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

SIU Operations Lead - Anti-Fraud & Compliance (Hybrid)

Habitat For Humanity Of Durham

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 communities. The role focuses on leading daily operations, monitoring intelligence, and driving performance metrics with AI-enabled tools, while fostering leadership and collaboration with internal and external partners. #J-18808-Ljbffr Habitat For Humanity Of Durham

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the SIU Operations Lead - Anti-Fraud & Compliance (Hybrid) in Durham, NC vacancy
  • $107.9k - $172.64k

     ...Investigations Unit (SIU) Manager of Operations to lead the team responsible...  ...correct health care fraud, waste, and abuse...  ...to support proactive anti-FWA efforts. Provide...  ...Conduct, the Company Compliance Program, the SIU...  ...Where You'll Work Our Hybrid Flex approach is built... 
    Fraud
    Work at office
    Local area
    Remote work
    Flexible hours
    2 days per week

    Blue Cross and Blue Shield of North Carolina

    Durham, NC
    4 days ago
  •  ...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...  ...AI-enabled tools to improve efficiency. Hybrid work arrangements are available with... 
    Fraud

    Blue Cross and Blue Shield of North Carolina

    Durham, NC
    4 days ago
  • 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...  ..., regulatory alignment, and anti-FWA strategy, with hybrid-flex work options and a Durham-based... 
    Fraud
    Flexible hours

    Blue Cross and Blue Shield of North Carolina

    Durham, NC
    7 hours ago
  • $107.9k - $172.64k

     ...Investigations Unit (SIU) Manager of Investigations to lead a multi-state team...  ...addressing health care fraud, waste, and abuse....  .... Case Quality and Compliance: Review cases to ensure...  ...responsibilities. Anti-FWA Strategy:...  ...Where You’ll Work Our Hybrid Flex approach is built... 
    Fraud
    Work at office
    Local area
    Remote work
    Flexible hours
    2 days per week

    Habitat For Humanity Of Durham

    Durham, NC
    7 hours ago
  •  ...professional to deliver mid- to large-scale conferences, meetings, and hybrid experiences. You will manage logistics, budgets, technology, and...  ...educational and networking experiences. Reporting to the Lead Manager, Conference & Events Management, you will collaborate with... 
    Suggested

    Association of International Certified Professional Accounta...

    Durham, NC
    1 day ago
  • Piper Companies is seeking an Operations Manager to oversee and optimize...  ...requests while ensuring compliance with contract terms and fraud prevention protocols. Lead hiring efforts across operations...  ...dental, vision, 401(k), and PTO. Hybrid work schedule (onsite 3 days... 
    Fraud
    Contract work
    Work at office
    Local area
    3 days per week

    Piper Companies

    Durham, NC
    3 days ago
  • $170k - $412.5k

     ...has been designed as 'Hybrid' with a requirement that...  ...Architecture to lead the development and execution...  ...business objectives, operational efficiency, and...  ...Collaborate with legal, compliance, privacy, and risk teams...  ...histories.Recruitment Fraud AlertWe have become aware... 
    Fraud
    Full time
    Work experience placement
    Work at office
    Local area
    Immediate start
    2 days per week

    Hewlett Packard Enterprise

    Durham, NC
    3 days ago
  •  ...seeking a Site Management professional for a hybrid role in Durham, NC. The candidate should...  ...and vendors, ensuring documentation compliance, and assisting with training and audits....  ...the quality of clinical research operations and delivering new medicines to those in... 

