Government Careers
  • Fraud & Abuse Investigator, Health Plan

  • Highmark Health
  • Oklahoma City, Oklahoma 73116 United States View Map

Summary

Highmark Inc. is seeking an investigator to develop and maintain an anti-fraud program, conduct provider and member fraud investigations, and coordinate with law enforcement. The role involves interviews, data analysis, and preparing cases for court and regulatory referrals.The ideal candidate will have a background in health insurance fraud investigations, strong communication skills, and the ability to work with cross-functional teams in a regulated environment.#J-18808-Ljbffr

Job Description

Highmark Inc. is seeking an investigator to develop and maintain an anti-fraud program, conduct provider and member fraud investigations, and coordinate with law enforcement. The role involves interviews, data analysis, and preparing cases for court and regulatory referrals.The ideal candidate will have a background in health insurance fraud investigations, strong communication skills, and the ability to work with cross-functional teams in a regulated environment.#J-18808-Ljbffr

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