Senior Investigator (Dental, Aetna SIU)

CVS Health

2 months ago

3.2 on Glassdoor

Michigan

Onsite

Full Time

Senior

0 applicants

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About this role

Senior Healthcare Fraud Investigator at CVS Health (Aetna) focused on dental investigations within the Special Investigations Unit. The role centers on managing complex cases of suspected healthcare fraud, waste and abuse and coordinating with internal and external partners. The position supports legal and regulatory referrals and contributes to recovery efforts and prosecution when appropriate.

Skills

Qualifications

Bachelor's in Criminal JusticeBachelor's in Healthcare ManagementBachelor's in Public HealthBachelor's in Biological SciencesBachelor's in Data and Analytics

About CVS Health

cvshealth.com

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.