Analyst - Special Investigation Unit

4 days ago

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Logo of CVS Health

CVS Health

Retail • Pharmacy Benefits Management • Health Insurance • Health Care • Pharmacy

10,000+

Description

• Conduct investigations of healthcare/disability fraud and communicate with law enforcement agencies. • Facilitate recovery of money lost due to fraud and provide input on monitoring controls. • Deliver educational programs to deter and detect fraud, maintain communication with stakeholders. • Use technology to gather evidence, prepare cases for clinical and legal review, document activities.

Requirements

• 2 + years of experience with investigations. • Preferred: Healthcare/insurance investigation experience. • Education: Bachelor's Degree or equivalent work experience.

Benefits

• Full range of medical, dental, and vision benefits. • Eligible employees may enroll in the Company’s 401(k) retirement savings plan. • Employee Stock Purchase Plan is also available for eligible employees. • Fully-paid term life insurance plan to eligible employees. • Short-term and long-term disability benefits. • Numerous well-being programs. • Education assistance and free development courses. • CVS store discount and discount programs with participating partners. • Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year.

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