Senior Fraud Investigator & Anti-Fraud Program Lead

Summary

Highmark Health is seeking a senior investigator to develop and maintain an anti-fraud program, conduct investigations of fraud, waste, and abuse, and coordinate with law enforcement agencies. The role includes training duties, auditing controls, and testifying when needed.The incumbent will lead field investigations, interview providers and members, and work with internal teams to recover misappropriated funds while ensuring regulatory compliance. Travel up to 25% is required.#J-18808-Ljbffr

Job Description

Highmark Health is seeking a senior investigator to develop and maintain an anti-fraud program, conduct investigations of fraud, waste, and abuse, and coordinate with law enforcement agencies. The role includes training duties, auditing controls, and testifying when needed.The incumbent will lead field investigations, interview providers and members, and work with internal teams to recover misappropriated funds while ensuring regulatory compliance. Travel up to 25% is required.#J-18808-Ljbffr