CVS Health
10,000+ employees
Founded 1963
⚕️ Healthcare Insurance
🛒 Retail
🧘 Wellness
Healthcare Insurance • Retail • Wellness
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
🔥 30 minutes ago
🗣️🇪🇸 Spanish Required
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CVS Health
10,000+ employees
Founded 1963
⚕️ Healthcare Insurance
🛒 Retail
🧘 Wellness
Healthcare Insurance • Retail • Wellness
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.
📋 Description
• Conduct investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse • Recover lost funds • Comply with federal and state regulations mandating fraud plans and practices
🎯 Requirements
• 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 • Certified Professional Coder (CPC), AHFI, CFE preferred • Bilingual English/Spanish preferred • Dental investigative experience preferred • Dental clinical experience preferred • Knowledge of CDT and ADA preferred • Commercial/Medicare experience preferred • Strong communication and customer service skills
🏖️ Benefits
• Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Comprehensive benefits package based on eligibility
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