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

Remote, USA 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 tot his job
Apply Now

Similar Jobs

Remote Data Entry Clerk / Specialist (Day and Night Shift)

Remote, USA Full-time

IT Support Specialist - L2 (3rd Shift & Weekends)

Remote, USA Full-time

Loss Prevention Officer Overnight Third Shift

Remote, USA Full-time

Security Officer - Third Shift (Night Shift)

Remote, USA Full-time

PATIENT COORDINATOR (REMOTE/NON-CLINICAL) ACCESSNURSE 1/13/25

Remote, USA Full-time

Cigna – Program Analyst – Medical Oncology – Work from Home – EviCore – Bloomfield, CT

Remote, USA Full-time

Medical Support Assistant

Remote, USA Full-time

Copywriter

Remote, USA Full-time

Remote Night Shift Monitor Technician I – Inpatient Monitoring Care Unit (IMCU) – Full‑Time Telemetry Specialist at Memorial Healthcare System

Remote, USA Full-time

WFH Game Tester – Entry Level / No Experience

Remote, USA Full-time

Experienced Customer Service Representative Supervisor – Team Leadership and Customer Satisfaction Expertise for blithequark Amazon Store Operations

Remote, USA Full-time

VP, Finance | Veeam Software | Remote (USA)

Remote, USA Full-time

**Experienced Conversational AI Trainer and Data Entry Specialist – AI Development and Chatbot Training ($20+/hr) – Remote Opportunity**

Remote, USA Full-time

Services Software Consultant

Remote, USA Full-time

HR GENERALIST - United Airlines Lounges - DENVER, CO in Denver, CO

Remote, USA Full-time

Manager Strategy - Customer Experience - Remote

Remote, USA Full-time

Remote Data Entry Specialist - Entry Level Opportunity at Amazon in Bolivia: Join Our Team as a Customer-Obsessed Data Entry Professional

Remote, USA Full-time

Experienced Remote Customer Service Representative – Providing Exceptional Support via Phone, Chat, and Email

Remote, USA Full-time

Full-Time Delivery Associate

Remote, USA Full-time

[Remote] Real Estate Agent (Kelley Blue Book Homes) - All Locations

Remote, USA Full-time
Back to Home