Special Investigations Unit (SIU) Manager of Audit/Clinical

Remote Flex - North Carolinaremotemanager$108K$173K

Posted 2 days ago · via Workday

About this role

Job Description Blue Cross NC is hiring 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. What You’ll Do Lead and support a high-performing team aligned to organizational strategies, goals, and performance expectations. Provide engaging, effective leadership for a remote workforce, including coaching, feedback, and professional development support.…

Read the full description on Bcbsnc's site →

What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

We compare your skills against the role requirements.

2

Level fit

This role is manager-level. We check your trajectory against it.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is remote-eligible — we factor in your stated location and time-zone overlap.

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