Senior Fraud Investigator & Anti-Fraud Program Lead

Summary

Highmark Health in the United States is seeking an Anti-Fraud Analyst to develop and maintain an anti-fraud program, conduct investigations of fraud, waste and abuse by providers, members, facilities, pharmacies, and employees, and coordinate with law enforcement. Investigations may be onsite or offsite and may require testimony in court.The role involves data extraction, reporting, training, and audits to meet internal and regulatory requirements.#J-18808-Ljbffr

Job Description

Highmark Health in the United States is seeking an Anti-Fraud Analyst to develop and maintain an anti-fraud program, conduct investigations of fraud, waste and abuse by providers, members, facilities, pharmacies, and employees, and coordinate with law enforcement. Investigations may be onsite or offsite and may require testimony in court.The role involves data extraction, reporting, training, and audits to meet internal and regulatory requirements.#J-18808-Ljbffr