Cigna’s Contracting & Provider Services Hub and delegated risk groups.
Qualifications
- 3+ years of claims auditing experience, ideally with capitated HMO products or providers.
- Strong knowledge of claims payment methodologies, coding standards (Rev Code, CPT, DRG), and healthcare compliance regulations.
- Knowledge of California Knox-Keene Act a plus.
- Proficiency in Microsoft Word and Excel; experience preparing detailed reports.
- Excellent interpersonal, verbal, and written communication skills.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 68,700 - 114,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as an Audit Specialist
Verify your degree meets specialty occupation standards
USCIS scrutinizes whether your degree directly relates to audit work. A degree in accounting, finance, or business with an accounting concentration strengthens your case. A general business degree without audit coursework may trigger a Request for Evidence.
Target employers with cap-exempt filing history
Universities, nonprofit research institutions, and government-affiliated entities can file H-1B petitions year-round without lottery exposure. Internal audit and compliance roles at these organizations qualify, and you avoid the March registration window entirely.
Search H-1B sponsors by occupation on Migrate Mate
Filter by audit-related SOC codes on Migrate Mate to see which employers have filed LCAs for Audit Specialist roles. This shows actual filing behavior, not just posted job descriptions, so you target employers who already know the process.
Confirm the prevailing wage tier before accepting an offer
Your offered salary must meet the DOL prevailing wage for your work location and SOC code. Use the OFLC Wage Search to check Level I through Level IV thresholds before negotiating, since the employer's LCA locks in the wage level.
Ask whether your employer will file before the lottery opens
H-1B registration opens in early March, and USCIS selects registrations by late March. If your start date is October 1, your employer must register you in that window. Confirm their internal timeline and whether they use premium processing.
Document your audit experience with client-specific evidence
If USCIS issues an RFE on specialty occupation, engagement letters, audit reports you authored, and CPA supervision records all strengthen the response. Organize these before your employer files, not after the petition is challenged.
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Find Audit Specialist JobsAudit Specialist H-1B Visa: Frequently Asked Questions
Does an Audit Specialist role qualify as an H-1B specialty occupation?
Yes. USCIS treats audit roles as specialty occupations when the position requires a bachelor's degree or higher in accounting, finance, or a directly related field. Roles focused on financial statement audits, internal controls, or regulatory compliance consistently meet the standard. If your job description lists a preferred degree rather than a required one, your employer should correct it before filing to avoid an RFE.
Which employers sponsor H-1B visas for Audit Specialist positions?
Public accounting firms, large financial institutions, healthcare systems, and multinational corporations with internal audit departments are the most active sponsors for this role. You can search by occupation code on Migrate Mate to see which employers have filed Labor Condition Applications for audit roles in your target location, giving you a concrete list of sponsors with verified filing history.
Can I transfer my H-1B to a new audit employer without losing my status?
Yes, H-1B portability lets you start working for a new employer once they file a non-frivolous H-1B transfer petition, without waiting for approval. Your prior H-1B approval must be valid and you must not have violated your status. The new employer files a new I-129 and LCA covering your audit role at the new organization before or on your start date.
How does the prevailing wage requirement affect H-1B audit roles?
Your employer must pay at least the DOL prevailing wage for your SOC code and work location before USCIS will approve your petition. Audit Specialist wages are benchmarked by experience level, from Level I for entry roles to Level IV for senior positions. Your employer determines the appropriate level when filing the LCA, and you can verify the applicable threshold using the OFLC Wage Search before your offer letter is finalized.
What happens to my H-1B if my audit employer is acquired or merges?
If the acquiring entity assumes your employment relationship, job duties, and compensation without material change, your H-1B typically remains valid under successor-in-interest rules. Your employer should notify USCIS by filing an amended petition if your role, title, or work location changes materially. Confirm with your employer's immigration counsel immediately after any acquisition closes, since an unamended petition covering changed conditions creates a compliance risk.
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