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Healthcare Fraud Investigator & Anti-Fraud Program Lead

Highmark Health

Highmark Inc. seeks an investigations professional to develop and maintain an anti-fraud program, conduct field investigations, and coordinate with law enforcement to recover misappropriated funds. The role conducts interviews with providers and members, prepares cases for referrals, and ensures compliance with HIPAA and internal policies. Required are a Bachelor's degree or equivalent experience, 3+ years in health insurance fraud investigations, and strong communication and analytical skills. #J-18808-Ljbffr

Vacancy posted 23 hours ago
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