Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Healthcare Fraud Investigator

Highmark Health

Highmark Inc. is seeking an anti-fraud investigator responsible for developing and maintaining the anti-fraud program, delivering training, and filing fraud plans and reports. You will conduct investigations of fraud, waste and abuse by providers, members, facilities, pharmacies and employees, and coordinate with law enforcement as needed. The role includes field investigations, testimony in court, audits to meet internal and regulatory requirements, and advising on recovery of misappropriated #J-18808-Ljbffr

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Healthcare Fraud Investigator in Dover, DE vacancy
  • $65k - $88.6k

     ...Become a part of our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The...  ...Qualifications • Bachelor's degree • 2 years of healthcare fraud investigations and auditing experience • Knowledge... 
    Suggested
    Full time
    Temporary work
    For contractors
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Monday to Friday

    Humana

    Dover, DE
    2 days ago
  • Job TitleSignature Companies is looking to add Field Consultants to cover the Delmarva PeninsulaSince 1993, Signature Companies has been a trusted provider of inspection and appraisal services to insurance carriers. We prioritize client relationships and commit ourselves...
    Suggested
    Extra income
    For contractors
    Local area

    Signature Companies

    Dover, DE
    5 days ago
  • Signature Companies is seeking experienced High Value Residential Insurance Inspectors to join our independent contractor team. You will perform on-site surveys of high-value properties, documenting construction features, measurements, and condition to support underwriting...
    Suggested
    For contractors

    Signature Companies

    Dover, DE
    3 days ago
  • A leading insurance services company in Delaware seeks a Loss Control/Insurance Field Inspector. This role entails inspecting properties for insurance assessments, documenting hazards, and providing comprehensive reports. Candidates should be self-motivated with strong ...
    Suggested

    Associated Services Inspections, LTD

    Dover, DE
    6 days ago
  •  ...including organizing workload, submitting examination findings, and corresponding with the Quality Assurance Team. Collaborate with Healthcare Professionals: Coordinate and collaborate with other healthcare professionals, specialists, and experts as needed to obtain... 
    Suggested
    For contractors
    For subcontractor
    Worldwide
    Monday to Friday

    Loyal Source

    Dover, DE
    4 days ago
  •  ...including organizing workload, submitting examination findings, and corresponding with the Quality Assurance Team. Collaborate with Healthcare Professionals: Coordinate and collaborate with other healthcare professionals, specialists, and experts as needed to obtain... 
    For contractors
    Worldwide
    Monday to Friday

    Loyal Source

    Dover, DE
    4 days ago
  • Amentum, a premier global services partner, seeks a Forensic Digital Evidence Advisor under ICITAP to mentor host-country experts in digital evidence collection and analysis. The role covers training on OS, extraction tools, and court-ready report writing. You will collaborate...
    Daily paid

    Amentum

    Dover, DE
    1 day ago
  •  ...Determines suspicious or potential criminal activity and/or associations. Identifies leads for possible follow-up by investigations. Gathers criminal intelligence during critical incident occurrences including escapes, large scale disturbances, barricades... 
    Local area

    State of Delaware

    Dover, DE
    5 days ago
  • Intelligence Analyst This class is responsible for conducting research, collection, correlation, analysis, and distribution of criminal intelligence information relating to criminal activities and relationships within correctional facilities or related populations. ...

    Delaware State Jobs

    Dover, DE
    3 days ago
  •  ...Opening Date: 08/25/2026 General Description of the Position Under limited supervision, performs patrol work and investigations. The principal emphasis is on enforcing the laws of the State of Delaware, City of Dover and University rules and regulations;... 
    Full time
    Flexible hours
    Shift work

    Delaware State University

    Dover, DE
    2 days ago
  •  ...Investigative Services Background Investigator Dover, DE Number of Positions Available in this Location: 1 Date Posted December 1, 2025 About EMT Holdings EMT Holdings is a small business provider of federal background investigation services supporting a Government Contract... 
    Contract work
    For contractors
    Work experience placement

    EMT Holdings

    Dover, DE
    6 days ago
  • Telework Eligible No Major Duties Exercises technical and administrative supervision over subordinate workers. Plans the use of subordinate workers, equipment, facilities, and materials based on workload projections on a weekly or monthly basis. Establishes...
    Full time
    Work at office
    Remote work

    Defense Logistics Agency

    Dover, DE
    2 days ago
  • $62.7k

     ...for developing and maintaining an anti-fraud program which includes development and...  ...incumbent is responsible for conducting investigations of organizational or functional activities...  ...the health insurance industry and/or healthcare fraud investigations Preferred 1 year... 
    Contract work
    For contractors
    Work at office
    Local area

    Highmark Health

    Dover, DE
    2 days ago
  • These careers bring the expertise in all facets of Information Operations, making sure our fleet is capitalizing on the information vulnerabilities of our adversaries. Candidates seeking careers in this field should preferably have a degree that focuses on areas of study...
    Full time
    Part time
    Worldwide

    U.S. Navy

    Dover, DE
    3 days ago
  •  ...equipment preventive maintenance, reagent testing and validation, proficiency testing, and accreditation and certification. ~Perform investigative studies on biological materials and/or tissue identification by DNA typing technologies. ~Carry out service casework involving... 
    Contract work
    Work experience placement

    SNA International

    Dover, DE
    6 hours ago
  •  ...worked with someone clearly associated with Eliassen Group. If you have any indication of fraudulent activity, please contact fraud@eliassen.com . About Eliassen Group: Eliassen Group is a strategic consulting firm that helps organizations reach further and... 
    Hourly pay
    Local area
    Remote work

    Eliassen Group

    Dover, DE
    1 day ago
  • $61.05k - $72.03k

     ...goals and objectives Required to efficiently analyze and organize information and evidence obtained during traffic and criminal investigations for prosecution purposes Deliver emergency services to the public by responding to calls for service safely and promptly and... 
    Shift work
    Rotating shift

    Town of Smyrna

    Smyrna, DE
    5 days ago
  •  ...specifically in auSTR, Y-STR, or mtDNA analysis are encouraged to apply.    Candidates must be able to successfully complete a background investigation.        TO APPLY:Please submit your CV . SNA International is an Equal Opportunity Employer. All qualified applicants... 

    SNA International

    Dover, DE
    6 hours ago
  •  ...Description: Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect...  ...insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients... 
    Flexible hours

    J T Becker & Co Inc

    Dover, DE
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Healthcare Fraud Investigator. Be the first to apply!