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Highmark Health · Helena, Lewis and Clark County, United States; Wake Island, Honolulu, United States; Augusta, Kennebec County, United States; Archer, Laramie County, United States; Douglas, Juneau, United States; Bismarck, Burleigh County, United States (+25 more)

Partial summary via job aggregator — the complete description is on the employer's site.

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. The incumbe…