Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior SIU Manager — Healthcare Fraud & Compliance

Blue Cross & Blue Shield of NC

Blue Cross and Blue Shield of North Carolina is seeking an SIU Manager of Investigations to lead a multi-state team focused on fraud, waste, and abuse prevention. You will oversee case inventories, guide action plans, and provide strategic direction to ensure timely, thorough investigations from intake to resolution. Ideal candidates bring 10+ years in healthcare fraud investigations or AHFI/CFE credentials, plus leadership experience. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Senior SIU Manager — Healthcare Fraud & Compliance in Raleigh, NC vacancy
  •  ...seeking a Special Investigations Unit (SIU) Manager of Investigations to lead a multi-state...  ...preventing, and addressing health care fraud, waste, and abuse. You will oversee case...  ...CFE certification, and 8+ years of experience in healthcare #J-18808-Ljbffr Blue Cross NC
    Fraud
    Remote job

    Blue Cross NC

    Raleigh, NC
    1 day ago
  • Blue Cross NC is seeking a seasoned SIU Manager of Operations to lead investigations into health care fraud, waste, and abuse. You will oversee intake, triage, and...  ..., driving performance metrics, and regulatory compliance. Hybrid work with remote flexibility is available... 
    Fraud
    Remote work
    Flexible hours

    Blue Cross and Blue Shield of North Carolina

    Raleigh, NC
    3 days ago
  • Affirm is hiring for a senior Bank Model Risk Management role. You will validate complex credit and fraud models, build automated monitoring, and collaborate across audit, controls, and compliance to ensure robust, compliant models. The position is remote-first within the... 
    Senior
    Fraud
    Remote work

    Affirm

    Raleigh, NC
    3 days ago
  • $152k - $209k

     ...our guiding principle. We are redefining healthcare delivery to make a greater impact today...  ...Your Role at BaxterBaxter is hiring a Senior R&D Manager to become part of our Care and...  ...with your contact information.Recruitment Fraud NoticeBaxter has discovered incidents of... 
    Senior
    Fraud
    Full time
    Temporary work
    Local area
    Flexible hours
    Shift work

    Baxter International

    Raleigh, NC
    3 days ago
  •  ...seeking a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians...  ...preventing, and correcting health care fraud, waste, and abuse. You will ensure...  ...members and the communities it serves. This senior role requires strong leadership for a... 
    Senior
    Fraud
    Remote work

    Blue Cross NC

    Raleigh, NC
    17 hours ago
  • $143.62k - $229.79k

    Job Description We're hiring a Senior Manager, Pharmacy, to oversee utilization management operations...  ...Government) within the Pharmacy UM and Compliance vertical. In this role, you will...  ..., Workforce Development JOB ALERT FRAUD: We have become aware of scams from individuals... 
    Senior
    Fraud
    Local area

    Blue Cross and Blue Shield of North Carolin

    Raleigh, NC
    3 days ago
  • $107.9k - $172.64k

     ...Special Investigations Unit (SIU) Manager of Operations to lead the...  ...prevent, and correct health care fraud, waste, and abuse while...  ...Code of Conduct, the Company Compliance Program, the SIU Fraud Plan,...  ...and interpretation of complex healthcare claims data to identify... 
    Fraud
    Work at office
    Local area
    Remote work
    Flexible hours
    2 days per week

    Blue Cross and Blue Shield of North Carolina

    Raleigh, NC
    3 days ago
  • $200k - $240k

     ...Collaborate with client and IQVIA Senior Leadership to support KPI...  ..., patient support programs, healthcare operations, pharmaceutical services...  ...environments. Budgetary management experience. Must be able to...  ...tolerance policy for candidate fraud. All information and... 
    Senior
    Fraud
    Full time
    Part time
    Immediate start
    Worldwide

    IQVIA

    Raleigh, NC
    3 days ago
  • $65k - $75k

    Wider Circle, based in North Carolina, is seeking a proactive Senior Learning & Development Lead to design and implement training programs...  .... The ideal candidate will have relevant L&D experience in healthcare, strong instructional design skills, and the ability to... 
    Senior

