Government Careers

  • SIU Investigator

  • CVS Health
  • Brooklyn, New York 11210 United States View Map

Summary

CVS Health is seeking a Senior Investigator for the Aetna Special Investigations Unit to conduct high-level investigations into healthcare fraud and abuse. You will perform data mining, analyze claims data for aberrancies, and prepare cases for clinical and legal review.The role requires 3+ years in healthcare fraud investigations, knowledge of CPT/HCPCS/ICD-10, and strong Excel/Power BI skills. Domestic travel up to 10% may be required; the position offers a comprehensive benefits package.#J-18808-Ljbffr

Job Description

CVS Health is seeking a Senior Investigator for the Aetna Special Investigations Unit to conduct high-level investigations into healthcare fraud and abuse. You will perform data mining, analyze claims data for aberrancies, and prepare cases for clinical and legal review.The role requires 3+ years in healthcare fraud investigations, knowledge of CPT/HCPCS/ICD-10, and strong Excel/Power BI skills. Domestic travel up to 10% may be required; the position offers a comprehensive benefits package.#J-18808-Ljbffr

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