• Special Investigation Unit Lead Review…

    CVS Health (Harrisburg, PA)
    …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... Outlook products, Database search tools, and use in the Intranet/Internet to research information. * Strong communication and customer service skills. * Ability to… more
    CVS Health (08/20/25)
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  • Renewal and Reporting Analyst

    CVS Health (Harrisburg, PA)
    …setup, essential for online viewing and processing, related to customer service, claims , enrollment, billing, and reporting, in support of internal and external ... + Previous experience with various data systems, including DOS systems. + Ability to research and look beyond the first right answer to find the root of a… more
    CVS Health (08/30/25)
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  • Senior Analyst , Special Investigative Unit

    CVS Health (Harrisburg, PA)
    …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... Outlook products, open source database search tools, social media and internet research . + Ability to Travel for Business purposes. **Preferred Qualifications** +… more
    CVS Health (08/24/25)
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  • Lead Decision Scientist, Analytics

    CVS Health (Blue Bell, PA)
    …economic value. We offer collaborative resources across CVS to promote forward-looking research into real-world outcomes and the realities of therapeutic use in ... institutions, and other health insurance companies. The SS&C team conducts descriptive research , medical chart review validations, and pragmatic research using… more
    CVS Health (08/27/25)
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