    Wider Circle

    Raleigh, NC
    3 days ago
  • Accentute Staffing is recruiting an experienced Senior HR Business Partner to provide comprehensive HR support across multiple healthcare practices. This remote role requires...  ...onboarding, benefits, employee relations, compliance and day-to-day operations. #J-18808-Ljbffr... 
    Senior
    Remote job

    Accentuate Staffing

    Raleigh, NC
    2 days ago
  • PacificSource is seeking a Senior Fraud, Waste and Abuse (FWA) Specialist to lead the Payment...  ...Integrity and FWA programs, ensuring compliance and effective fraud prevention across health...  ...teams and regulatory agencies, manage investigations, reporting, audits, and... 
    Senior
    Fraud
    Remote job

    PacificSource

    Raleigh, NC
    17 hours ago
  • $198.7k - $391.6k

     ...are committed to driving transformation, advancing access to healthcare, and leading a well-being revolution. Where you find innovators...  ...30, 2026 Work you’ll do The Health Care Marketing Strategy Senior Manager is a client-facing consulting leader responsible for balancing... 
    Senior
    Local area
    Flexible hours

    Deloitte

    Raleigh, NC
    1 day ago
  • Vivo HealthStaff is recruiting for a Senior Healthcare Regulatory Attorney in North Carolina...  ...advising healthcare providers on billing compliance, fraud and abuse laws, and reimbursement...  ...is preferred. ~ Proven ability to manage complex client matters and provide strategic... 
    Senior
    Fraud
    Permanent employment

    Vivo HealthStaff

    Cary, NC
    17 hours ago
  • $190.2k - $372k

     ...evolving sector. The health care strategy practice is looking for a senior manager to be a part of this incredible team. The work we do is real,...  ...digital trends to architect future business strategies.The healthcare team helps organizations responsible for delivering, funding,... 
    Senior
    Local area
    Visa sponsorship

    Deloitte

    Raleigh, NC
    17 hours ago
  • $120k - $165k

     ...principle. We are redefining healthcare delivery to make a greater impact...  ...role at Baxter The Program Manager, Business Transformation &...  ...automation, governance, business compliance, revenue acceleration, and...  ...contact information. Recruitment Fraud Notice Baxter has discovered... 
    Fraud
    Temporary work
    Work visa
    Flexible hours

    Baxter Healthcare

    Raleigh, NC
    17 hours ago
  •  ...re looking for an experienced Senior HR Business Partner to serve...  ...growing operation. Summary Manages and coordinates certain human...  ...information is being recorded and that fraud is not occurring within the...  ...procedures/precedents and in compliance with applicable laws and... 
    Senior
    Fraud
    Permanent employment
    For contractors
    Traineeship
    Work at office
    Night shift
    Day shift

    Mt. Olive Pickles Co.

    Raleigh, NC
    4 days ago
  •  ...Job Description The Senior Regional Quality & Continuous Improvement Manager is responsible for leading quality...  ...improvement initiatives. Ensure compliance with regulatory requirements and...  ...authorized.   Notice of Recruitment Fraud We have been made aware of... 
    Senior
    Fraud
    Full time
    Work at office
    Local area

    Cornerstone Building Brands

    Cary, NC
    10 days ago
  • ### Technical Product Management & Platform Strategy* Define and execute...  ...strategic vision for core healthcare platform infrastructure,...  ...reliability, and regulatory compliance (e.g., HIPAA, HITRUST).* Collaborate...  ...programs** Recruitment fraud is an increasingly common... 
    Senior
    Fraud
    Temporary work
    Immediate start
    Flexible hours

    Inmar Inc.

    Raleigh, NC
    3 days ago
  • $87.7k - $157.8k

     ...and optimization of SIU capabilities that...  ...investigation of fraud, waste, and abuse...  ...Economics, Pharmacy, Compliance, and other...  ...and priorities. Manages, mentor, and develop...  ...initiatives involving healthcare fraud analytics, including...  ...to senior leadership and business... 
    Fraud
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    Raleigh, NC
    1 day ago
  • $128.7k - $231.7k

     ...redefine what’s possible.Job Description:Join Parsons as a Senior Project Manager and Lead Transformative Transportation Projects in North Carolina...  ...recruitment practices. To learn more about recruitment fraud and how to report it, please refer to .SummaryLocation: US -... 
    Senior
    Fraud
    Full time
    Contract work
    For subcontractor
    Work at office
    Local area
    Remote work
    Flexible hours

