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SIU Clinical & Audit Leader

Blue Cross and Blue Shield of North Carolina

Blue Cross NC is seeking a strategic SIU Manager of Audit/Clinical to lead a team of clinicians and coders focused on detecting, preventing, and correcting healthcare fraud, waste, and abuse. The role guides prepayment and post-payment medical record reviews, ensures regulatory compliance, and uses analytics to strengthen investigations. The position offers remote leadership for a hybrid workforce, opportunities to collaborate with regulators and providers, and a payroll with comprehensive #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina

Vacancy posted 2 days ago
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