Government Careers

  • Fraud & Abuse Investigator

  • Highmark Health
  • Boston, Massachusetts 02298 United States View Map

Summary

Highmark Inc. seeks an experienced anti-fraud professional to lead the development and maintenance of our fraud program and deliver training. The role conducts investigations across providers, members, facilities, and staff, and may involve onsite or offsite interviews.You will coordinate with law enforcement and regulators, prepare cases for referral, and ensure compliance with internal audits and external requirements. Strong analytical and communication skills are essential.#J-18808-Ljbffr

Job Description

Highmark Inc. seeks an experienced anti-fraud professional to lead the development and maintenance of our fraud program and deliver training. The role conducts investigations across providers, members, facilities, and staff, and may involve onsite or offsite interviews.You will coordinate with law enforcement and regulators, prepare cases for referral, and ensure compliance with internal audits and external requirements. Strong analytical and communication skills are essential.#J-18808-Ljbffr

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