Talent.com
Oak St. Health
Investigator, Special Investigations Unit (Aetna SIU)Oak St. Health • Cheyenne, WY, US
No longer accepting applications
Investigator, Special Investigations Unit (Aetna SIU)

Investigator, Special Investigations Unit (Aetna SIU)

Oak St. Health • Cheyenne, WY, US
15 days ago
Salary
$43,888.00 yearly
Job type
  • Full-time
Job description

Join Us At CVS Health

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.

Position Summary

The Special Investigations Unit (SIU) Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with federal and state regulations mandating fraud plans and practices.

Required Qualifications

  • 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

Preferred Qualifications

  • Certified Professional Coder (CPC), AHFI, CFE
  • Bilingual English/Spanish
  • Dental investigative experience
  • Dental clinical experience
  • Knowledge of CDT and ADA
  • Commercial/Medicare experience
  • Strong communication and customer service skills and the ability to effectively interact with Aetna's customers.
  • Exercises independent judgment and uses available resources and technology to develop evidence in support of case investigations.

Education

  • Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $43,888.00 - $93,574.00

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full?time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well?being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Create a job alert for this search

Investigator, Special Investigations Unit (Aetna SIU) • Cheyenne, WY, US

Similar jobs

Delivery Driver - Sign Up in Minutes

DoorDashNunn, CO, United States

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a var... Show more

 • Promoted

Acquisition Specialist - State Farm Agent Team Member

Heidi Washburn - State Farm AgentCheyenne, WY, United States
Full-time

Acquisitions Specialist at Heidi Washburn - State Farm Agent.At Heidi Washburn, State Farm, we're here to help people protect what matters most.We take pride in serving our community with integrity... Show more

 • Promoted

Dedicated CDL A Driver Earn $112,055-Home Weekly! - Nunn, CO

Crete CarrierNunn, CO, US
Full-time

Crete Carrier offers home weekly with a Dedicated Walmart fleet.Top 50% average $112,055 per year.One-year verifiable tractor trailer experience with a class A CDL. Show more

 • Promoted

Access Control Officer WY (Top Secret)

CencoreCheyenne, WY, United States
Full-time

This full-time Access Control Officer position supports a high-security environment in Cheyenne, Wyoming.The role is responsible for controlling access to restricted areas, verifying credentials an... Show more

 • Promoted

Clinical Specialist II, Floater - Rockies Region

Boston ScientificCheyenne, WY, United States
Full-time

Clinical Specialist II, Floater - Rockies Region.Work mode: Field Based Territory: United States Additional Location(s): US-WY-Cheyenne; US-NE-Lincoln; US-NE-Omaha; US-NE-West/North Platte; US-SD-E... Show more

 • Promoted

Remote Product Tester - Flexible Studies

BuzzTestersEaton, CO
Remote
Full-time

Earn up to $400/week, depending on the number and type of studies you complete.Share honest feedback on products and services from independent brands.Assignments include short online surveys (10–20... Show more

 • Promoted

County Meter Reader

Meter ReaderPierce, CO
Full-time

Responsibilities The primary responsibility of this position is to read meters and record consumption of the water used, cleaning of meter boxes, and removal of vegetation impeding access to meters... Show more

 • Promoted

Senior Investigator DCI Wyoming Information Analysis Team (WIAT)

State of WyomingCheyenne, WY, United States
Full-time +1

HourlyLocation : Cheyenne, WYJob Type: Permanent Full-timeJob Number: 2026-00705Department: Attorney GeneralDivision: DCI OPSOpening Date: 03/10/2026Closing Date: ContinuousFLSA: Non-ExemptJob Clas... Show more

 • Promoted

92G Food Service Specialist

Army National GuardCheyenne, WY
Part-time

It takes energy to keep the Army National Guard marching on, and that’s where you take the lead.As a Food Service Specialist for the Guard, it’s your duty to provide the sustenance your fellow Sold... Show more

 • Promoted

Security & Law Enforcement (Master-at-Arms)

US NavyEaton, CO, US
Full-time

Security & Law Enforcement (Master-at-Arms).This role is open to both entry-level applicants and candidates with prior experience.Those with a background in Law Enforcement, Corrections/Parole, or ... Show more

 • Promoted

Order Picker

WalmartPierce, CO

As an Order Picker at Walmart, you will be responsible for accurately and efficiently selecting merchandise from storage locations to fulfill customer orders or replenish inventory for Walmart stor... Show more

 • Promoted

Border Patrol Agent (BPA) Experienced - New Hire Sign-On and Retention Incentives

U.S. Customs and Border ProtectionFox Farm-College, WY, US
Full-time

Border Patrol Agent (BPA) – in the Federal Security and Public Safety Sector Experienced (GL-9 GS-11).You love protecting your community and doing your part to keep our nation safe.But maybe you’re... Show more

 • Promoted

Experienced CDL A Drivers Needed for a Mid-South Regional-Earn $.61 to $.64 cpm - 21 Days Out -

Shaffer TruckingEaton, CO, US
Full-time

Shaffer Trucking offers a Regional for CDL A Drivers in the Midsouth 21 Days Out.One-year verifiable tractor trailer experience with a class A CDL. Show more

 • Promoted

Earn Side Money at Home Testing Products

Product Review JobsNUNN, CO, United States
Full-time

Compensation: Varies per assignment.Location: Remote (USA) Company: ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester.This opportunity is for completing market res... Show more

 • Promoted

Court Security Officer, Cheyenne, WY

Walden SecurityCheyenne, WY, United States
Full-time

Walden Security is currently offering a sign on bonus of $1000 paid after 90 days on the contract.They are recruiting experienced Court Security Officers.CSOs will provide armed security to courtho... Show more

 • Promoted

A Calling Like No Other

U.S. Marine CorpsRanchettes, WY, US
Full-time

Those who put others before themselves.Who can rise up in the face of danger.This country we call home has been our haven of safety for 250 years.And it's up to us to keep it that way.There's a goo... Show more

 • Promoted

Access Control Officer WY - Part-Time (Top Secret)

CencoreCheyenne, WY, United States
Full-time +1

This full-time Access Control Officer position supports a high-security environment in Cheyenne, Wyoming and is intended to provide coverage for scheduled shifts, weekends, holidays, or other staff... Show more

 • Promoted

Online Survey Taker. Earn up to $25 per survey. - Remote - Ault

Earn HausAult, Colorado, United States
Remote
Full-time +1

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up... Show more

 • Promoted

Investigator, Special Investigations Unit (Aetna SIU)

Oak St. HealthCheyenne, WY, United States
Full-time

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 c... Show more

 • Promoted

Delivery Driver

DoorDashNunn, CO, United States

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a var... Show more