Government Careers

  • Senior Fraud Investigator & Program Lead

  • Highmark Health
  • Pierre, South Dakota 57501 United States View Map

Summary

Highmark Inc. is seeking a seasoned investigator to develop and maintain an anti-fraud program, including training and annual fraud plans.The role conducts investigations into potential fraud, waste, and abuse across providers, members, facilities, and employees, with interviews on-site or off-site. The position requires experience in health insurance fraud, strong leadership, and the ability to testify in court; you will coordinate with law enforcement and regulatory agencies and help recover#J-18808-Ljbffr

Job Description

Highmark Inc. is seeking a seasoned investigator to develop and maintain an anti-fraud program, including training and annual fraud plans.The role conducts investigations into potential fraud, waste, and abuse across providers, members, facilities, and employees, with interviews on-site or off-site. The position requires experience in health insurance fraud, strong leadership, and the ability to testify in court; you will coordinate with law enforcement and regulatory agencies and help recover#J-18808-Ljbffr

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