Government Careers

  • Fraud Investigations Specialist

  • Highmark Health
  • Austin, Texas 78716 United States View Map

Summary

Highmark Inc. is seeking an experienced anti-fraud professional to develop and maintain an anti-fraud program, conduct investigations across providers, members, facilities, pharmacies, groups and employees, and prepare cases for referral to law enforcement.The role involves fieldwork, interviews, and coordination with regulatory agencies. The incumbent will testify in court, coordinate with law enforcement, and perform audits to ensure regulatory compliance.#J-18808-Ljbffr

Job Description

Highmark Inc. is seeking an experienced anti-fraud professional to develop and maintain an anti-fraud program, conduct investigations across providers, members, facilities, pharmacies, groups and employees, and prepare cases for referral to law enforcement.The role involves fieldwork, interviews, and coordination with regulatory agencies. The incumbent will testify in court, coordinate with law enforcement, and perform audits to ensure regulatory compliance.#J-18808-Ljbffr

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