Remote SIU Audit & Clinical Manager
Blue Cross and Blue Shield of North Carolina
- Remote job
Blue Cross NC seeks a seasoned SIU Manager of Audit/Clinical to lead clinicians and coders in detecting, preventing, and correcting health care fraud, waste, and abuse, while ensuring accurate documentation and billing practices. The role emphasizes remote leadership, collaboration with stakeholders, and leveraging AI to improve processes, with a strong focus on regulatory compliance and policy development. Hybrid-flex work environment is offered. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
- Blue Cross NC is hiring a Special Investigations Unit (SIU) Manager of Audit/Clinical to guide a team of clinicians and coders in detecting, preventing... ...stakeholders. The position emphasizes leadership of a remote workforce, leveraging AI/tools to improve efficiency, and...Remote job
- Blue Cross NC is seeking an SIU Manager of Audit/Clinical to lead a team of clinicians and coders focused on detecting health care fraud, waste, and... .... A clinical perspective and leadership in a hybrid/remote setting are essential for success in this role. #J-18808-...Remote job
- Blue Cross NC is seeking a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and coders focused on detecting, preventing, and correcting health care fraud, waste, and abuse. This role ensures patient care is accurately documented...Remote job
- Blue Cross NC is seeking a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and coders focused on detecting... ...serves. This senior role requires strong leadership for a remote workforce, collaboration with regulators and providers, and...Remote work
- Blue Cross NC is seeking an SIU Manager of Audit/Clinical to lead clinicians and coders in detecting and preventing health care fraud, waste, and... ...ensuring accurate documentation and billing. You will manage a remote workforce, develop strategies with internal and external...Remote work
$107.9k - $172.64k
...Description Blue Cross NC is hiring a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and coders focused on... .... Provide engaging, effective leadership for a remote workforce, including coaching, feedback, and professional...Remote workWork at officeLocal areaFlexible hours2 days per week- 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... ...to strengthen investigations. The position offers remote leadership for a hybrid workforce, opportunities to...Remote work
$97k - $150k
...career-defining opportunity.Wipfli is seeking an experienced Audit & Accounting Manager to serve our growing healthcare practice, with a primary... ...this process. Visit her LinkedIn page to connect! #LI-Remote#LI-KK1Additional DetailsWipfli is an equal opportunity/affirmative...Remote workTemporary workWork at officeLocal areaFlexible hours$107.9k - $172.64k
...Description Blue Cross NC is hiring a Special Investigations Unit (SIU) Manager of Investigations to lead a multi-state team dedicated to... ...built on presence with a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a...Remote workWork at officeLocal areaFlexible hours2 days per week$98k - $126.5k
Job DescriptionThe Claims Supervisor, SIU will oversee the operation of a unit of SIU Investigators... ...:Direct and control the work of remote SIU Investigators and Analysts.Establish... ...its affiliated group of companies write and manage over $2 billion in personal and commercial...Remote workWork at office$107.9k - $172.64k
...Description Blue Cross NC is hiring a Special Investigations Unit (SIU) Manager of Operations to lead the team responsible for key SIU... ...built on presence with a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a...Remote workWork at officeLocal areaFlexible 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 focused on detecting, preventing, and correcting healthcare fraud, waste, and abuse. You will ensure accurate documentation and billing while...Remote job
- Palmetto GBA, LLC seeks a skilled audit manager to organize and direct audit teams handling healthcare compliance and CMS requirements. The... ...on-site in Birmingham, AL, with consideration for strong remote candidates within the US. You will supervise staff, evaluate performance...Remote workFull time
- Blue Cross NC seeks a SIU Manager of Audit/Clinical to lead a team of clinicians and coders focused on detecting, preventing, and correcting health... ...ensure accurate documentation and billing while guiding a remote workforce and collaborating with regulators, providers,...Remote work
- Blue Cross NC is seeking a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and coders focused on detecting... ...standards while supporting SIU's mission. The position emphasizes remote leadership, collaboration with internal and external...Remote work
