Senior Anti-Fraud Investigator & Team Lead

Summary

Highmark Inc. is seeking an experienced anti-fraud professional to develop and maintain an organization-wide fraud program and lead investigations of suspected fraud, waste, and abuse. The role may involve interviews with providers or members and coordination with law enforcement and regulators.The successful candidate will oversee training, annual fraud plans, and reporting, as well as field investigations and data analytics to detect improper payments and support recovery efforts.#J-18808-Ljbffr

Job Description

Highmark Inc. is seeking an experienced anti-fraud professional to develop and maintain an organization-wide fraud program and lead investigations of suspected fraud, waste, and abuse. The role may involve interviews with providers or members and coordination with law enforcement and regulators.The successful candidate will oversee training, annual fraud plans, and reporting, as well as field investigations and data analytics to detect improper payments and support recovery efforts.#J-18808-Ljbffr