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Remote SIU Audit & Clinical Lead

Blue Cross and Blue Shield of North Carolina

Nashville, TN
  • 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 healthcare fraud, waste, and abuse. You will ensure accurate documentation and billing while supporting the SIU's mission to protect members and communities. You will drive strategy with internal/external partners, advance AI-powered analytics, and guide pre/post-payment review workflows. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina

Vacancy posted 4 days ago
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