More jobs:
SIU Clinical & Audit Leader
Job in
Moore, Cleveland County, Oklahoma, USA
Listed on 2026-08-25
Listing for:
Blue Cross and Blue Shield of North Carolina
Full Time
position Listed on 2026-08-25
Job specializations:
-
Healthcare
Healthcare Management -
Management
Healthcare Management
Job Description & How to Apply Below
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 healthcare fraud, waste, and abuse. The role guides prepayment and post-payment medical record reviews, ensures regulatory compliance, and uses analytics to strengthen investigations.
The position offers remote leadership for a hybrid workforce, opportunities to collaborate with regulators and providers, and a payroll with comprehensive
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