Fraud Investigator

Summary

Highmark Health is seeking an experienced investigator to develop and maintain an anti-fraud program, conduct investigations into fraud, waste and abuse, and coordinate with law enforcement and regulatory agencies. The role requires testifying in court and guiding junior staff while handling external investigations.Responsibilities include audits, data coordination, and leading special projects; a strong background in health insurance fraud is essential and CFE/CPC/COC/AHFI are preferred.#J-18808-Ljbffr

Job Description

Highmark Health is seeking an experienced investigator to develop and maintain an anti-fraud program, conduct investigations into fraud, waste and abuse, and coordinate with law enforcement and regulatory agencies. The role requires testifying in court and guiding junior staff while handling external investigations.Responsibilities include audits, data coordination, and leading special projects; a strong background in health insurance fraud is essential and CFE/CPC/COC/AHFI are preferred.#J-18808-Ljbffr