Senior Anti-Fraud Investigator & Trainer

Summary

Highmark Health is seeking a seasoned anti-fraud professional to develop and maintain our fraud program, conduct investigations into suspected fraud, waste and abuse, and coordinate with providers, members, and regulators. You will testify in court as needed and lead special projects within the department.The role requires strong analytical and communication skills, collaboration with internal teams, and the ability to work onsite in a dynamic health plan environment.#J-18808-Ljbffr

Job Description

Highmark Health is seeking a seasoned anti-fraud professional to develop and maintain our fraud program, conduct investigations into suspected fraud, waste and abuse, and coordinate with providers, members, and regulators. You will testify in court as needed and lead special projects within the department.The role requires strong analytical and communication skills, collaboration with internal teams, and the ability to work onsite in a dynamic health plan environment.#J-18808-Ljbffr