AI-Driven SIU Fraud & Abuse Transformation Director
Elevance Health
Elevance Health seeks a Business Change Director for the SIU Fraud and Abuse AI portfolio. You will partner with business, product, digital, and technology leaders to drive AI strategy, adoption, and value realization across short- and long-term initiatives. In this hybrid in-office role, you will translate complex business needs into technical requirements, govern AI initiatives, monitor KPIs, and guide change management to maximize operational impact. #J-18808-Ljbffr Elevance Health
$115.36k - $207.65k
...End Date: 2026-09-05 Position Title: Business Change Director - SIU Fraud and Abuse (AI) Job Description: Business Change Director - SIU Fraud... ...models, and build organizational support for business transformation. Provide project, process, and change management coaching...FraudTemporary workWork experience placementWork at officeLocal area3 days per week$107.9k - $172.64k
...Special Investigations Unit (SIU) Manager of Audit/Clinical to... ..., and correcting health care fraud, waste, and abuse. This role ensures patient care... ...opportunities to use AI and other tools to improve processes... ...Experience leveraging data-driven insights to prioritize investigations...FraudWork at officeLocal areaRemote workFlexible hours2 days per week- Blue Cross NC is seeking a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and coders... ...on detecting, preventing, and correcting health care fraud, waste, and abuse. This role ensures patient care is accurately documented and...FraudRemote job
- Centene Corporation seeks a senior analytics leader to drive SIU capabilities for fraud, waste, and abuse detection. You will guide analytic strategies, leverage data assets, and partner with enterprise stakeholders to create actionable intelligence that strengthens program...Fraud
- Jobtailor in New York seeks a Fraud Analyst to review alerts, monitor transactions, and support the fraud prevention unit with data-driven insights. You will analyze patterns, investigate anomalies, and collaborate across departments to mitigate risks and reduce losses...Fraud
- ...investigators seeking flexible hours to investigate insurance claims, including fraud and liability. The ideal candidate will conduct diverse investigations including surveillance and SIU assignments, while maintaining stringent confidentiality and effective communication...FraudFlexible hours
$45k - $65k
...Salary/year Loyalty MGA is looking for a SIU Investigator to identify and investigate potential... ...with internal teams to prevent and detect fraud. The ideal candidate will have a keen eye... ...your own location. If you are bilingual, driven, and want a career that rewards your work,...FraudWork at officeTrial period- ...auditor to drive end-to-end Financial Crimes and Compliance program coverage, including AML, sanctions, and fraud surveillance. The role emphasizes analytics-driven testing, model governance, and cross-border coordination between US and Europe. The ideal candidate has 5+...Fraud
- Command Investigations seeks an experienced SIU Investigator to join our Operations team. This embedded role conducts claim/file evaluations to detect fraud, prepares SIU reports, and collects evidence suitable for court presentation. The ideal candidate understands commercial...FraudRemote job
- ...support insurance claims, including workers' compensation, suspected fraud, and liability investigations. This role suits licensed... ...challenging assignments. The ideal candidate will perform surveillance and SIU tasks within a defined geographic area, obtaining video...FraudFlexible hours
- Kemper Corporation in Miami, Florida is seeking a SIU Investigator to conduct field and desk investigations of insurance claims within... ...the Miami-Dade County area. You will gather facts, coordinate with fraud units and law enforcement, prepare reports for state agencies,...FraudRemote job
$89.17k - $142.68k
...Special Investigations Unit (SIU) and Payment Integrity teams... ...stakeholder engagement to identify fraud, waste, abuse, payment accuracy... ...Snowflake Experience building AI agents Salary Range At Blue Cross... .... Compensation decisions are driven by factors including experience...Fraud- Head of Business Development job at Boam AI. Doral, FL. Turn proven PMF into a global... ...Boam AI builds managed data agents that transform messy, unstructured signals from public,... ...specifically — we’ll bet on a super smart, highly driven builder who can learn fast, earn trust...Worldwide
- Florida Power & Light Company is seeking an Agile Leader to guide the transformation of FPL Solutions toward AI-enabled technology delivery and a Product-Based Operating Model. You will align strategy with execution across AI-SDLC, Product, Engineering, Architecture, and...
