[Remote-Position] Analyst, Special Investigative Unit - Remote

Remote Full-time
We're looking for a high-impact individual to join our team as a Analyst, Special Investigative Unit - Remote! We offer a flexible, hybrid Remote arrangement for this position. This position requires a strong and diverse skillset in relevant areas to drive success. The salary for this position is set at a competitive salary. Â Â Overview

The Analyst in the Special Investigative Unit at CVS Health is responsible for conducting investigations to prevent, detect, and prosecute healthcare fraud, waste, and abuse, while working from home anywhere in the United States.

In Short
• Conduct investigations of healthcare fraud, waste, and abuse.
• Communicate with law enforcement agencies regarding fraud cases.
• Investigate and prevent payment of fraudulent claims.
• Facilitate recovery of monetary losses.
• Deliver educational programs on fraud detection.
• Maintain communication with internal and external constituents.
• Research and prepare cases for review.
• Document case activities in tracking systems.
• May require travel for court testimony or training.
• Exhibit behaviors outlined in Employee Competencies.
Requirements
• 1-3 years of investigative experience in healthcare fraud.
• Strong knowledge of medical terminology and coding.
• Advanced skills in Microsoft Excel.
• Experience in healthcare claims investigation.
• Background with law enforcement or professional investigation.
• Strong analytical and research skills.
• Proficient in Microsoft Office and database search tools.
• Strong verbal and written communication skills.
• Strong customer service skills.
• Ability to interact with various groups effectively.
Benefits
• Full range of medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Employee Stock Purchase Plan.
• Fully-paid term life insurance.
• Short-term and long-term disability benefits.
• Well-being programs and education assistance.
• Paid Time Off (PTO) and paid holidays.
• Discount programs with participating partners.
• Access to free development courses.
• Company culture focused on caring for colleagues and communities. Apply Job! Your Future Starts HereDon't miss out on this exciting role. We are looking forward to hearing from you. Apply now!

Apply Now
Apply Now

Similar Opportunities

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote Full-time

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote Full-time

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote Full-time

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote Full-time

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote Full-time

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote Full-time

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote Full-time

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote Full-time

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote Full-time

USPS Office Helper

Remote Full-time

Experienced Part Time Remote Review Writer and Game Tester – Hiring Passionate Gamers for Flexible, Work-From-Home Opportunity

Remote Full-time

Temporary Remote Customer Service Representative

Remote Full-time

Southwest Airlines Data Entry Job At Home - No Experience

Remote Full-time

Remote Online Chat Associate – No Prior Experience Required

Remote Full-time

Freelance Animator – Book Trailer Cinematic

Remote Full-time

Remote Architecture and Interior Design Internship

Remote Full-time

Experienced Customer Service and Data Entry Specialist for Remote Part-Time Opportunities at blithequark

Remote Full-time

**Experienced Customer Support Representative - Work From Home Opportunity at arenaflex**

Remote Full-time

Call Center Agent

Remote Full-time

[Hiring] Genetic Counselors @Everlywell

Remote Full-time
← Back to Home