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
- ...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 NCFraudRemote job
- 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...FraudRemote workFlexible hours
- 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...SeniorFraudRemote work
$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...SeniorFraudFull timeTemporary workLocal areaFlexible hoursShift work- ...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...SeniorFraudRemote work
$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...SeniorFraudLocal area$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...FraudWork at officeLocal areaRemote workFlexible hours2 days per week$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...SeniorFraudFull timePart timeImmediate startWorldwide$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- 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...SeniorRemote job
- 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...SeniorFraudRemote job
$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...SeniorLocal areaFlexible hours- 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...SeniorFraudPermanent employment
$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,...SeniorLocal areaVisa sponsorship$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...FraudTemporary workWork visaFlexible hours- ...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...SeniorFraudPermanent employmentFor contractorsTraineeshipWork at officeNight shiftDay shift
- ...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...SeniorFraudFull timeWork at officeLocal area
- ### 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...SeniorFraudTemporary workImmediate startFlexible hours
$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...FraudFull timePart timeWork at officeRemote workFlexible hours$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 -...SeniorFraudFull timeContract workFor subcontractorWork at officeLocal areaRemote workFlexible hours- 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...SeniorFraud
$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...SeniorFraudWork at officeImmediate startWorldwideFlexible hours3 days per week- 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...SeniorFraud
- ...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 PindropFraudRemote job
- ...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...SeniorFraudHourly payLocal area
$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...FraudWork at officeLocal areaRemote workFlexible hours2 days per week$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...SeniorFraudFull timeTemporary workWork visaFlexible hours3 days per week$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...SeniorFraudFull timeTemporary workWork at officeFlexible hours- ...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...SeniorFraudHourly payLocal area
$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...FraudWork at officeLocal areaRemote workFlexible hours2 days per week
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