SIU Operations Leader: Fraud Prevention & Strategy
Blue Cross and Blue Shield of North Carolina
Blue Cross NC is seeking a Special Investigations Unit (SIU) Manager of Operations to lead the team responsible for detecting and addressing health care fraud, waste, and abuse. This role oversees intake, triage, due diligence, and investigation support across SIU activities. We value dynamic leadership, coaching, and the use of AI-enabled tools to improve efficiency. Hybrid work arrangements are available with responsibilities spanning internal committees and cross-functional initiatives. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
- Blue Cross NC is hiring a Special Investigations Unit (SIU) Manager of Operations to lead the team responsible for key SIU functions. The SIU detects, prevents, and corrects health care fraud, waste, and abuse while supporting the health and well-being of customers and...Fraud
$107.9k - $172.64k
...a Special Investigations Unit (SIU) Manager of Operations to lead the team responsible for... ...functions. The SIU works to detect, prevent, and correct health care fraud, waste, and abuse while... ...develop, monitor, and update anti-FWA strategies and approaches. Represent the department...FraudWork at officeLocal areaRemote workFlexible hours2 days per week$107.9k - $172.64k
...hiring a Special Investigations Unit (SIU) Manager of Investigations to lead... ...team dedicated to identifying, preventing, and addressing health care fraud, waste, and abuse. In this role, you... ...performance in alignment with organizational strategies and goals. Strategic Partnership:...FraudWork at officeLocal areaRemote workFlexible hours2 days per week- Blue Cross NC is seeking a Special Investigations Unit (SIU) Manager of Investigations to lead a multi-state team focused on identifying, preventing, and addressing health care fraud, waste, and abuse. You will oversee case inventory, guide action plans, and provide strategic...Fraud
- ...Austin, TX / Novi, MIBusiness Operations - Office of the President /... ...are seeking a Program Manager, Strategy & Operations to join the... ...consultant, you will partner with leaders across the organization to... ...Authenticity. We use Endorsed, a fraud detection tool, to validate...FraudFull timeWork at officeRemote workWork from homeFlexible hours
- Blue Cross NC is seeking a Senior SIU Manager of Investigations to lead a multi-state... ...on identifying and addressing health care fraud, waste, and abuse. You will oversee case... ...leadership, regulatory alignment, and anti-FWA strategy, with hybrid-flex work options and a...FraudFlexible hours
$93.1k - $232.8k
...maintains advanced therapeutic, operational, and regulatory knowledge... ...forecasting, and mitigation strategies for complex studies.Acts as... ...proactively initiates corrective and preventive actions (CAPA) when studies... ...policy for candidate fraud. All information and...FraudFull timePart timeLocal areaImmediate startWorldwideNight shift$130.56k - $208.9k
...deep expertise in provider-side strategy and care delivery... ...a trusted advisor to senior leaders, you will lead and collaborate... ...analytically derived insights, and operational realities into clear, actionable... ...___________________JOB ALERT FRAUD: We have become aware of scams...FraudFull timeWork at officeLocal areaRemote workFlexible hours2 days per week$81.07k - $129.71k
...Strategic Advisor with experience in provider strategy and health data analytics to join our... ...dynamics, competitive intelligence, and operational realities into clear, actionable... ...______________________________JOB ALERT FRAUD: We have become aware of scams from individuals...FraudFull timeWork at officeLocal areaRemote workFlexible hours2 days per week$128.8k - $358.8k
...The Role: IQVIA is seeking a Director of Regulatory Labeling Strategy to support new programs to be based in the US. This role is... ...hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application...FraudFull timeContract workPart timeLocal areaImmediate startWorldwide- ...this position. The Role In this role, you will work closely with data scientists, fraud strategists, and business stakeholders to support real-time fraud detection and prevention strategies. Your work will focus on identifying payment card fraud schemes and implementing...FraudFull time
$122.8k - $342.2k
...Job Level: Therapeutic Strategy Director – Internal Medicine Location... .... The Therapeutic Strategy Leader (TSL) translates scientific... ...serve as a therapeutic and operational strategy expert throughout the... ...tolerance policy for candidate fraud. All information and...FraudFull timePart timeImmediate startRemote workWork from homeWorldwideFlexible hours$130.56k - $208.9k
Job DescriptionThe Senior Manager, Operations roles is a pivotal in overseeing multiple functions... ...-functional teams to develop integrated strategies for member acquisition and retention... ...______________________________JOB ALERT FRAUD: We have become aware of scams from...FraudFull timeLocal areaFlexible hours$49.2k - $157.1k
