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Senior Investigator, Special Investigations Unit (Aetna SIU)

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CVS Health
📍 Work At Home, United States
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Location Work At Home
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Posted June 26, 2026
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Commute Local Area
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Local Opportunity Near You!

This job is in your area. Enjoy a short commute and work close to home.

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Job Description

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.

The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices.

**What you will do**
- Routinely handles complex cases involving behavioral health or multi-disciplinary provider groups in a prepayment environment
- Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc.
- Researches and pr...

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📍 Location Details

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City
Work At Home
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Country
United States
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Commute
Local Area

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