Investigator II

**BCBST is hiring an Investigator II**
Are you an experienced investigator with a strong eye for detail and a passion for protecting the integrity of healthcare? At BlueCross BlueShield of Tennessee, our Special Investigations Unit plays a critical role in identifying and addressing potentially fraudulent activity to safeguard our members and resources.
In this role, you will lead end-to-end fraud investigations—analyzing evidence, identifying patterns, conducting interviews, and developing clear, defensible case documentation—while presenting findings to leadership, supporting legal proceedings, and ensuring each case is evaluated for risk and impact. This opportunity is ideal for professionals with experience in white-collar crime or healthcare fraud investigations, particularly those who hold or are pursuing certifications such as CFE, AHFI, ALHC, or CIFI, and are driven to reduce financial loss, strengthen compliance, and enhance fraud prevention strategies across the organiz...

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