Fraud Investigator & Anti-Fraud Program Lead

Summary

Highmark Inc. is seeking a seasoned investigator to develop and maintain an anti-fraud program, conduct investigations into provider/member fraud, waste, and abuse, and coordinate with law enforcement.The role requires interviews, field investigations, and the ability to testify in court while staying compliant with internal and regulatory requirements. The candidate should have a Bachelor's degree in a related field, 3 years of relevant healthcare fraud experience, and strong data mining and#J-18808-Ljbffr

Job Description

Highmark Inc. is seeking a seasoned investigator to develop and maintain an anti-fraud program, conduct investigations into provider/member fraud, waste, and abuse, and coordinate with law enforcement.The role requires interviews, field investigations, and the ability to testify in court while staying compliant with internal and regulatory requirements. The candidate should have a Bachelor's degree in a related field, 3 years of relevant healthcare fraud experience, and strong data mining and#J-18808-Ljbffr