Senior Health Fraud Investigator & Team Lead

Summary

Highmark Inc. seeks a seasoned investigator to develop and maintain an anti-fraud program, conduct investigations into provider/member fraud, and coordinate with law enforcement.The role includes delivering fraud training, guiding junior staff, and ensuring regulatory compliance across lines of business. The ideal candidate has 7+ years in health insurance fraud investigations, strong data analysis, communication, and project leadership skills, with a relevant Bachelor's degree and preferably a#J-18808-Ljbffr

Job Description

Highmark Inc. seeks a seasoned investigator to develop and maintain an anti-fraud program, conduct investigations into provider/member fraud, and coordinate with law enforcement.The role includes delivering fraud training, guiding junior staff, and ensuring regulatory compliance across lines of business. The ideal candidate has 7+ years in health insurance fraud investigations, strong data analysis, communication, and project leadership skills, with a relevant Bachelor's degree and preferably a#J-18808-Ljbffr