Healthcare Fraud SIU Manager - Investigations Lead
Habitat For Humanity Of Durham
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 direction from intake to resolution. The ideal candidate holds AHFI or CFE, a Bachelor's degree (or 10+ years' experience in related field) and 8+ years in healthcare fraud investigations, with a focus on compliance and #J-18808-Ljbffr Habitat For Humanity Of Durham
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Healthcare Fraud SIU Manager - Investigations Lead in Durham, NC vacancy
- Blue Cross NC is seeking a Senior SIU Manager of Investigations to lead a multi-state team focused on identifying and addressing health care fraud, waste, and abuse. You will oversee case inventory, guide action plans, and provide strategic direction to ensure timely investigations...FraudFlexible hours
$107.9k - $172.64k
...Blue Cross NC is hiring a Special Investigations Unit (SIU) Manager of Operations to lead the team responsible for key SIU... ..., and correct health care fraud, waste, and abuse while supporting... ..., and interpretation of complex healthcare claims data to identify emerging...FraudWork at officeLocal areaRemote workFlexible hours2 days per week$107.9k - $172.64k
...Blue Cross NC is hiring a Special Investigations Unit (SIU) Manager of Investigations to lead a multi-state team dedicated to... ..., and addressing health care fraud, waste, and abuse. In this role,... ...of experience conducting/leading healthcare fraud investigations Bonus Points...FraudWork at officeLocal areaRemote workFlexible hours2 days per week$111.2k - $309.8k
..., innovative fit‑for‑purpose healthcare technology, and the expertise... ...patient outcomes. IQVIA is the leading global provider of data,... ...responsible for building and managing strategic client relationships... ...tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startRemote workWorldwide$49.2k - $157.1k
...Coordinate the development of investigator grants and estimates,... ...and/or the RSU Management Plan.Provide specialist... ...decisions.Ability to lead, motivate, coach and mentor... ...insights and healthcare intelligence to the life... ...policy for candidate fraud. All information and credentials...FraudFull timeContract workPart timeWork at officeImmediate startWorldwide$93.1k - $232.8k
...assigned programs. Leads and contributes to quality... ...contingency and risk management, budget forecasting,... ...attend/participate in Investigator Meetings as needed and... ...insights and healthcare intelligence to the life... ...policy for candidate fraud. All information and credentials...FraudFull timePart timeLocal areaImmediate startWorldwideNight shiftIQVIA
Durham, NC18 days ago$88.6k - $246.6k
...compliance programs. Lead and coordinate QA initiatives... ...programs, and quality management systems at a regional... ..., biotechnology, CRO, healthcare, or clinical research... ...documentation, investigation, reporting, and resolution... ...policy for candidate fraud. All information and...FraudFull timePart timeWork at officeImmediate startWorldwide$116.6k - $324.8k
...building client partnerships, leading high-performing teams, and... ...manufacturers, influence critical healthcare programs, and collaborate... ...strategic thinking, relationship management, and problem-solving are... ...tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startRemote workWorldwide$80.2k - $167.2k
We are seeking Manager for our Laboratory Automation & AI Transformation... ...innovators who drive healthcare forward through thoughtful and... ...research and development.Job Summary:Lead the transformation of our... ...tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startWork from homeWorldwide$68.4k - $232.8k
...DescriptionJob OverviewAssociate Project Leads (Local Trial Managers) are an integral part of clinical... ...research services, commercial insights and healthcare intelligence to the life sciences and... ...zero tolerance policy for candidate fraud. All information and credentials...FraudFull timeContract workPart timeLocal areaImmediate startWorldwide$88.1k - $220.2k
We are seeking a Project Manager to manage delivery of eCOA projects... ...Office toolsIQVIA is a leading global provider of clinical research... ..., commercial insights and healthcare intelligence to the life sciences... ...policy for candidate fraud. All information and credentials...FraudFull timeContract workPart timeWork at officeImmediate startWorldwide$102.5k - $285.5k
...experienced Associate Clinical Project Management Director to lead the strategic planning, execution,... ...research services, commercial insights and healthcare intelligence to the life sciences and... ...zero tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startWorldwide$88.1k - $220.2k
...an eCOA Implementation Project Manager and help shape patient-centric trials for leading global sponsors. In this client-... ...services, commercial insights and healthcare intelligence to the life... ...tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startWorldwide$62.3k - $237.7k
...Site Enrollment and Engagement Lead - Licensed Medical Professionals The Site Enrollment... ...criteria to trial coordinators and healthcare providers. The Site Enrollment and Engagement... ...a zero tolerance policy for candidate fraud. All information and credentials submitted...FraudFull timePart timeImmediate startWorldwideNight shiftIQVIA
Durham, NC18 days ago$125.3k - $349k
