Clinical Auditor Jobs in USA with Visa Sponsorship
Clinical Auditor roles qualify for H-1B visa and TN visa sponsorship when tied to a healthcare or quality assurance degree. Employers in hospital systems, insurance networks, and CMS-regulated facilities regularly sponsor, though roles vary significantly in how they structure LCA filings and prevailing wage tiers. For detailed occupation requirements, see the O*NET profile.
See All Clinical Auditor JobsOverview
Showing 5 of 30+ Clinical Auditor jobs
Have you applied for this role?
Have you applied for this role?
Have you applied for this role?
Have you applied for this role?
Have you applied for this role?
See all 30+ Clinical Auditor jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Clinical Auditor roles.
Get Access To All JobsAnticipated End Date:
2026-06-06
Position Title:
Behavioral Health Clinical Auditor
Job Description:
Behavioral Health Clinical Auditor
Location:
It is highly preferred that the selected candidate reside within commutable distance to a PulsePoint.
Virtual:
This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
The Behavioral Health Clinical Quality Audit Analyst will be responsible for conducting NCQA related clinical file reviews and developing, coordinating, implementing, and evaluating quality improvement activities including data and outcome measurements for clinical and quality programs and interventions.
How you will make an impact:
- Conducts NCQA/URAC related UM and CM file reviews to ensure survey readiness.
- Designs and implements quality improvement activities if goals are not met.
- Analyzes data and prepares quality management reports in accordance with BH QM principles.
- Participates in intra-departmental teams to improve sustainable member outcomes.
- Assists in defining opportunities for improvement identified through analysis of trends.
- Assists with coordinating improvement activities.
Minimum Requirements:
Requires MS/MA degree in behavioral health or related field and a minimum of 3 years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as process improvement; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
- Experience with NCQA standards, specifically file reviews.
- Strong Utilization Management and Case Management experience preferred.
- Data analysis and report development strongly preferred.
- Licensure in Behavioral Health (RN, LCSW, LICSW, LMSW, LMFT, LMHC) preferred.
For candidates working in person or virtually in the below locations, the salary range for this specific position is $34.14/hr to $53.54/hr.
Locations: Colorado, Illinois, Massachusetts.
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Job Level:
Non-Management Non-Exempt
Workshift:
1st Shift (United States of America)
Job Family:
MED > Clinical Quality (Non-Licensed)
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.
Anticipated End Date:
2026-06-06
Position Title:
Behavioral Health Clinical Auditor
Job Description:
Behavioral Health Clinical Auditor
Location:
It is highly preferred that the selected candidate reside within commutable distance to a PulsePoint.
Virtual:
This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
The Behavioral Health Clinical Quality Audit Analyst will be responsible for conducting NCQA related clinical file reviews and developing, coordinating, implementing, and evaluating quality improvement activities including data and outcome measurements for clinical and quality programs and interventions.
How you will make an impact:
- Conducts NCQA/URAC related UM and CM file reviews to ensure survey readiness.
- Designs and implements quality improvement activities if goals are not met.
- Analyzes data and prepares quality management reports in accordance with BH QM principles.
- Participates in intra-departmental teams to improve sustainable member outcomes.
- Assists in defining opportunities for improvement identified through analysis of trends.
- Assists with coordinating improvement activities.
Minimum Requirements:
Requires MS/MA degree in behavioral health or related field and a minimum of 3 years experience in quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as process improvement; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
- Experience with NCQA standards, specifically file reviews.
- Strong Utilization Management and Case Management experience preferred.
- Data analysis and report development strongly preferred.
- Licensure in Behavioral Health (RN, LCSW, LICSW, LMSW, LMFT, LMHC) preferred.
For candidates working in person or virtually in the below locations, the salary range for this specific position is $34.14/hr to $53.54/hr.
Locations: Colorado, Illinois, Massachusetts.