- Blue Cross NC is seeking a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and coders focused on detecting... ...and internal stakeholders. This role supports a Hybrid-Flex/Remote Flex work model with national (US) opportunities,...Remote jobFlexible hours
$130k - $150k
A leading accounting firm is hiring an experienced Audit Manager for their Healthcare practice. Responsibilities include managing client engagements... ...years of experience, and hold an active CPA. This is a fully remote position with competitive salary ranging from $130,000 to $150...Remote job$8,500 - $10,500 per month
...Accommodations can be directed to Central Management Services Disability Resource Center at... ...motivated individual to serve as the eligibility audit compliance manager. This Public Service... ...are available in many program areas. (Remote work may be an option for certain...Remote workPermanent employmentFull timeH1bWork at officeMonday to FridayFlexible hoursNight shiftWeekend workAfternoon shift- Oscar Health Insurance is seeking a Senior Analyst, SIU Clinical Investigator to detect and audit aberrant billing patterns in claims and clinical documentation... ...files for potential recovery or referrals. This is a remote role with NYC/Tempe office options. #J-18808-Ljbffr...Remote jobWork at office
- ...A global CRO company is seeking a Clinical Start-up Manager to lead cross-functional project teams during the start-up phase of studies. The ideal candidate will have a Bachelor's degree in life science and at least 5 years of experience managing clinical start-up processes...Remote workWork from home
- ...sophisticated assurance, advisory, and tax services to our clients. Our firm is thriving, and we seek a highly motivated Audit Professional Practices Manager for our growing Professional Practices team. Cherry Bekaert’s Professional Practices team provides end‑to‑end...Remote workFull timeWork experience placementLocal area
$110k - $150k
...To those clients we offer business advisory, accounting, audit, tax, and wealth management services (with in house CFPs). We are an employee first firm... ..., short term disability, and long term disabilityHybrid-Remote Work Schedule401(k) with 4% match3 weeks of starting PTO...Remote workTemporary workWork from home- ...This position will provide site level problem solving expertise for complex rare disease clinical studies in early and late phase development.• Position will support all site management activities, which may include operational activities related to site evaluation,...Remote workLocal areaImmediate start
$107k - $145k
...care settings, from the hospital to the clinic to the home, the Tablo Hemodialysis System... ...Position OverviewThe Clinical Excellence Manager provides tactical support to sales, service... ...Salary RangeNational Salary Range (Remote)$107,000—$145,000 USDCompany CultureAt Outset...Remote workLocal areaImmediate start$120k - $150k
...grow, and make an impact. The Senior Clinical Study Manager is responsible for clinical trial execution... ..., Clinical Programs and will be a remote role.In this role, you will have the opportunity... ...support internal and external audits and regulatory inspections, ensuring...Remote workFull timeWork experience placement- ...exceptional care through smarter technology. We’re seeking a Clinical Consulting Manager with a licensed clinical background and experience in... ...Netsmart's Job Applicant Privacy Notice may be found here.SummaryLocation: Overland Park, KS; Remote - OtherType: Full timeRemote workFull timeFor contractorsWork at office
- Machinify seeks a Medical Review Audit Supervisor - Clinical to lead a remote team of nurses and audit staff, applying their clinical review expertise to drive consistency, quality, and efficiency in claims auditing. The role includes staff supervision, capacity planning...Remote job
- Health Business Solutions LLC is seeking a Senior Manager, Clinical & Coding to lead and oversee clinical and coding audit programs across government and commercial payers in a fully remote capacity. You will manage end-to-end audits, ensure regulatory compliance, and optimize...Remote job
- ...seeking a dynamic and experienced Assurance Manager to join our team in Brookfield, WI.We don... ...:Lead with Excellence: Manage complex audit engagements and generate enthusiasm within... ...results over clock-watching.Hybrid/Remote Work Options: Flexibility to work from home...Remote workSummer workWork from homeMonday to FridayFlexible hours
- ...generation strategy and execution of clinical studies. The Senior (Clinical Study Manager 4) role will develop and execute... ...and compliancePerform on-site and remote site qualification visits, site... ...with sites and support in internal audit/inspection and ensure sponsor audit...Remote workInterim roleLocal areaWorldwideFlexible hoursShift work
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