...execute the go-to-market strategy, lead complex enterprise deals, and... ...Technology.Lead, coach, and manage a team of Account Executives,... ..., commercial insights and healthcare intelligence to the life sciences... ...tolerance policy for candidate fraud. All information and...FraudFull timePart timeImmediate startWorldwide$64.4k - $195.1k
...Site Enrollment & Engagement Lead As a global provider of integrated solutions, IQVIA... ...criteria to trial coordinators and healthcare providers. The Site Enrollment & Engagement... ...maintains a zero tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeLocal areaImmediate startWorldwideNight shift$70.6k - $176.4k
Manager, Emerging Client CollectionsThe Manager, Emerging Client Collections... ...is responsible for leading a team of collections specialists... ..., commercial insights and healthcare intelligence to the life... ...tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeWork at officeImmediate startWorldwide$150k - $165k
...We are seeking a Director to lead a high-performing, patient-centric... ...leadership and direction to managers and staff, fostering a... ...with 7+ years of experience in healthcare, service, or information-based... ...tolerance policy for candidate fraud. All information and...FraudFull timePart timeWork at officeImmediate startWorldwide- 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...Fraud
$125.9k - $350.9k
...accomplished Clinical Project Management Director to join our Customer-Dedicated Delivery Unit, leading complex global oncology... ...services, commercial insights and healthcare intelligence to the life sciences... ...policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startWorldwide$89.9k - $250.4k
...Adherence), Field Reimbursement Managers (FRM) and Health Information... ...(HIT) (Awareness).IQVIA is a leading global provider of clinical... ...services, commercial insights and healthcare intelligence to the life... ...tolerance policy for candidate fraud. All information and...FraudFull timePart timeImmediate startRemote workWork from homeWorldwide$62k - $129.1k
...passionate innovators who drive healthcare forward through thoughtful... ...coordinating cross-functional teams, managing timelines, and maintaining... ....What You'll Be Doing:Lead bioanalytical projects through... ...tolerance policy for candidate fraud. All information and...FraudFull timePart timeImmediate startWorldwideIQVIA Holdings
Durham, NC4 days ago- ...strategic analytics partner for the Special Investigations Unit (SIU) and Payment Integrity teams. The role... ...and operational insights to identify fraud, waste, abuse, and payment accuracy... ...audit programs, translating complex healthcare data into #J-18808-Ljbffr Blue Cross...Fraud
$48.6k - $121.3k
...activities in support of project managers. This role will help ensure... ...bigger picture.IQVIA is a leading global provider of clinical research... ..., commercial insights and healthcare intelligence to the life... ...tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startWorldwideAvery Healthcare Group Ltd.
Durham, NC17 hours ago$155.8k
...DirectorJoin IQVIA and help drive healthcare forward.IQVIA is a leading global provider of clinical research... ...GrowthLead business development and account management activities for designated global... ...tolerance policy for candidate fraud. All information and credentials...FraudFull timePart timeWork at officeImmediate startRemote workWorldwide$116.6k - $324.8k
...partnerships, and innovative healthcare service delivery. This executive... ...client relationships, and leading large-scale nursing and patient... ...0 employees through multiple management layers.QualificationsBachelor... ...policy for candidate fraud. All information and credentials...FraudFull timePart timeImmediate startRemote workWorldwide- 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
$129.8k - $361.8k
Global Key Account Manager (Sr. Director)Join IQVIA and help drive healthcare forward.IQVIA is a leading global provider of clinical research services, commercial insights, and... ...a zero tolerance policy for candidate fraud. All information and credentials submitted in...FraudFull timePart timeWork at officeImmediate startRemote workWorldwideShift work$163.1k
...OverviewThe Solution Delivery Lead (SDL) Senior Director will... ...sales, solutioning, and project management across the RWE book of work... ...services, commercial insights and healthcare intelligence to the life... ...tolerance policy for candidate fraud. All information and...FraudFull timePart timeImmediate startWorldwide$89.17k - $142.68k
...analytics partner to the Special Investigations Unit (SIU) and Payment Integrity... ..., dashboard development, healthcare claims expertise, and stakeholder... ...engagement to identify fraud, waste, abuse, payment... ...and operational performance management.Design, develop, and maintain...FraudFull timeLocal areaRemote workFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Fraud SIU Manager - Investigations Lead. Be the first to apply!
Related searches
- remote medical coding supervisor Durham, NC
- health services manager Durham, NC
- occupational health manager Durham, NC
- clinical nutrition manager Durham, NC
- associate director clinical operations Durham, NC
- medical director utilization management Durham, NC
- clinical data manager remote Durham, NC
- senior director clinical development Durham, NC
- clinic supervisor Durham, NC
- medical director oncology Durham, NC