- ...data analytics to continuously optimize affiliate performance, fraud prevention, and ROI. 3. Global Country Expansion Own the international... ...and new markets. Build, mentor, and scale a world-class, data-driven Business Development and Partnership team. Implement rigorous...Fraud
$100k - $140k
...and managing negotiations with clients Highly motivated, results-driven, and coachable Comfortable working without detailed day-to-day... ...solutions provider, helping businesses achieve their objectives through AI and data-driven innovation organization-wide in such industries...Full timeContract work- ...team member for the role of Director, Application Development Manager... ...quickly and effectively. AI, Innovation, and Product Reuse... ...capabilities, including GenAI or ML‑driven services, to enhance... ...collaborate with clients, driving transformative solutions that redefine...Work experience placementWorldwideFlexible hours
- ...in New York. This position offers flexible hours for licensed investigators, focusing on insurance claims investigations, including fraud and liability cases. The ideal candidate will conduct a variety of investigations, such as video surveillance and securing recorded...FraudFlexible hours
- Conducts investigations into fraud cases Coordinates investigative assets and conducts field investigations Analyzes fraud schemes and prepares for litigation Collaborates with external agencies for documentation gathering Provides training and support to other investigators...Fraud
$10k
...prevention education programs that address child abuse, exploitation, bullying, cyberbullying,... ..., detail-oriented, and mission-driven Development Manager to build and execute... ...term, with an anticipated transition to a Director/Vice President of Development as MBF builds...Full timeWork at officeImmediate startRemote workFlexible hoursShift workNight shiftAfternoon shift- Lennar is seeking a Senior Manager, Legal Technology to lead technology implementations, automate processes, and scale a data-driven Legal function. You will partner with Legal, IT, and business teams to translate strategy into execution, shaping governance, UAT, training...
- WAI GLOBAL is seeking a hands‑on, business‑facing Director of Enterprise AI Automation & Transformation to build and govern AI-driven workflows across functions. You will shape opportunity discovery, design practical solutions, and partner with IT to prove value through...
$102k - $147k
...Business developers are results driven, client committed, and highly... ...: Business Development Director Team Lead Sales Manager Most... ...Gartner is the world authority on AI At Gartner, you’ll join a company... ...and grow as we leverage AI to transform business and technology...Worldwide- A property management company is seeking a Business Development Manager to enhance client engagement in Eustis, FL. Ideal candidates are passionate about sales and relationship building, with proven success in phone sales and CRM proficiency. This full-time hybrid role ...Full time
$102k - $147k
...of business over time. While driven for results, they are also highly... ...: Business Development Director Team Lead Sales Manager Most... ...Gartner is the world authority on AI At Gartner, you'll join a... ...and grow as we leverage AI to transform business and technology landscapes...Worldwide- ...analytical models Perform data cleaning, transformation, and feature engineering Translate business... ..., governance, and compliance Apply AI/ML techniques for enhanced insights Required... ...Preferred Skills BFSI domain experience (risk, fraud, customer analytics) Exposure to Spark/...Fraud
- Amcor is seeking a Commercial Digital, AI & Sustainability Director to accelerate profitable topline growth by deploying AI-enabled and sustainability-driven capabilities across global commercial teams. You will lead the identification, prioritization, governance, and...
- A leading AI consultancy in New York is seeking an energetic Associate/Middle Business Development Manager to drive market expansion. This role involves sourcing and qualifying new business opportunities, managing a client pipeline, and engaging with prospects, with expected...
$102k - $147k
...of business over time. While driven for results, they are also highly... .... Business Development Director Team Lead Sales Manager Most... ...Gartner is the world authority on AI At Gartner, you’ll join a... ...and grow as we leverage AI to transform business and technology landscapes...Worldwide- .... About the Role We are seeking a highly motivated and results‑driven Strategic Growth Manager to join our team and specialize in sourcing... ...makes every employee and candidate feel welcome. Recruiting Fraud Notice Please be aware that fictitious job openings, consulting...FraudWork experience placementH1bWork at officeLocal area
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