Government Careers

  • Fraud Investigations Lead Health Plan

  • Highmark Health
  • Washington, DC 20022 United States View Map

Summary

Highmark Inc. is seeking an experienced anti-fraud investigator responsible for developing and maintaining an anti-fraud program, conducting investigations into fraud, waste and abuse across providers, members, and affiliates.The role includes field investigations, testimony in court, and coordination with law enforcement agencies. The candidate will lead interviews, develop investigative scope, and coordinate data extracts while updating annual fraud plans and ensuring regulatory compliance.#J-18808-Ljbffr

Job Description

Highmark Inc. is seeking an experienced anti-fraud investigator responsible for developing and maintaining an anti-fraud program, conducting investigations into fraud, waste and abuse across providers, members, and affiliates.The role includes field investigations, testimony in court, and coordination with law enforcement agencies. The candidate will lead interviews, develop investigative scope, and coordinate data extracts while updating annual fraud plans and ensuring regulatory compliance.#J-18808-Ljbffr

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