Hybrid-Flex SIU Operations Leader: Healthcare Fraud
Blue Cross and Blue Shield of North Carolina
Blue Cross NC is seeking a seasoned SIU Manager of Operations to lead investigations into health care fraud, waste, and abuse. You will oversee intake, triage, and due diligence, while shaping proactive anti-FWA strategies and collaborations with internal and external partners. The role requires 8+ years of related experience, AHFI or CFE preferred, and a strong focus on coaching the team, driving performance metrics, and regulatory compliance. Hybrid work with remote flexibility is available. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
$107.9k - $172.64k
...Special Investigations Unit (SIU) Manager of Operations to lead the team... ..., and correct health care fraud, waste, and abuse while supporting... ...interpretation of complex healthcare claims data to identify... ...more Where You'll Work Our Hybrid Flex approach is built on presence...Flexible hoursFraudWork at officeLocal areaRemote work2 days per week$107.9k - $172.64k
...Investigations Unit (SIU) Manager of Audit/... ...health care fraud, waste, and abuse.... ...initiatives. Contribute to operational strategies and... ...Collaborate with leaders who manage vendor... ...of complex healthcare claims data to identify... ...Where You’ll Work Our Hybrid Flex approach is built...Flexible hoursFraudWork at officeLocal areaRemote work2 days per week$107.9k - $172.64k
...Special Investigations Unit (SIU) Manager of Investigations to... ..., and addressing health care fraud, waste, and abuse. In this role... ...conducting/leading healthcare fraud investigations. Bonus Points... ...contribution. Where You’ll Work Our Hybrid Flex approach is built on presence...Flexible hoursFraudWork at officeLocal areaRemote work2 days per week- ...is seeking a Special Investigations Unit (SIU) Manager of Investigations to lead a... ..., preventing, and addressing health care fraud, waste, and abuse. You will oversee case... ...or CFE certification, and 8+ years of experience in healthcare #J-18808-Ljbffr Blue Cross NCFraudRemote job
$89.17k - $142.68k
...Investigations Unit (SIU) and Payment Integrity... ...financial reporting, operational insights, and statistically... ...development, healthcare claims expertise, and... ...engagement to identify fraud, waste, abuse, payment... ...bcbsnc.com. Location and Hybrid Flex Blue Cross NC is a Hybrid...Flexible hoursFraudLocal areaRemote work$50k - $55k
...Educator / Certified Medical Assistant (Hybrid Role) - Durham, NC Patients are at the center... ...administration as prescribed by their Healthcare professional. Provide education to... ...maintains a zero tolerance policy for candidate fraud. All information and credentials...Flexible hoursFraudFull timePart timeImmediate startWorldwideShift workWeekend workAfternoon shift- Labcorp is a global leader in laboratory services,... ...and answers that help healthcare providers, patients, researchers... ...innovation across our operations to enhance how work... ...Worksite Location : Hybrid (This hybrid position... ...of healthcare fraud and abuse regulations....Flexible hoursFraudTemporary workCasual workInternshipWork at officeRemote workMonday to Friday
- ...Payment Integrity teams. Deliver actionable insights from healthcare data, build dashboards, and support audit programs.... ...metrics that drive savings, cost avoidance, and operational improvements, collaborating with SIU, Finance, Clinical, and other stakeholders. #J-1880...Fraud
$87.7k - $157.8k
...development, and optimization of SIU capabilities that... ..., and investigation of fraud, waste, and abuse (FWA)... ...initiatives involving healthcare fraud analytics,... ...realization metrics, and operational outcomes. Provides direct... ...to work with remote, hybrid, field or office work schedules...Flexible hoursFraudFull timePart timeWork at officeRemote work$152k - $209k
...principle. We are redefining healthcare delivery to make a greater impact... ...for efficient and effective operations, and we hold each other... ...reports).Your Location:The role is hybrid with a preference for the... ...contact information.Recruitment Fraud NoticeBaxter has discovered...Flexible hoursFraudFull timeTemporary workWork at office- ...Raleigh, NC, seeks an Assistant Vice President (AVP) of Payroll Operations. This pivotal role demands extensive experience in North... ...compliance and excellence in payroll delivery. This position offers a hybrid work model with opportunities for professional growth within a...
