Operations Auditor

Delta Dental of Missouri•St. Louis, MO

13d•Onsite

About The Position

Join our team as an Operations Auditor and play a key role in strengthening processes, ensuring compliance, and driving continuous improvement across the business. In this role, you’ll evaluate operational practices, identify risks and inefficiencies, and partner with leaders to implement practical, value‑added solutions. We’re looking for a detail‑oriented professional who thrives on data analysis, problem solving, and influencing positive change. If you’re passionate about operational excellence and want to make a measurable impact, this is your opportunity to grow with us. Apply today and help shape smarter, more efficient operations.

Requirements

High school diploma required.
Strong critical thinking and analytical skills.
Possess effective verbal and written communication skills, including effective listening skills.
Demonstrate strong organizational skills with proven attention to detail.
Possess time management skills; exhibit solid ability to prioritize work and perform multiple tasks efficiently and timely.
Able to work independently without close supervision.
Must maintain confidentiality.
Demonstrate integrity and honesty in all aspects of job performance.
Maintain a professional demeanor in all communications.
Able to communicate effectively with others across the organization.
Working knowledge of Microsoft Office, including proficiency in Word, Excel and Outlook.
Demonstrated commitment to the company’s core values of integrity, adaptability, service-focused, accountability, curiosity, and community.

Nice To Haves

Some college coursework is preferred.
Prefer three years of experience in operations auditing, or the health insurance industry to demonstrate a functional knowledge of insurance operations.

Responsibilities

Conduct prescribed audits of claims processing accuracy to support the monitoring of performance standards.
Perform defined audits of other operational processes to meet internal oversight, departmental and business objectives.
Complete ad hoc audits, as needed.
Evaluate audit results against internal processes and/or controls to identify areas of non-compliance and improvement opportunities; considering compliance with prescribed operational processing guidelines, policies, state and federal laws, executed contracts and DDPA requirements, as applicable.
Clearly document identified audit findings in a timely manner for monitoring and escalation.
Maintain files in accordance with management policies and guidelines by obtaining and attaching all appropriate documentation to clearly establish an audit trail for each audit performed.
Conduct independent peer reviews to assess accuracy, completeness, and adherence to department standards and internal methodologies.
Perform other duties as assigned.
Communicate clearly and concisely, with sensitivity to the needs of others.
Maintain courteous, helpful and professional behavior on the job; display a willingness and ability to be responsive in a warm and caring manner to all other departments.
Maintain confidentiality of company policies and procedures, audit results, and information about clients, members, providers, and employees.
Establish and maintain effective and respectful working relationships with co-workers and members of other departments.