    PSI CRO

    Durham, NC
    2 days ago
  •  ...seeking a Special Investigations Unit (SIU) Manager of Investigations to lead a multi-state team focused on...  ...preventing, and addressing health care fraud, waste, and abuse. You will oversee...  ...investigations, with a focus on compliance and #J-18808-Ljbffr Habitat For Humanity... 
    Fraud

    Habitat For Humanity Of Durham

    Durham, NC
    4 days ago
  •  ...Durham, NC / Austin, TX / Novi, MIBusiness Operations - Office of the President /Full Time /...  ...path forward.Strategic & Annual Planning:Lead Planning Cycles: Facilitate the departmental...  ...to Authenticity. We use Endorsed, a fraud detection tool, to validate the authenticity... 
    Fraud
    Full time
    Work at office
    Remote work
    Work from home
    Flexible hours

    Aledade

    Durham, NC
    1 day ago
  • $93.1k - $232.8k

     ...and resource for quality and compliance standards across assigned studies...  ...advanced therapeutic, operational, and regulatory knowledge applicable to assigned programs.Leads and contributes to quality Site...  ...tolerance policy for candidate fraud. All information and... 
    Fraud
    Full time
    Part time
    Local area
    Immediate start
    Worldwide
    Night shift

    IQVIA

    Durham, NC
    16 hours ago
  • $62.8k - $157.1k

     ...Patient & Site Engagement (PSE) Operations Specialist (OS) services...  ...and/or site engagement.Ensure compliance with sponsor policies by way...  ...travel as requiredIQVIA is a leading global provider of clinical research...  ...policy for candidate fraud. All information and credentials... 
    Fraud
    Full time
    Part time
    Local area
    Immediate start
    Worldwide

    IQVIA

    Durham, NC
    1 day ago
  • GRAIL is seeking a Manager of Biorepository Operations to lead on‑site and off‑site specimen management at our Durham, NC office. The role ensures regulatory compliance, operational excellence, and alignment with company goals, overseeing approximately 1 million samples... 
    Work at office

    GRAIL

    Durham, NC
    2 days ago
  • GRAIL is hiring a Manager, Biorepository Operations to lead on-site and off-site biorepository activities in a high-capacity environment supporting...  ...1 million samples. This hands-on role ensures regulatory compliance, quality standards, and efficient specimen lifecycle... 

    Initial Therapeutics, Inc.

    Durham, NC
    6 hours ago
  • Duke University’s Lemur Center is seeking a Research Manager to lead research operations, regulatory compliance, and team development, partnering with scientists, veterinarians, and staff to advance primate research and welfare. The role emphasizes coordination of projects... 

    Duke PA

    Durham, NC
    6 hours ago
  • The National Rural Water Association is seeking an Operations & Maintenance Specialist III in Durham, NC. This senior role...  ...managing wastewater treatment processes, ensuring compliance and efficiency, and leading technical efforts. Ideal candidates will have five years... 
    Relocation package

    National Rural Water Association

    Durham, NC
    1 day ago
  • The Operations & Maintenance Specialist II position at Durham County's Triangle Wastewater Treatment Plant is a lead technical role responsible for monitoring, controlling, and maintaining...  ...processes to ensure regulatory compliance, system efficiency, and environmental... 
    Relocation package
    Rotating shift

    NCRWA

    Durham, NC
    3 days ago
  •  ...Operations Lead Our Vision: To become the leading Home Dcor retailer. Our Mission: Enable everyone to affordably make their house...  ...always demonstrating a culture of ethical conduct, safety, and compliance. Key Roles & Responsibilities: The Operations Lead... 
    Flexible hours
    Shift work
    Night shift

    At Home Stores LLC

    Durham, NC
    16 hours ago
  • Job Summary The Operations Lead (OL) reports to the Assistant Store Manager and supports store processes and an active selling culture by...  ...demonstrating a culture of ethical conduct, safety, and compliance. The OL’s responsibilities require enthusiasm for vigorous lifting... 
    Part time
    Flexible hours
    Shift work
    Night shift

    At Home Group Inc.

    Durham, NC
    4 days ago
  • Duke Lemur Center at Duke University seeks a Research Manager to lead research operations, coordinate projects, and ensure compliance with animal welfare standards. You will oversee biological samples, collaborate across departments, supervise staff, and help grow research... 

