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Remote-Eligible SIU Audit & Clinical Manager
Remote / Online - Candidates ideally in
Mesa, Maricopa County, Arizona, 85201, USA
Listed on 2026-08-26
Mesa, Maricopa County, Arizona, 85201, USA
Listing for:
Blue Cross and Blue Shield of North Carolina
Remote/Work from Home
position Listed on 2026-08-26
Job specializations:
-
Management
Healthcare Management
Job Description & How to Apply Below
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 abuse. The role emphasizes compliant documentation and billing, and collaboration with regulators and providers.
You will build analytics-driven processes, manage pre/post-payment reviews, and report on performance. A clinical perspective and leadership in a hybrid/remote setting are essential for success in this role.
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