Summer 2025 - Financial Investigation and Provider Review (FWA) - Undergraduate Intern - Highmark Health
Harrisburg, PA
About the Job
Company :
Highmark Health
Job Description :
This position will support the SIU team with administrative functions while learning and understanding how to triage and work a reported allegation of suspected fraud waste or abuse.
Job Functions
+ Attend bi-weekly huddles and weekly touchpoints.
+ Support administrative functions and tasks for the FIPR team.
+ Work using Microsoft office products (excel and word).
+ Learn internal systems and solutions.
+ Shadow SIU processes.
SUMMARY OF JOB RESPONSIBILITIES
This job has the goal of providing the opportunity to acquire practical experience through direct exposure to the related business line(s) and to develop the next generation of diverse business professionals. To that end, the program will provide hands-on training and experience in the business line, expose the various career opportunities in the business line and related areas, and prepare participants for positions in the business.
Typical responsibilities include, providing services to the day-to-day operating objectives of the assigned area, participating in projects and programs appropriate to the needs of the assigned area, participating in the planning and implementation of projects and initiatives, conducting research and reporting including recommendations or proposals for action.
REQUIRED QUALIFICATIONS
+ Full or part-time enrollment in an accredited college or university baccalaureate program.
PREFERRED QUALIFICATIONS
+ Seeking a degree closely related to FWA. This can include security, homeland security or comparable.
+ Open to current Junior level undergraduate students.
ESSENTIAL JOB FUNCTIONS
1. Communicate effectively while interacting directly with colleagues, clientele, and/or other internal or external constituencies in the planning of assignments and the resolution of day-to-day operational problems.
2. Under supervision, provide entry-level professional services as appropriate to the day-to-day operating objectives of the area. Receives guidance, training, and mentoring from senior personnel in planning and carrying out activities and assignments.
3. Undertake and/or participates in projects and programs designed to develop professional skills and expertise appropriate to the needs of the organization.
4. Participate in the planning and implementation of unit projects and initiatives within area of expertise and ability.
5. As specifically requested by management, conduct research and reporting inclusive of recommendations or alternative proposals for action.
6. Undertake related studies or enrichment programs as appropriate to the specific objectives of the operating unit.
7. Perform miscellaneous job-related duties as assigned.
_Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
_Compliance Requirement:_ _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies_
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
Pay Range Maximum:
_Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf_ )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J250717
Highmark Health
Job Description :
This position will support the SIU team with administrative functions while learning and understanding how to triage and work a reported allegation of suspected fraud waste or abuse.
Job Functions
+ Attend bi-weekly huddles and weekly touchpoints.
+ Support administrative functions and tasks for the FIPR team.
+ Work using Microsoft office products (excel and word).
+ Learn internal systems and solutions.
+ Shadow SIU processes.
SUMMARY OF JOB RESPONSIBILITIES
This job has the goal of providing the opportunity to acquire practical experience through direct exposure to the related business line(s) and to develop the next generation of diverse business professionals. To that end, the program will provide hands-on training and experience in the business line, expose the various career opportunities in the business line and related areas, and prepare participants for positions in the business.
Typical responsibilities include, providing services to the day-to-day operating objectives of the assigned area, participating in projects and programs appropriate to the needs of the assigned area, participating in the planning and implementation of projects and initiatives, conducting research and reporting including recommendations or proposals for action.
REQUIRED QUALIFICATIONS
+ Full or part-time enrollment in an accredited college or university baccalaureate program.
PREFERRED QUALIFICATIONS
+ Seeking a degree closely related to FWA. This can include security, homeland security or comparable.
+ Open to current Junior level undergraduate students.
ESSENTIAL JOB FUNCTIONS
1. Communicate effectively while interacting directly with colleagues, clientele, and/or other internal or external constituencies in the planning of assignments and the resolution of day-to-day operational problems.
2. Under supervision, provide entry-level professional services as appropriate to the day-to-day operating objectives of the area. Receives guidance, training, and mentoring from senior personnel in planning and carrying out activities and assignments.
3. Undertake and/or participates in projects and programs designed to develop professional skills and expertise appropriate to the needs of the organization.
4. Participate in the planning and implementation of unit projects and initiatives within area of expertise and ability.
5. As specifically requested by management, conduct research and reporting inclusive of recommendations or alternative proposals for action.
6. Undertake related studies or enrichment programs as appropriate to the specific objectives of the operating unit.
7. Perform miscellaneous job-related duties as assigned.
_Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
_Compliance Requirement:_ _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies_
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
Pay Range Maximum:
_Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf_ )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J250717
Source : Highmark Health
