Government Careers

  • Senior Fraud Investigator & Program Lead

  • Highmark Health
  • Nashville, Tennessee 37247 United States View Map

Summary

Highmark Inc. in Nashville, TN, is seeking a seasoned anti-fraud investigator to develop and maintain an anti-fraud program, conduct investigations across providers, members, facilities, pharmacies, groups and employees, and coordinate with law enforcement.The role also involves testifying in court and preparing cases for referrals. You will lead investigations, train team members, oversee audits, and ensure compliance with HIPAA and regulatory requirements while driving recovery and savings#J-18808-Ljbffr

Job Description

Highmark Inc. in Nashville, TN, is seeking a seasoned anti-fraud investigator to develop and maintain an anti-fraud program, conduct investigations across providers, members, facilities, pharmacies, groups and employees, and coordinate with law enforcement.The role also involves testifying in court and preparing cases for referrals. You will lead investigations, train team members, oversee audits, and ensure compliance with HIPAA and regulatory requirements while driving recovery and savings#J-18808-Ljbffr

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