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Senior Healthcare Fraud Investigator

Highmark Health

Highmark Inc. seeks an experienced Anti-Fraud Investigator to develop and maintain an anti-fraud program, deliver training, and file Fraud Plans and Reports. The role conducts investigations of fraud, waste and abuse by providers, members, facilities, pharmacies, groups and employees, with interviews on or offsite. Responsibilities include field investigations, coordinating with Credentialing and Medical Review, engaging law enforcement when needed, and testifying in court. #J-18808-Ljbffr

Vacancy posted 16 hours ago
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