Special Investigations Unit Senior Investigator (Aetna SIU)
Clinical Careers Page(7 days ago)
About this role
A Senior Investigator at CVS Health conducts complex investigations of healthcare fraud and abuse, often involving high-profile or sensitive cases. The role focuses on preventing fraudulent claims, researching and preparing cases, collaborating with law enforcement, and providing guidance and training to team members.
Required Skills
- Investigation
- Healthcare Fraud
- Data Mining
- Medical Coding
- Legal Knowledge
- Excel
- Research
- Communication
- Teamwork
- Law Enforcement
Qualifications
- Bachelor's Degree
- 3-5 Years Investigative Experience
- CFE Certification
- AHFI Accreditation
About Clinical Careers Page
cvshealth.comCVS 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.
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