SIU Audit & Clinical Manager - Remote Leader
Blue Cross & Blue Shield of NC
- 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 health care 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 hiring a Special Investigations Unit (SIU) Manager of Audit/Clinical to guide a team of clinicians and coders in detecting, preventing... ...stakeholders. The position emphasizes leadership of a remote workforce, leveraging AI/tools to improve efficiency, and...Remote job
- Blue Cross NC is seeking an SIU Manager of Audit/Clinical to lead a team of clinicians and coders focused on detecting health care fraud, waste, and... .... A clinical perspective and leadership in a hybrid/remote setting are essential for success in this role. #J-18808-...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... ...serves. This senior role requires strong leadership for a remote workforce, collaboration with regulators and providers, and...Remote work
- Blue Cross NC seeks a seasoned SIU Manager of Audit/Clinical to lead clinicians and coders in detecting, preventing, and correcting health care fraud... ...documentation and billing practices. The role emphasizes remote leadership, collaboration with stakeholders, and...Remote jobFlexible hours
- Blue Cross NC is seeking an SIU Manager of Audit/Clinical to lead clinicians and coders in detecting and preventing health care fraud, waste, and... ...ensuring accurate documentation and billing. You will manage a remote workforce, develop strategies with internal and external...Remote work
$107.9k - $172.64k
...hiring a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and... ...engaging, effective leadership for a remote workforce, including coaching, feedback... ...improvements as needed. Collaborate with leaders who manage vendor relationships that...Remote workWork at officeLocal areaFlexible hours2 days per week$97.33k - $114.5k
...Spring Health, a global leader in mental health, is seeking a Clinical Manager to lead its remote clinical team delivering EAP mental health services. This full-time role involves overseeing operational health, ensuring quality service delivery, and mentoring team members...Remote workFull time- Centene Corporation is seeking a senior leader to direct SIU analytics, detection, and investigative analytics across healthcare programs. You will work with SIU leadership and enterprise stakeholders to develop proactive analytics, dashboards, and predictive monitoring...Remote job
- Sodexo is seeking a Registered Dietitian for the Clinical Nutrition Manager position at Hansen Family Hospital and Broadlawns Medical Center. The... ...offering flexible scheduling and the possibility of partial remote work. Competitive benefits package includes vacation,...Remote workFull timeMonday to FridayFlexible hours
- Novogradac & Company LLP is seeking a Manager to join our fast-growing firm in Detroit. You will manage tax, audit and other assignments, supervise staff, and help strengthen... ...while increasing office profitability. Remote or hybrid arrangements may be possible depending...Remote jobWork at office
- Jobot is seeking a Senior Audit Manager to lead our rapidly growing audit practice. This permanent, full-time role offers remote work flexibility and requires CPA certification with at least 5 years in public accounting. You will manage client relationships, guide audits...Remote jobPermanent employmentFull time
- Blue Cross NC is seeking a strategic SIU Manager of Audit/Clinical to lead a team of clinicians and coders focused on detecting, preventing, and correcting... ...to strengthen investigations. The position offers remote leadership for a hybrid workforce, opportunities to...Remote work
$97k - $150k
...career-defining opportunity.Wipfli is seeking an experienced Audit & Accounting Manager to serve our growing healthcare practice, with a primary... ...this process. Visit her LinkedIn page to connect! #LI-Remote#LI-KK1Additional DetailsWipfli is an equal opportunity/affirmative...Remote workTemporary workWork at officeLocal areaFlexible hours$116k - $182.27k
...DescriptionJob Description Job Title: Lead Clinical Study Manager (Lead CSM) BU/Organization: Global... ...Location and Flex Work Arrangement: Remote Job Code/ Job Profile: not required for... ...closely with Clinical Operations Program Leader(s), Global Program Management, and...Remote workMinimum wageContract workFor contractorsLocal areaFlexible hoursNight shift$280k - $310k
...seeks a Medical Director to lead psychiatric consultation and clinical innovation within the Collaborative Care Model. This role offers... ...extensive clinical experience and proven leadership skills. A fully remote position with a competitive salary range of $280,000 to $310,00...Remote work$107.9k - $172.64k
...Description Blue Cross NC is hiring a Special Investigations Unit (SIU) Manager of Investigations to lead a multi-state team dedicated to... ...built on presence with a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a...Remote workWork at officeLocal areaFlexible hours2 days per week$70k - $75k
...organization is seeking a Medical Coding Manager responsible for coding education and compliance... ..., with a compensation range of $70,000 to $75,000 per year, and is primarily remote for residents in Arkansas, Oklahoma, and Missouri. #J-18808-Ljbffr Community Clinic NWARemote jobFull time- Job-ID32471773Reference26-01029Remote50% Remote Responsibilities: Lead and manage clinical data management activities for oncology clinical trials, ensuring adherence to project timelines, budgets, and quality standards. Provide strategic oversight and direction to CRO...Remote workWork at office
- ...patients' homes and communities. The role requires a proven track record in innovation, leadership, and clinical excellence, with 20% direct patient care and remote work with state residency requirements. Ideal candidates have strong population‑health expertise and quality...Remote jobWork from home
$98k - $126.5k
Job DescriptionThe Claims Supervisor, SIU will oversee the operation of a unit of SIU Investigators... ...:Direct and control the work of remote SIU Investigators and Analysts.Establish... ...its affiliated group of companies write and manage over $2 billion in personal and commercial...Remote workWork at office- 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... ...ensure 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... ...standards while supporting SIU's mission. The position emphasizes remote leadership, collaboration with internal and external...Remote work
- ...across digital tactics. The ideal candidate has 7+ years in healthcare/pharma writing, a related bachelor's degree, and a strong portfolio. This hybrid role can be based in US offices or remote within the US, with collaboration across teams. #J-18808-Ljbffr Real ChemistryRemote 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... ...and internal stakeholders. This role supports a Hybrid-Flex/Remote Flex work model with national (US) opportunities,...Remote jobFlexible hours
$248.5k - $373k
...to improve evidence-based care. This full-time role offers remote work flexibility within the United States and requires a current... ...collaborate with medical director teams on inpatient care management, clinical coverage reviews, and provider appeals. The salary ranges...Remote jobFull time- ...organization is seeking a medical professional to lead and coordinate medical management efforts. Responsibilities include utilization management, medical quality improvement, and collaboration with clinical teams to optimize patient care. The ideal candidate will be a licensed...Remote jobFull timeFlexible hours
$250k - $325k
...Southern California. This role focuses on enhancing quality care, managing utilization, and supporting health plan requirements.... ...years of inpatient experience and prior leadership roles. This remote position requires residency in Southern California for travel purposes...Remote work- ...Access, Coding/CDI, Revenue Integrity, and PFS in a remote, nationwide role. You will drive performance, standardize... ...revenue cycle, CAH reimbursement knowledge, vendor management, and strong leadership across clinical and operational teams. Travel 25-40% is required. #J...Remote job
- EisnerAmper seeks a high-performing Business Development Director for its Healthcare Industry practice. You will originate, advance, and close new engagements, building a strong pipeline and targeting $3 million+ in annual revenue. You will leverage an established network...Remote job
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