Senior Investigator, Special Investigations Unit (aetna Siu)

CVS Health

Multiple Locations
Base: $46,988.00 - $122,400.00; bonus/equity: elig...
Experience in healthcare fraud investigations
Knowledge of cpt/hcpcs/icd coding
Proficiency in microsoft office tools
The SIU Senior Investigator conducts complex investigations to prevent healthcare fraud and abuse

Job Summary

  • The SIU Senior Investigator conducts complex investigations to prevent healthcare fraud and abuse.
  • This role involves cooperating with law enforcement and preparing cases for legal review.
  • CVS Health offers competitive pay and comprehensive benefits to support employee wellness.

Matching Summary

The SIU Senior Investigator conducts complex investigations to prevent healthcare fraud and abuse.

Salary

Base: $46,988.00 - $122,400.00; Bonus/Equity: Eligible for CVS Health bonus; Benefits: Comprehensive and competitive benefits offered

Skills & Requirements

Must-have

  • Experience in healthcare fraud investigations
  • Knowledge of CPT/HCPCS/ICD coding
  • Proficiency in Microsoft Office tools

Nice-to-have

  • Strong analytical and research skills
  • Excellent communication and customer service skills
  • Experience with Behavioral Health fraud cases

Key Requirements

  • 3 years of experience in healthcare fraud investigations
  • Bachelor's degree or equivalent experience
  • Knowledge of Behavioral Health policies

Work Rights

Not specified

Tailored Resume

Cover Letter