CVS Health
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
đź›’ Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
Investigator, Special Investigations Unit
Job not on LinkedIn
đź•’ June 19
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CVS Health
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
đź›’ Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
đź“‹ Description
• thoroughly investigating any allegations of Medicaid healthcare fraud, waste, or abuse. • collaborating with Compliance, State Medicaid Plans, Health Plans, and Coding teams. • developing an investigation plan and gathering pertinent information. • managing an active caseload ensuring timely task completions and compliance. • interviewing healthcare providers, patients/members, and others.
🎯 Requirements
• Must reside in Oklahoma. • Experience in working healthcare investigations. • 2 years of experience in healthcare fraud investigation. • Experience with using fraud, waste, and abuse (FWA) detection tools and enterprise databases to support data mining, analysis, and information gathering. • Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.
🏖️ Benefits
• medical coverage • dental coverage • vision coverage • paid time off • retirement savings options • wellness programs
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