...Overview:Develop the global contracting strategy and support the delivery of all required... ...Management Plan.Provide specialist legal, operational and financial contracting support to the... ...a zero tolerance policy for candidate fraud. All information and credentials submitted...FraudFull timeContract workPart timeWork at officeImmediate startWorldwide- Join the Leader in Trading Card Manufacturing At Millennium Print... ...team has built a world-class operation known for exceptional quality... ...an impact. Security and Loss Prevention Specialist-Overnight Join... ...investigations involving theft, fraud, security incidents, and policy...FraudFull timeTemporary workWork at officeLocal areaRelocation packageFlexible hoursNight shift
$86.5k - $216k
...appropriate corrective action plans to prevent or correct deficiencies in performance of... ...reporting of findings as outlined by clinical operations management.• May collaborate with other... ...a zero tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startWorldwide$128k - $257k
...same place. Principal, Talent Strategy This role is a senior individual contributor and strategy leader within the Talent Strategy... ...development, talent acquisition, HR operations, and operating model... ...Identity Protection/Restoration and Fraud Insurance Parental Leave (18...FraudTemporary workLocal areaRemote workRelocationFlexible hours$105.5k - $243k
...:Driving HPE Networking’s SE Enablement Strategy: Diligently drive SE enablement partnering... ...layer and switching technologies, AI operations, routing protocols, data center technologies... ...with criminal histories.Recruitment Fraud AlertWe have become aware of an increase...FraudFull timeWork experience placementWork at officeLocal areaImmediate start2 days per week- ...026 at 4:00 AM Sensaria is a leader in the Wall Decor and Print-On-Demand industry. We operate 8+ e-commerce storefronts, two... ...risk identification, incident prevention, and full compliance with all... ...through a proactive maintenance strategy (preventive and predictive),...
- NetApp is seeking a dynamic Business Operations Manager to partner within the Integrated Platform & Product Marketing (IPPM) organization... ...of Staff for the SVP IPPM and drive cadence, budgeting, and strategy execution. This role emphasizes speed, structure, and cross-functional...
- Novartis is seeking a QA Operations Head for our new Morrisville site to lead quality operations... ...’s quality culture. As a visible site leader, you will empower high-performing teams,... ...aligned with the Novartis Technical Operations strategy. #J-18808-Ljbffr Novartis
- Grifols, S.A. in RTP, NC seeks a strategic, hands-on leader to shape and scale our Field Effectiveness & Operations capability. You will partner with Commercial Leadership to define field strategy, improve customer-facing team performance, and translate insights into action...
$118.69k - $189.91k
...executing pharmacy benefit strategies that optimize clinical outcomes... ...strategy, and pharmacy operations. Also, this individual will... ...site-of-care optimization, preventive medication strategies, and drug... ...__________________JOB ALERT FRAUD: We have become aware of scams...FraudFull timeLocal areaRelocationFlexible hours$170.51k - $341.03k
...The Director of Digital & Technology Strategy & Execution leads the operational engine of the Firm's Digital &... ...portfolio and business-relationship leader. It exists to ensure that digital and... ...Identity Protection/Restoration and Fraud Insurance Parental Leave (18 weeks...FraudTemporary workWork at officeLocal areaRemote workRelocationFlexible hours- Piper Companies is seeking an Operations Manager to oversee and optimize end-to‑end operational... ...Manager role is ideal for a hands‑on leader who thrives in a fast‑paced, tech‑... ...ensuring compliance with contract terms and fraud prevention protocols. Lead hiring efforts across...FraudContract workWork at officeLocal area3 days per week
$143.62k - $229.79k
...that align with divisional and enterprise strategy. You will own delivery of multiple large... ...including but not limited to Payment Integrity, SIU, Provider, Behavioral Health, Med Policy,... ..._______________________________JOB ALERT FRAUD: We have become aware of scams from...FraudFull timeLocal areaRemote workFlexible hours- ...com.Position OverviewThe Associate Director, Ad Operations & Programmatic serves as the operational and strategic leader for a team of three programmatic traders... ...to ensure continuity of campaign operations.AI Strategy & InnovationAutomation Roadmap & Implementation...Full timePart timeFlexible hoursShift work
$93.1k - $232.8k
...final patient visit—own the strategy, accelerate delivery, and shape... ...strategic leadership, operational execution, and financial oversight... ...and implement corrective/preventative actionsMonitor study timelines... ...policy for candidate fraud. All information and credentials...FraudFull timeContract workPart timeWork at officeImmediate startWorldwide$58.7k - $146.8k
...protected by applicable law. IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements,...FraudFull timePart timeImmediate startWorldwide$68.4k - $232.8k
...efforts of CPM to drive operational excellence and... ...agreed upon contract, strategy and approach, effectively... .... Support the project leader to prepare/present project... ...corrective and preventative action plans.• May serve... ...policy for candidate fraud. All information and credentials...FraudFull timeContract workPart timeLocal areaImmediate startWorldwide
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