Lead Investigator
Highmark Health(1 day ago)
About this role
This role involves developing and maintaining an anti-fraud program within a healthcare organization. The job includes conducting investigations into suspected fraud, waste, and abuse, collaborating with law enforcement, and managing audit processes. It also entails leading a team and guiding investigations and compliance efforts to prevent financial losses.
Required Skills
- investigation
- Fraud Detection
- Data Mining
- Regulatory Compliance
- Auditing
- Healthcare Billing
- Claims Processing
- Forensics
- Legal:testimony
About Highmark Health
highmarkhealth.orgA national health and wellness organization as well as the second largest integrated delivery and financing system in America.
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