Government Careers

  • Fraud Detection Lead Analyst II

  • CVS Health
  • Indianapolis, Indiana 46262 United States View Map

Summary

CVS Health is seeking a Fraud, Waste, and Abuse (FWA) Analyst II to identify and develop potential healthcare fraud leads through data mining, claims analysis, and investigative research. The role supports the SIU lead development process across providers, members, and facilities.The Analyst II uses claims data, business rules, and industry intelligence to assess potential FWA concerns and determine if they warrant formal investigation, requiring strong analytical skills and healthcare claims#J-18808-Ljbffr

Job Description

CVS Health is seeking a Fraud, Waste, and Abuse (FWA) Analyst II to identify and develop potential healthcare fraud leads through data mining, claims analysis, and investigative research. The role supports the SIU lead development process across providers, members, and facilities.The Analyst II uses claims data, business rules, and industry intelligence to assess potential FWA concerns and determine if they warrant formal investigation, requiring strong analytical skills and healthcare claims#J-18808-Ljbffr

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