CVS Health
Senior Investigator, Special Investigations Unit (Aetna SIU)
$47K–$112K
Hartford-Farmington Ave Rogers +47 · Remote/Hybrid · Senior · Full-time · Posted Sep 17, 2026
- Location
- Hartford-Farmington Ave Rogers
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Work At Home-Delaware - Experience
- 3-5 years of healthcare fraud investigations experience.
- Education
- Bachelor's degree in Criminal Justice, Biological Science, Law, Healthcare Administration, or Health Information Management or equivalent experience.
About the job
Investigates complex dental-provider cases to prevent, investigate, and support prosecution of healthcare Fraud, Waste and Abuse.
What you'll do
- Analyze dental providers and practices; prepare evidence and cases for clinical, legal, and leadership review.
- Document investigations, make timely internal and external referrals, and collaborate with law enforcement and the Dental Network.
- Provide testimony and presentations, and advise on controls for monitoring Fraud, Waste and Abuse.
What they ask for
- 3-5 years of healthcare fraud investigations experience.
- Experience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research.
- Ability to travel for business purposes and legal proceedings.
- Proficient in data analysis and research; knowledge of Medical Terminology.
Nice to have
- CFE or AHFI credentials; bilingual in English/Spanish.
- Clinical or FWA Dental experience.
Pay
$46,988.00 - $112,200.00 (base hourly rate or base annual full-time salary; the posting does not specify a currency code).
Tools
Microsoft Word, Excel, Outlook, open source database search tools, social media, internet research
Model-written summary · the original posting is authoritative