Government Careers

  • Lead/Senior Fraud Investigator

  • CVS Health
  • Santa Fe, New Mexico 87503 United States View Map

Summary

CVS 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 and multi-line complexity.The role requires strong data analysis, CPT/HCPCS/ICD-10 knowledge, and proficiency in Excel and Power BI. Travel up to 10% and collaboration with Medical Directors are essential elements of the position.#J-18808-Ljbffr

Job Description

CVS 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 and multi-line complexity.The role requires strong data analysis, CPT/HCPCS/ICD-10 knowledge, and proficiency in Excel and Power BI. Travel up to 10% and collaboration with Medical Directors are essential elements of the position.#J-18808-Ljbffr

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