Job Title: Remote SIU Senior Investigator - Join Our Dynamic Team and Make a Difference in Healthcare

Remote Full-time
Embark on a rewarding career journey with CVS Health as a SIU Senior Investigator, where you'll play a vital role in preventing healthcare fraud, waste, and abuse. As a key member of our team, you will conduct high-level, complex investigations, collaborate with federal, state, and local law enforcement agencies, and drive success through your expertise and strong work ethic. With a competitive salary range of $46,988.00 - $122,400.00 and a comprehensive benefits package, you'll enjoy a fulfilling career with a company that prioritizes your well-being and growth. At CVS Health, our purpose is to bring heart to every moment of our customers' healthcare journeys. We're committed to delivering enhanced, human-centric healthcare solutions that make a meaningful difference in people's lives. As an SIU Senior Investigator, you will be instrumental in helping us achieve this mission by: • Conducting thorough investigations of suspected healthcare fraud, waste, and abuse • Researching and preparing cases for clinical and legal review • Documenting case activity and preparing written case summaries • Collaborating with law enforcement agencies to prevent and prosecute healthcare fraud • Providing trial testimony and presenting case findings to internal and external stakeholders To succeed in this role, you'll need: • 3-5 years of investigative experience in healthcare fraud, waste, and abuse • Strong communication and customer service skills • Proficiency in Microsoft Office and open-source database search tools • A bachelor's degree in Criminal Justice or a related field • Ability to travel for business purposes Preferred qualifications include certifications like Certified Professional Coder (CPC), AHFI, or CFE, as well as a foundational understanding of Self-Insured Customer Operations. In addition to your competitive salary and benefits package, you'll enjoy a range of perks, including: • Comprehensive medical, dental, and vision benefits • 401(k) retirement savings plan and Employee Stock Purchase Plan • Term life insurance, short-term and long-term disability benefits • Well-being programs, education assistance, and free development courses • CVS store discount and discount programs with participating partners • Paid Time Off (PTO) or vacation pay, as well as paid holidays We're an equal opportunity and affirmative action employer, committed to diversity and inclusion in all aspects of our business. If you're passionate about making a difference in healthcare and have a strong investigative background, we encourage you to apply for this exciting opportunity. Ready to join our team and start making a difference? Apply now and let's build the future of healthcare together! Apply for this job Apply tot his job
Apply Now →

Similar Jobs

Sales Manager - SMB Outbound Sales

Remote Full-time

Staff Physician (Part Time) - Student Health Center

Remote Full-time

Patient Safety Attendant – Part Time – Days in Vernon, IL – (job id: 1682752536)

Remote Full-time

Patient Services Rep (PER DIEM)

Remote Full-time

Central Authorization Specialist II - PRN

Remote Full-time

Telemetry Technician - Virtual Command Center

Remote Full-time

Telemetry Technician - Part-time

Remote Full-time

Telemetry Technician (FSS: 7p-7a) (Lafayette)

Remote Full-time

RN Telemetry/Med Surg - IST (Travel Team)

Remote Full-time

Travel Nurse RN - Telemetry - $2,350 per week

Remote Full-time

Experienced Full Stack Staff Software Engineer – Cloud Infrastructure Development and Optimization for High-Performance Computing and Machine Learning Applications at arenaflex

Remote Full-time

Experienced Remote Data Entry Specialist for JetBlue Airlines - Part-Time Home-Based Opportunity in Data Management and Administration

Remote Full-time

Director, Clinical Informatics/Associate Privacy Officer in Plano, TX – (job id: 1681286371)

Remote Full-time

(RN or LPN) Telephonic Nurse Clinical Reviewer – eviCore – Remote in Bloomfield, CT

Remote Full-time

Staff Software Engineer

Remote Full-time

**Experienced Full Stack Java Software Engineer – Customer Systems Development at blithequark**

Remote Full-time

Experienced Remote Customer Service and Chat Support Representative – Temporary Part-Time Opportunity for Holiday Season

Remote Full-time

**Experienced Remote Sales Customer Representative – Driving Revenue Growth and Exceptional Customer Experiences at blithequark**

Remote Full-time

Secretary (Unit Secretary)

Remote Full-time

Experienced Remote Customer Support Specialist – Delivering Exceptional Service to Pet Parents at blithequark

Remote Full-time
← Back to Home