Senior Investigator (dental, Aetna Siu)

CVS Health

Remote
Base: $46,988.00 - $102,000.00; bonus/equity: elig...
3-5 years investigative experience
Strong communication skills
Ability to travel for business
We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team

Job Summary

  • We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team.
  • This position will be focused on managing complex investigations into suspected and known acts of healthcare fraud, waste and abuse.
  • Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued.

Matching Summary

We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team.

Salary

Base: $46,988.00 - $102,000.00; Bonus/Equity: eligible for bonus; Benefits: comprehensive and competitive benefits

Skills & Requirements

Must-have

  • 3-5 years investigative experience
  • strong communication skills
  • ability to travel for business

Nice-to-have

  • bilingual English/Spanish
  • dental investigative experience
  • Medicaid and Medicare experience

Key Requirements

  • Bachelor's Degree in related field
  • Certified Professional Coder (CPC) preferred
  • AHFI, CFE certifications preferred

Work Rights

Not specified

Tailored Resume

Cover Letter