Healthcare Compliance & Audit Specialist

WeShare Health; Orange (CA); On-site; USD 34,000 - 55,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Dental insurance

Vision insurance

403(b) with company match

Paid time off

Job summary

WeShare Health is seeking an Operations & Compliance Auditor to ensure accuracy, compliance, and efficiency across call-center and operational workflows. You will conduct risk-based audits, identify gaps, and provide strategic insights to protect revenue, data integrity, and member experience.

Work with leadership on quality and process improvements. The role operates with minimal supervision and serves as a SME and escalation resource for eligibility, cancellations, reinstatements, and

Qualifications

• High school diploma or equivalent required.
• 1+ year in QA, auditing, compliance review, call-center QA, or related.
• Experience auditing calls, written correspondence, and case documentation.
• Strong analytical skills with trend and root-cause identification.
• Excellent written and verbal communication; ability to work independently.
• Excel proficiency and ability to create structured reports.
• Experience with process improvement and system optimization.

Responsibilities

• Conduct risk-based audits across calls, case documentation, emails, texts, escalations, and retention/saves.
• Perform high-risk audits requiring independent judgment and regulatory awareness.
• Identify systemic gaps, compliance deviations, terminology inconsistencies, operational risks, and provide actionable recommendations.
• Audit auditors through peer-to-peer reviews.

Skills

QA auditing

Data analysis

Attention to detail

Communication

Reliability

Excel

Process improvement

Independent judgment

Education

HS Diploma or GED

Tools

Audit software

HIPAA familiarity

Job description

WeShare Health is seeking an Operations & Compliance Auditor to ensure accuracy, compliance, and efficiency across call-center and operational workflows. You will conduct risk-based audits, identify gaps, and provide strategic insights to protect revenue, data integrity, and member experience.

Work with leadership on quality and process improvements. The role operates with minimal supervision and serves as a SME and escalation resource for eligibility, cancellations, reinstatements, and