Senior Fraud Investigator & Anti-Fraud Program Lead

Summary

Highmark Inc. is seeking a seasoned investigator to develop and maintain an anti-fraud program, conduct investigations across providers, members, and employees, and coordinate recovery of misappropriated funds.The role includes training, audits, and collaboration with law enforcement and regulatory bodies. The incumbent will lead investigations, train colleagues, testify in court when needed, and ensure compliance with internal and regulatory standards while updating fraud plans with changing#J-18808-Ljbffr

Job Description

Highmark Inc. is seeking a seasoned investigator to develop and maintain an anti-fraud program, conduct investigations across providers, members, and employees, and coordinate recovery of misappropriated funds.The role includes training, audits, and collaboration with law enforcement and regulatory bodies. The incumbent will lead investigations, train colleagues, testify in court when needed, and ensure compliance with internal and regulatory standards while updating fraud plans with changing#J-18808-Ljbffr