**Company :**
Highmark Inc.
**Job Description :**

**JOB SUMMARY**

This job is responsible for the daily activities of the Financial Investigations & Provider Review (FIPR) department. The FIPR strategic plan focuses on the detection and investigation of fraud, waste and abuse (FWA) and the recoupment of related overpayments related to the company’s provider spending. The incumbent will function as a key leader guiding all of the daily activities for one or more strategic units within the department: investigative unit, vendor audit teams, technology and management reporting, FWA and financial recovery identification team, and regulatory compliance team.

**ESSENTIAL RESPONSIBILITIES**

+ Performs management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
+ Plans, organizes, staffs, directs and c...