Senior Investigator, Special Investigations Unit (Healthcare)
cvs healthKansas City, MO
Senior Investigator, Special Investigations Unit (Healthcare)
L5
cvs healthKansas City, MOyesterday
Occupations
Fraud Examiners, Investigators and AnalystsClaims Adjusters, Examiners, and InvestigatorsDetectives and Criminal InvestigatorsIndustries
Direct Health and Medical Insurance CarriersInvestigation and Personal Background Check ServicesGeneral Medical and Surgical HospitalsCVS Health is seeking a Senior Investigator for the Aetna Special Investigations Unit to conduct high-level investigations of healthcare fraud and abuse with national scope. You will independently research, analyze claims data, and prepare cases for clinical and legal review. The role requires 3+ years in healthcare fraud investigations, CPT/HCPCS/ICD-10 coding knowledge, and strong communication skills. Travel up to 10% and collaboration with Medical Directors are expected.
Apply now
Level
SeniorL5
Location
Kansas City, MO
Occupation
Fraud Examiners, Investigators and Analysts
Industry
Direct Health and Medical Insurance Carriers
Posted
yesterday
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