$70k - $100k
A leading construction firm is seeking a People Operations Manager to support business goals through strategic HR initiatives. This role... ...HR and experience in the construction industry. The position is hybrid, requiring 3 days in the office per week, with a competitive salary...Work at office- Piper Companies is seeking an Operations Manager to join a growing organization in the Durham, NC area. This role is hybrid with 3 days on-site per week and requires a proven leader to manage operations within a financial services environment. Responsibilities include guiding...3 days per week
- Coastal Federal Credit Union seeks a strategic VP of Mortgage Operations in Raleigh, NC. Hybrid role onsite three days per week, leading origination, underwriting, closing, and administration to boost efficiency and regulatory compliance. The role requires extensive mortgage...3 days per week
- ...hiring, coaching, mentoring, and operational execution across the national... ...Serve as the primary project leader and key relationship manager... ...for multidisciplinary healthcare professional education, patient... ...tolerance policy for candidate fraud. All information and credentials...FraudFull timeContract workTemporary workPart timeImmediate startWorldwide
$120k - $140k
...about precision medicine and advancing the healthcare industry? Recent advancements in... ...Chicago, IL; New York, NY; RTP, NC] This is a Hybrid role so you are required to be onsite 3... ...multimodal clinical and molecular data, and an operating system to make that data accessible and...3 days per week- ...analytics professional to partner with the SIU and Payment Integrity teams, delivering business... ...cross-functional collaboration to identify fraud, waste, and cost-saving opportunities. The analyst translates complex healthcare data into insights, supports provider...Fraud
- Centene Corporation seeks a leader to guide SIU analytics, fraud detection, and program integrity initiatives across data assets, dashboards, and predictive... ...data governance to strengthen anti-fraud detection and operational performance. #J-18808-Ljbffr Centene CorporationFraud
- GRAIL, a healthcare company focused on early cancer detection, is seeking a Supervisor, Customer... ...the Durham, NC office with a flexible hybrid schedule. The role leads a team of... ...escalations, and collaborate with Sales, Operations, Technical Support, Finance, and Product...Flexible hoursWork at office
- ...immediateContract based About IQVIAIQVIA is a global leader in advanced analytics, technology... ...science and human expertise to transform healthcare worldwide.We are seeking experienced and... ...a zero tolerance policy for candidate fraud. All information and credentials submitted...Flexible hoursFraudFull timePart timeImmediate startRemote workWorldwide
$104k - $143k
...our guiding principle. We are redefining healthcare delivery to make a greater impact today,... .... We strive for efficient and effective operations, and we hold each other accountable for... ...with your contact information.Recruitment Fraud NoticeBaxter has discovered incidents of...Flexible hoursFraudFull timeTemporary workRemote workWork visa$152k - $209k
...our guiding principle. We are redefining healthcare delivery to make a greater impact today,... .... We strive for efficient and effective operations, and we hold each other accountable for... ...with your contact information.Recruitment Fraud NoticeBaxter has discovered incidents of...Flexible hoursFraudFull timeTemporary workLocal areaShift work- ..., MA, CHT, phlebotomy certification, or healthcare experience What We Offer Paid... ...information. Beware of Recruitment Fraud DaVita will never ask for payment or... .... Career Growth - From clinical and operations to corporate jobs, our learning and...Flexible hoursFraudMinimum wageLocal areaShift workDay shiftAfternoon shift
$200k - $240k
...Force have the appropriate resources and operational support required to deliver on both... ...nursing services, patient support programs, healthcare operations, pharmaceutical services, or... ...maintains a zero tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startWorldwide$112k - $154k
...principle. We are redefining healthcare delivery to make a greater impact... ...for efficient and effective operations, and we hold each other... ...portfolio, and support from leaders who are invested in your growth... ...contact information.Recruitment Fraud NoticeBaxter has discovered...Flexible hoursFraudOngoing contractFull timeTemporary workWork visa3 days per week- A leading healthcare provider in Raleigh, North Carolina is seeking a Manager for Advanced Practice Providers. The role includes operational oversight and development of advanced practice providers while ensuring high-quality patient care in collaboration with medical...
- A healthcare staffing firm is seeking a highly motivated Medical Office Supervisor to oversee daily operations in Raleigh, NC. This permanent full-time role involves managing staff, coordinating patient care, and ensuring compliance with medical office regulations. The...Permanent employmentFull timeWork at office
$120k - $165k
...our guiding principle. We are redefining healthcare delivery to make a greater impact today,... .... We strive for efficient and effective operations, and we hold each other accountable for... ...with your contact information.Recruitment Fraud NoticeBaxter has discovered incidents of...Flexible hoursFraudFull timeTemporary workWork visa3 days per week$120k - $165k
...principle. We are redefining healthcare delivery to make a greater impact... ...for efficient and effective operations, and we hold each other... ...You'll be doingAs a technical leader, you will:Architect and evolve... ...contact information.Recruitment Fraud NoticeBaxter has discovered...Flexible hoursFraudFull timeTemporary workWork visa3 days per week- ...Job Description Job Title: IT Project Program Manager Job Location: Raleigh NC (Hybrid) Job Description: Short Description: The NC Department of Health and Human Services (DHHS) is seeking an experienced program manager. This lead management role will...Contract workWork experience placementLocal area
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