Government Careers

  • Senior Healthcare Fraud Investigator Lead Projects

  • Highmark Health
  • Denver, Colorado 80219 United States View Map

Summary

Highmark Health in Denver leads an anti-fraud program across providers, members, facilities, and partners. This role develops and maintains training, files Fraud Plans, and conducts investigations including interviews onsite or offsite.The incumbent coordinates data extracts, supports court testimony when needed, and drives audits to recover misappropriated funds while ensuring regulatory compliance. You will collaborate with law enforcement and regulatory agencies, provide subject-matter#J-18808-Ljbffr

Job Description

Highmark Health in Denver leads an anti-fraud program across providers, members, facilities, and partners. This role develops and maintains training, files Fraud Plans, and conducts investigations including interviews onsite or offsite.The incumbent coordinates data extracts, supports court testimony when needed, and drives audits to recover misappropriated funds while ensuring regulatory compliance. You will collaborate with law enforcement and regulatory agencies, provide subject-matter#J-18808-Ljbffr

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