Senior Health Fraud Investigator & Forensics Lead

Summary

Highmark Inc. is seeking an experienced investigator to develop and maintain an anti-fraud program across the organization.You will conduct investigations into fraud, waste and abuse by providers, members, facilities, pharmacies, groups and employees, performing field work as needed, and coordinating with law enforcement. You will prepare cases for referral, testify in court if required, and ensure compliance with internal audits and regulatory requirements while training and mentoring others#J-18808-Ljbffr

Job Description

Highmark Inc. is seeking an experienced investigator to develop and maintain an anti-fraud program across the organization.You will conduct investigations into fraud, waste and abuse by providers, members, facilities, pharmacies, groups and employees, performing field work as needed, and coordinating with law enforcement. You will prepare cases for referral, testify in court if required, and ensure compliance with internal audits and regulatory requirements while training and mentoring others#J-18808-Ljbffr