Investigator, Special Investigations Unit

CVS Health

Investigator for CVS Health's Special Investigations Unit addressing healthcare fraud and abuse. Conducting investigations, recovering lost funds and ensuring compliance with regulations.

Posted 7/9/2026full-timeRemote • Connecticut, Idaho, Vermont • 🇺🇸 United StatesMid-LevelSenior💰 $43,888 - $93,574 per yearWebsite

Tech Stack

Tools & technologies

Open Source

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs
Comprehensive benefits package based on eligibility

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Investigative TechniquesFraud PreventionData RecoveryHealthcare ComplianceDatabase Search ToolsSocial Media ResearchInternet ResearchDental Investigative ExperienceCommercial/Medicare Experience

Soft Skills

Customer Service SkillsStrong Communication

Certifications

Certified Professional Coder (CPC)AHFICFE