Senior Healthcare Fraud Investigator
CVS Health
CVS Health is seeking a Senior Investigator for the Aetna Special Investigations Unit to lead complex healthcare fraud investigations on a national scale. You will conduct proactive data mining, analyze claims in depth, and collaborate with Medical Directors to determine clinical and legal actions. The role requires 3+ years of relevant experience, CPT/HCPCS/ICD10 knowledge, and strong MS Office skills including Excel and Power BI. Travel up to 10% may be needed. #J-18808-Ljbffr
Vacancy posted 8 hours ago
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