    Duke Careers

    Durham, NC
    1 day ago
  •  ...NC is seeking a Deli/Bakery HMS Supervisor to support store operations and lead the HMS team. You will manage duties in the absence of the...  ...high customer service levels, ensuring safety and procedural compliance, and driving toward budgeted results while fostering a... 

    Food Lion

    Durham, NC
    3 days ago
  • A public transit authority in Durham is seeking an Operations Supervisor to manage daily operations and ensure compliance with safety regulations. The ideal candidate will have a thorough understanding of local routes and four years of transit operations experience. Responsibilities... 
    Full time
    Work at office
    Local area

    GoDurham

    Durham, NC
    1 day ago
  • $118.69k - $189.91k

     ...Governance & Quality Analyst leads the development and implementation...  ...Governance strategy and compliance for business and consumption layer...  ...more    Where You’ll Work Our Hybrid Flex approach is built on...  ...____________________JOB ALERT FRAUD: We have become aware of scams... 
    Fraud
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours
    2 days per week

    Blue Cross and Blue Shield of North Carolina

    Durham, NC
    3 days ago
  •  ...driven innovation across our operations to enhance how work gets done...  ...ensuring adherence to KPIs, SLAs, compliance, and clinical standards....  ...Stars, NCQA, CMS, TCPA). Lead cross-functional projects...  ...Durham, NC location will follow a hybrid schedule. This schedule... 
    Temporary work
    Casual work
    Internship
    Work at office
    Flexible hours
    3 days per week

    LabCorp

    Durham, NC
    2 days ago
  •  ...provide counsel on issues related to SEC compliance, governance matters, capital markets transactions...  .... Relocation/Work Model Fully remote or hybrid for candidates who live within commuting...  ...a zero tolerance policy for candidate fraud. All information and credentials... 
    Fraud
    Immediate start
    Remote work
    Relocation

    IQVIA

    Durham, NC
    3 days ago
  • Director of Global Campaigns, Hybrid CloudThis role has been designed...  ...and business initiatives, and lead cross-functional teams to...  ...communications, partner, enablement and operations teams to align investment,...  ...histories.Recruitment Fraud AlertWe have become aware of an... 
    Fraud
    Full time
    Work experience placement
    Work at office
    Local area
    Immediate start
    2 days per week

    Hewlett Packard Enterprise

    Durham, NC
    12 hours ago
  • $88.1k - $220.2k

     ...and help shape patient-centric trials for leading global sponsors. In this client-facing...  ...driving process improvements and maintaining compliance with IQVIA standards.Key...  ...maintains a zero tolerance policy for candidate fraud. All information and credentials submitted... 
    Fraud
    Full time
    Part time
    Immediate start
    Worldwide

    IQVIA

    Durham, NC
    1 day ago
  • itD is seeking a Program Manager to lead and complete large-scale, cross-functional...  ...supporting program execution, compliance, and operational effectiveness. The ideal candidate will...  ...initiatives to completion. Location: Hybrid - Research Triangle Park (RTP), NC Duration... 
    Work experience placement

    itD Tech

    Morrisville, NC
    3 days ago
  •  ...mechanical technician to oversee work activities, ensure safety compliance, and manage employee performance. The ideal candidate has an...  ...safety protocols, conduct employee training, and support daily operations in a variety of conditions. MENTOR offers equal employment... 

    MENTOR Technical Group Corporation

    Durham, NC
    2 days ago
  • $50k - $55k

     ...Certified Medical Assistant(Hybrid Role) - Durham, NCPatients are...  ...support for persistence and compliance.Knowledge of clinical data and...  ...need for sponsorship.IQVIA is a leading global provider of clinical...  ...policy for candidate fraud. All information and credentials... 
    Fraud
    Full time
    Part time
    Immediate start
    Worldwide
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    Avery Healthcare Group Ltd.

    Durham, NC
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to SIU Operations Lead - Anti-Fraud & Compliance (Hybrid). Be the first to apply!