Senior Fraud Investigator & Trainer

Summary

Highmark Health is seeking a seasoned investigator to develop and maintain an anti-fraud program, conduct investigations of fraud, waste and abuse across providers, members, facilities, and employees, and coordinate with law enforcement. You will also testify in court and guide field investigations and audits to ensure regulatory compliance and recovery of mispaid funds.The role requires strong knowledge of health insurance fraud, data mining tools, and the ability to lead projects and train#J-18808-Ljbffr

Job Description

Highmark Health is seeking a seasoned investigator to develop and maintain an anti-fraud program, conduct investigations of fraud, waste and abuse across providers, members, facilities, and employees, and coordinate with law enforcement. You will also testify in court and guide field investigations and audits to ensure regulatory compliance and recovery of mispaid funds.The role requires strong knowledge of health insurance fraud, data mining tools, and the ability to lead projects and train#J-18808-Ljbffr