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Job Level:
Non-Management Non-Exempt
Workshift:
1st Shift (United States of America)
Job Family:
MED > Clinical Quality (Non-Licensed)
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.
See all 30+ Clinical Auditor jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Clinical Auditor roles.
Get Access To All JobsTips for Finding Visa Sponsorship as a Clinical Auditor
Confirm your degree aligns with the role
Clinical Auditor positions typically require a degree in nursing, health information management, healthcare administration, or a related clinical field. A general business or unrelated degree may not satisfy the specialty occupation requirement for H-1B sponsorship.
Target employers with CMS compliance obligations
Hospital systems, Medicare Advantage plans, and accredited health networks face federal audit requirements, making them more likely to sponsor clinical auditors long-term. These organizations have established HR and legal infrastructure to support the visa process efficiently.
Understand how the LCA wage tier affects your offer
Your employer must file a Labor Condition Application certifying your wage meets the prevailing level for Clinical Auditor in your metro area. Roles coded under healthcare quality occupations may fall into different SOC categories, directly affecting the required wage tier.
Ask whether the employer has sponsored this role before
Some healthcare employers sponsor frequently for clinical or IT roles but have never processed an H-1B for a Clinical Auditor specifically. Prior experience with your exact role type reduces processing delays and signals the employer understands the specialty occupation requirements involved.
Consider TN status if you hold Canadian or Mexican citizenship
Canadian and Mexican nationals may qualify for TN visa status under the medical or health management professional categories, depending on the role's specific duties. TN processing is faster than H-1B and bypasses the annual lottery entirely, making it worth evaluating early.
Document your clinical credentials alongside your degree
Certifications such as RHIA, CPC, CPHQ, or CCS strengthen a specialty occupation argument for Clinical Auditor roles. Employers and immigration attorneys use these to demonstrate that the position requires specialized knowledge beyond a generalist background.
Frequently Asked Questions
Does a Clinical Auditor role qualify as a specialty occupation for H-1B purposes?
Yes, in most cases, provided the employer can demonstrate the position normally requires at least a bachelor's degree in a specific field like health information management, nursing, or healthcare administration. Roles where any degree suffices risk an RFE. The strongest petitions tie the auditing duties directly to clinical knowledge that a degree in a specific discipline provides.
Which visa types are most commonly used to sponsor Clinical Auditors?
H-1B visa is the most common pathway, with TN visa status available for Canadian and Mexican nationals whose duties align with eligible health professional categories. Some employers use O-1A for candidates with recognized credentials or publications in clinical quality. E-3 visa applies to Australian citizens. The right visa depends on your nationality, degree, and the role's specific responsibilities.
How can I find Clinical Auditor jobs that offer visa sponsorship?
Migrate Mate filters job listings specifically for visa sponsorship willingness, which makes it far more efficient than searching general job boards and guessing at employer policies. Clinical Auditor roles with active LCA filings or verified sponsorship history appear on the platform, so you can focus applications on employers already set up to support the process.
Will a nursing or clinical background help or hurt my sponsorship case?
It helps significantly. Clinical Auditor roles at hospitals and payers are strongest as specialty occupations when the candidate holds a clinical degree, because auditing medical records, DRG coding accuracy, or care quality requires domain-specific knowledge. A nursing or health informatics background directly supports the argument that a specialized degree is a genuine requirement of the position.
Can a Clinical Auditor role be sponsored at a remote or contract position?
Remote sponsorship is possible but adds complexity. H-1B requires an LCA tied to a worksite location, and fully remote roles must list all locations where work is regularly performed, which can trigger additional prevailing wage requirements. Contract-to-hire arrangements through staffing agencies are possible but split H-1B responsibility between the agency and the end client, requiring careful structuring with immigration counsel.
What is the prevailing wage requirement for sponsored Clinical Auditor jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.
See which Clinical Auditor employers are hiring and sponsoring visas right now.
Search Clinical Auditor Jobs