Senior SIU Audit & Clinical Lead - Remote
Blue Cross and Blue Shield of North Carolina
- Remote job
Blue Cross NC is seeking a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and auditors focused on detecting, preventing, and correcting healthcare fraud, waste, and abuse. This role ensures patient care is accurately documented and billed according to standards while supporting SIU's mission to protect and improve the health and well-being of Blue Cross NC employees, members, providers, business partners, and the communities it serves. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
- 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... ...while supporting SIU's mission. The position emphasizes remote leadership, collaboration with internal and external...Remote workSenior
- 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
- 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 care... ...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, preventing... ...internal stakeholders. This role supports a Hybrid-Flex/Remote Flex work model with national (US) opportunities,...Remote jobFlexible hours
- ...NC is seeking a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and coders focused on... ...members and the communities it serves. This senior role requires strong leadership for a remote workforce, collaboration with regulators and...Remote workSenior
- 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-...Remote jobSeniorWork at office
- Centene Corporation is seeking a seasoned Health Care Fraud Investigator to support a remote SIU team across the continental US. You will guide investigations, develop plans, document findings, and collaborate with regulators and internal counsel to mitigate risks. The...Remote jobSeniorFlexible hours
- National General is seeking an experienced SIU Investigator to join our team. This role handles highly complex, multi-discipline claims including attorney represented and large losses, with emphasis on potential fraud. The investigator conducts background searches, site...Remote jobSenior
- A leading global CRO is seeking a Senior Lead Clinical Data Manager to act as the primary client contact and oversee clinical trial databases. With over 10 years... ...while collaborating with international teams. This remote position offers significant career growth and the...Remote workSenior
- UnitedHealth Group is seeking an Associate Director of Clinical Consulting to oversee clinical relationships, allocate resources, and lead a team of clinical consultants. You will... ...ability to manage multiple clients, with remote work eligibility across the U.S. #J-18808-...Remote workSeniorContract work
- National General is seeking an experienced SIU Investigator to handle highly complex fraud investigations across Northeast Florida, with a preference for Jacksonville area residents. You will conduct background checks, scene inspections, statements, and data reviews, determine...Remote jobSenior
- CVS Health is seeking an experienced Senior Internal Auditor to lead SOX testing for the Health Services segment. You will supervise a small team,... ...Financial Controls Assurance, requires 2+ years in accounting or auditing, and may require up to 10% travel. A CPA/CIA/CISA or...Remote jobSenior
- Novogradac in New York is seeking a Senior Accountant to manage audit and attest engagements with minimal supervision. The role emphasizes supervising staff, problem solving, client relations, and enhancing profitability. You will support audit-focused work within the Firm...Remote jobSenior
- Pfizer is seeking a senior GMP/GDP auditor to lead audits across technology portfolios, including aseptic manufacturing and biologics. You will plan,... ...ability to work across functions. Travel up to 40% and a remote work location assignment are possible. #J-18808-Ljbffr...Remote workSenior
- A clinical-stage biotechnology firm is seeking a Senior Clinical Quality Associate to lead quality assurance activities in clinical research. This remote role requires strong knowledge of FDA regulations and GCP standards, with opportunities for growth in the innovative...Remote jobSenior
- ...organization is seeking experienced professionals for a counseling position in Mesa, Arizona. Responsibilities include providing exceptional clinical care, facilitating group therapy, and collaborating with leadership. Ideal candidates possess a master's degree and extensive...Remote jobSenior
$80k - $105k
GPAC in Dallas, TX seeks an experienced Audit Senior Associate to lead audit engagements, review work, and mentor staff within a growing CPA firm.... ...experience; CPA is preferred. Salary range is $80,000-$105,000 with full benefits and hybrid/remote options. #J-18808-Ljbffr gpacRemote jobSenior- United BioSource Corporation (UBC) is seeking a Remote Study Coordinator for a 6-month fixed-term contract to support clinical research from a home-based coordinating center. Responsibilities include participant screening, telehealth visits, data collection, and drug logistics...Remote jobSeniorFixed term contractWork from home
- ...professionals to join our team in Sacramento as an Assurance Senior. You will execute audits, review work, and communicate with leaders and client... ...quality engagements. We offer a flexible rewards package, remote-work options, and strong development opportunities,...Remote jobSeniorFlexible hours
- UC Davis Health in Sacramento seeks a Clinical Research Analyst 4 to provide advanced regulatory operations, quality assurance, and portfolio... ...mentor coordinators, develop CAPA tools, and prepare teams for audits and inspections, with scientific judgment and independent work...Remote jobSenior
- TEKsystems seeks a Senior Premium Auditor to perform complex premium audits and provide expert guidance to clients across Workers’ Compensation and General Liability policies. The role emphasizes virtual audits with occasional on-site visits, maintaining underwriting integrity...Remote jobSenior
$153k - $191.3k
Planet is looking for an experienced IT Internal Audit Senior Manager based in California. This full-time, remote-eligible role involves leading SOX compliance efforts within IT systems and internal processes. The successful candidate will manage audits, coordinate with...Remote jobSeniorFull time$107.5k - $179.1k
M&T Bank in Bridgeport, CT is seeking an Audit Consultant focused on Technology Infrastructure and Operations to lead complex audits. The candidate will play a key role in managing stakeholder relationships and providing assurance on technology risks. Applicants should...Remote jobSenior- Novogradac & Company LLP is seeking a Senior Accountant to manage audit and attest engagements, supervise staff, and strengthen client relationships. The role emphasizes problem solving, accuracy, and efficiency within a CPA-focused practice. You will contribute to firm...Remote jobSenior
$80k - $100k
Jobot, an innovative accounting firm located in New Jersey, seeks professionals for remote roles. You'll manage audit and Assurance projects, maintain client relationships, and oversee team engagements. The ideal candidate will thrive in a collaborative environment that...Remote jobSeniorFlexible hours- Emory University is seeking a Senior Clinical Placement Specialist for the Emory Nursing Learning Center in Downtown Decatur. The role focuses on developing partnerships with clinical learning sites, coordinating with leadership on strategic plans, and ensuring timely placement...Remote jobSenior
- Banner Health seeks a Senior Healthcare Internal Audit Consultant to join our Internal Audit team. You will execute audits from planning through reporting across operational, financial, and compliance areas, and help management develop remediation plans. The role requires...Remote jobSenior
- A leading healthcare technology provider is seeking a Senior Clinical Implementation Lead. This remote position involves owning the clinical enablement strategy for products, driving adoption within health systems, and ensuring measurable outcomes. Candidates should have...Remote jobSenior
- Mass General Brigham Health Plan is seeking a Clinical Informaticist Principal to lead and oversee Epic-related content, security, and linkage modules across clinical operations. You will partner with clinical, operational, and technical teams to design, build, test, and...Remote jobSenior
- Tiffany & Co. seeks a Senior Internal Audit & Internal Controls Analyst to coordinate ERICA testing for the US, Canada, Mexico and Brazil. This... ...is hybrid with 4 days in-office at Whippany, NJ and 1 day remote, involving audits, investigations, and risk assessment. Travel...Remote workSeniorWork at office
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