Government Careers
  • Fraud Investigator & Anti-Fraud Program Lead

  • Highmark Health
  • Springfield, Illinois 62777 United States View Map

Summary

Highmark Health in Illinois is seeking an anti-fraud investigator responsible for developing and maintaining an anti-fraud program, delivering training, and filing Fraud Plans and Reports. The role involves investigations of fraud, waste and abuse across providers, members, facilities, and staff, with interviews conducted on-site or off-site and potential testimony in court.You will coordinate data extracts from multiple databases, work with law enforcement and regulatory agencies, and help#J-18808-Ljbffr

Job Description

Highmark Health in Illinois is seeking an anti-fraud investigator responsible for developing and maintaining an anti-fraud program, delivering training, and filing Fraud Plans and Reports. The role involves investigations of fraud, waste and abuse across providers, members, facilities, and staff, with interviews conducted on-site or off-site and potential testimony in court.You will coordinate data extracts from multiple databases, work with law enforcement and regulatory agencies, and help#J-18808-Ljbffr

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