Special Investigations Unit Senior Investigator (Must Reside in LA)

Clinical Careers Page(1 month ago)

Los Angeles, CAOnsiteFull TimeSenior$46,988 - $91,800Fraud Investigations

About this role

The Senior Investigator at CVS Health conducts high-level investigations into suspected healthcare fraud and abuse focused on Medicaid lines of business, working within Louisiana. The role serves as an experienced subject matter resource, collaborating with internal stakeholders and external law enforcement while supporting case development and review.

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Required Skills

Healthcare Investigations
Medical Coding
Excel
Data Analysis
Research
Communication
Case Documentation
Data Mining
Legal Coordination
Presentation

Qualifications

Louisiana Residency Required
Bachelor's Degree
CFE
AHFI Accreditation

About Clinical Careers Page

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.

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