    Parsons

    Raleigh, NC
    4 days ago
  • First Citizens Bank is seeking a Senior Director of Fraud Strategy & Analytics to lead enterprise fraud strategy, analytics, and loss management across consumer, commercial, and digital channels. This executive will set the fraud strategy roadmap, oversee performance reporting... 
    Senior
    Fraud

    First Citizens Bank

    Raleigh, NC
    4 days ago
  • $150k - $165k

     ...is a next-generation, global management consulting group. Founded in...  ...Role Overview We are seeking a Senior Manager with experience in...  ...enforcement actions to develop compliance strategies. Support clients in...  ...and standards, payments fraud, and compliance metrics and measures... 
    Senior
    Fraud
    Work at office
    Immediate start
    Worldwide
    Flexible hours
    3 days per week

    SIA

    Raleigh, NC
    4 days ago
  • Establish and enhance effective compliance programs and design policies...  ...Train, monitor, and manage junior staff and remediate issues...  ...mitigation recommendations to senior leadership Draft or assess Compliance...  ...functions Knowledge of fraud management and internal controls... 
    Senior
    Fraud

    Jobtailor

    Raleigh, NC
    2 days ago
  •  ...across strategic accounts in a remote-first environment. You will manage a high-performing team and own complex, multi-line licenses,...  ...deep SaaS experience. Join a company shaping identity trust and fraud prevention with strong growth potential. #J-18808-Ljbffr Pindrop
    Fraud
    Remote job

    Pindrop

    Raleigh, NC
    3 days ago
  •  ...Raleigh, NC   Our client seeks a Senior Project Manager to lead multiple utility power projects...  ...mitigate project risks while ensuring compliance with utility safety and regulatory requirements...  ...fraudulent activity, please contact  fraud@eliassen.com.   About Eliassen... 
    Senior
    Fraud
    Hourly pay
    Local area

    Eliassen Group

    Raleigh, NC
    2 days ago
  • $107.9k - $172.64k

     ...Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a...  ...and correcting health care fraud, waste, and abuse. This role...  ...including the Code of Conduct, Compliance Program, SIU Fraud Plan, and...  ...interpretation of complex healthcare claims data to identify emerging... 
    Fraud
    Work at office
    Local area
    Remote work
    Flexible hours
    2 days per week

    Blue Cross and Blue Shield of North Carolina

    Raleigh, NC
    2 days ago
  • $104k - $143k

     ...principle. We are redefining healthcare delivery to make a greater...  ...your work saves lives.As Senior Software Engineer, own and...  ...functions (Engineering, Risk Management, Compliance, Clinical, Human Factors, Regulatory...  ...information.Recruitment Fraud NoticeBaxter has discovered... 
    Senior
    Fraud
    Full time
    Temporary work
    Work visa
    Flexible hours
    3 days per week

    Baxter International

    Raleigh, NC
    11 hours ago
  • $152k - $209k

     ...our guiding principle. We are redefining healthcare delivery to make a greater impact today...  ...direction of the businesses.As a Senior Manager, Business Development, CCS & FLC you will...  ...with your contact information.Recruitment Fraud NoticeBaxter has discovered incidents... 
    Senior
    Fraud
    Full time
    Temporary work
    Work at office
    Flexible hours

    Baxter International

    Raleigh, NC
    3 days ago
  •  ...Senior Product Owner / Product Manager Raleigh, NC Type: Consulting Category: Regulatory/Compliance Industry: Financial Services Reference ID: JN -072026-107717 Date...  ...fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group... 
    Senior
    Fraud
    Hourly pay
    Local area

    Eliassen Group

    Raleigh, NC
    3 days ago
  • $107.9k - $172.64k

     ...Special Investigations Unit (SIU) Manager of Investigations to lead a...  ...and addressing health care fraud, waste, and abuse. In this role...  .... Case Quality and Compliance: Review cases to ensure documentation...  ...conducting/leading healthcare fraud investigations. Bonus... 
    Fraud
    Work at office
    Local area
    Remote work
    Flexible hours
    2 days per week

    Blue Cross and Blue Shield of North Carolina

    Raleigh, NC
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior SIU Manager — Healthcare Fraud & Compliance. Be the first to apply!