Government Careers

  • Senior Fraud Investigator & Anti-Fraud Program Lead

  • Highmark Health
  • Sacramento, California 95828 United States View Map

Summary

Highmark Inc. seeks an experienced investigator to develop and maintain an anti-fraud program and conduct investigations across providers, members, facilities, and employees. The role involves onsite/offsite interviews, court testimony readiness, and coordination with law enforcement and regulators.The position requires deep knowledge of health insurance fraud schemes, strong data analysis skills, and the ability to train and mentor others while driving audits and program improvements.#J-18808-Ljbffr

Job Description

Highmark Inc. seeks an experienced investigator to develop and maintain an anti-fraud program and conduct investigations across providers, members, facilities, and employees. The role involves onsite/offsite interviews, court testimony readiness, and coordination with law enforcement and regulators.The position requires deep knowledge of health insurance fraud schemes, strong data analysis skills, and the ability to train and mentor others while driving audits and program improvements.#J-18808-Ljbffr

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