CVS Health
Investigator, Special Investigations Unit (Aetna SIU)
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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.
At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
The Special Investigations Unit (SIU) Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with federal and state regulations mandating fraud plans and practices.
Required Qualifications
- 1-3 years of investigative experience in the area of healthcare fraud, waste and abuse.
- 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.
Preferred Qualifications
- Certified Professional Coder (CPC), AHFI, CFE
- Bilingual English/Spanish
- Dental investigative experience
- Dental clinical experience
- Knowledge of CDT and ADA
- Commercial/Medicare experience
- Strong communication and customer service skills and the ability to effectively interact with Aetna's customers.
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Education
Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is: $43,888.00 - $93,574.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.
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Application Window
We anticipate the application window for this opening will close on: 08/22/2026
Equal Employment Opportunity
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Our Work Experience
is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.
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