- CVS Health (Richmond, VA)
- …day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known or ... in identifying resources and best course of action on investigations + Serves as back up to the Team...internal and external customers regarding healthcare fraud matters and Aetna 's approach to fighting fraud + Provides input regarding… more
- CVS Health (Topeka, KS)
- …experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit ( Aetna SIU ), dedicated to a specific self-funded ... plan sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). **Key Responsibilities**… more
- CVS Health (St. Paul, MN)
- …all with heart, each and every day. **Position Summary** - Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare ... state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud...as CPC (AAPC) and/or CCS (AHIMA) - Knowledge of Aetna 's policies and procedures - Ability to interact with… more