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Director, Special Investigations Unit in Durham, NC



$200K - $250K*


Banking, Loans & Insurance, Risk & Quantitative Analysis


8 - 10 years

Job Description

Job Description

  • This position will direct and provide leadership to the Special Investigations Unit (SIU). This requires demonstrating vision in positioning the SIU with the right personnel skill sets, cutting edge analytics tools, and robust processes to confront the ever-changing challenges of detecting and resolving fraud, waste, and abuse (FWA). Develop strategies to create and maintain an organization that has the flexibility, knowledge, situational awareness, and capacity to successfully address the dynamic FWA environment.Establishes and operationalizes SIU strategic plan that positions the SIU to successfully function in the continuously evolving changing health care arena;
  • Leads an organization that effectively identifies sources of FWA, swiftly investigates actionable cases, and effectively creates resolutions that protect the company's assets;
  • Oversees the SIU staff comprised of analysts, investigators, nurses, and data anal
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Valid through: 2020-4-9

About Blue Cross Blue Shield of North Carolina

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* Ladders Estimates

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