Top 58 Fraud Jobs in Brighton, Co

Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Denver, CO
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
Compliance Investigator
Prospect Infosys Inc —Denver, CO
- $105,100 - $105,200 a year
- Writing skills
- Master's degree
- Bachelor's degree
Quick Apply
Field Investigator (Full-Time & Part-Time) – Denver, CO
Origin Investigations Inc —Denver, CO
- $25 - $35 an hour
- Part-time
- Background check
- Military
- Computer literacy
Quick Apply
Security Services Investigative Specialist
Occidental Petroleum Corporation —Platteville, CO
- $103,200 - $141,900 a year
- Full-time
- Customer service
- Computer literacy
- 8 years
Compliance Investigator I: DORA/Colorado Division of Real Estate
State of Colorado —Denver, CO
- $4,955 - $6,440 a month
- Online Application
- Hybrid work
- Background check
- Doctoral degree
- Office
- Paid holidays
- Disability insurance
13d
Employment Investigator
DAVITA —Denver, CO
- $78,000 - $119,000 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Office
- Health insurance
- Dental insurance
Regulatory Compliance Officer
Partners Group —Broomfield, CO
- $130,000 - $160,000 a year
- Office
- 3 years
- Business development
- Disability insurance
- Health insurance
VP, Compliance
InnovAge —Denver, CO
- $200,000 - $240,000 a year
- Email
- Remote
- Microsoft Word
- Background check
- Clean driving record
- AD&D insurance
- Paid holidays
6d
Asset Protection Investigator
Neiman Marcus —Denver, CO
- $24.76 - $30.94 an hour
- Full-time
- Computer literacy
- Writing skills
- Conflict management
- Disability insurance
- Health insurance
Compliance Auditor
Denver Housing Authority —Denver, CO
- $78,000.26 - $97,500.74 a year
- Full-time
- Bachelor of Science
- Research
- Mid-level
- On-the-job training
Securities Fraud Investigator III (Criminal Investigator III) - DORA: Division of Securities Hybrid
State of Colorado —Denver, CO
- $6,176 - $7,408 a month
- Weekends as needed
- Hybrid work
- Background check
- Writing skills
- Office
- Paid holidays
- Disability insurance
3d
Internal Audit and Advisory Data Analyst
DAVITA —Denver, CO
- $57,784 - $85,000 a year
- Full-time
- Mid-level
- Office
- Scripting
- Health insurance
- Dental insurance
5h
Claims Audit Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)
Denver Health —Denver, CO
- $60,500 - $87,700 a year
- Full-time
- Hybrid work
- Microsoft Access
- Word processing
- Pass drug screening
- Paid parental leave
- Paid holidays
Private Investigator - Retired/Former Law Enforcement
Lemieux & Associates LLC —Denver, CO
- $25 - $30 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Mileage reimbursement
Quick Apply
6d
Criminal Investigator (Open to both U.S. Citizens and Federal Employees)
US National Highway Traffic Safety Administration —Lakewood, CO
- $127,829 - $187,093 a year
- Online Application
- Hybrid work
- Background check
- Writing skills
- Pass drug screening
4d
Part-Time SIU Investigator
The Robison Group —Denver, CO
- $25 - $30 an hour
- Part-time
- Background check
- 5 years
- Computer literacy
Quick Apply
Investigator (Rate/Financial Analyst II) - DORA: DOI Hybrid
State of Colorado —Denver, CO
- $5,736 - $7,453 a month
- Online Application
- Hybrid work
- Background check
- Google Workspace
- Doctoral degree
- Paid holidays
- Disability insurance
Analyst, Corp Compliance
DAVITA —Denver, CO
- $57,784 - $76,000 a year
- Full-time
- Hybrid work
- Mid-level
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
4d
Pharmacy Auditor
Judi Health —Denver, CO
- $64,000 - $80,000 a year
- Hybrid work
- Microsoft Excel
- 5 years
- Mid-level
Quick Apply
9h
Data Analytics Specialist (Audit) - Contracts & Supply Management
US Office of the Inspector General, USPS —Denver, CO
- $140,239 - $187,093 a year
- Online Application
- Hybrid work
- Azure
- CPA
- Computer Science
- Paid holidays
- Health insurance
11d

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fraud jobs near brighton, co

Investigator, Special Investigations Unit (Meritain Health)

CVS Health -
Denver, CO

Apply Now

Job Details

Full-time
$46,988 - $122,400 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Healthcare financial misconduct investigations
Claim investigation
Process audits
Spreadsheets
Research
Documentation tools
Insurance investigations
Productivity software
Healthcare ethical conduct investigations
Excel data analysis

Full 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.

Job Description

As an independently owned subsidiary of Aetna and CVS Health, Meritain Health is a leading third-party administrator of self-insured commercial health plans. The SIU Investigator will support Meritain Health’s Network Cost Management team, specifically the Special Investigations Unit (SIU).

The SIU Investigator will conduct 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.

The SIU Investigator:

Must be flexible to work EDT hours (8:00 am - 5 pm EDT).
Conducts investigations to effectively pursue the prevention, investigation, and prosecution of healthcare fraud and abuse, in order to recover lost funds, as well as to comply with state regulations mandating fraud plans and practices.
Conducts investigations of known or suspected acts of healthcare fraud and abuse.
Communicates with federal, state, and local law enforcement agencies as appropriate in matters pertaining to the prosecution of specific healthcare fraud cases.
Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc.
Facilitates the recovery of company and customer money lost as a result of fraud matters.
Provides input regarding controls for monitoring fraud related issues within the business units.
Delivers educational programs designed to promote deterrence and detection of fraud and minimize losses to the company
Maintains open communication with constituents internal and external to the company.
Uses available resources and technology in developing evidence, supporting allegations of fraud and abuse.
Researches and prepares cases for clinical and legal review.
Documents all appropriate case activity in tracking system.
Makes referrals and deconflictions, both internal and external, in the required timeframe.
Cost effectively manages use of outside resources and vendors to perform activities necessary for investigations.

Required Qualifications

3+ years of experience working in fraud, waste and abuse investigations and audits.
3+ years of experience in healthcare/medical insurance claims investigation or professional/clinical experience.
Demonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information.

Preferred Qualifications

Strong analytical and research skills.
Strong verbal and written communication skills.
Strong customer service skills.
Previous experience as a senior investigator.
Previous experience utilizing QuickBase.
Proficient in researching information and identifying information resources.
Ability to utilize company systems to obtain relevant electronic documentation.
Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.
Ability to interact with different groups of people at different levels and aid on a timely basis.
Previous experience working with a Third-Party Administrator (TPA) and/or Self-Funded Plans in an investigative capacity.
AHFI (Accredited Health Care Fraud Investigator), CFE (Certified Fraud Examiner), and/or CPC (Certified Professional Coder).
Knowledge of CVS/Aetna/Meritain Health’s policies and procedures

Education

Bachelor's Degree or equivalent work experience (high school diploma or GED + 4 years of relevant work experience).

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $122,400.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

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.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/28/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

fraud jobs in brighton, co

Investigator, Special Investigations Unit (Meritain Health)

Compliance Investigator

Field Investigator (Full-Time & Part-Time) – Denver, CO

Security Services Investigative Specialist

Compliance Investigator I: DORA/Colorado Division of Real Estate

Employment Investigator

Regulatory Compliance Officer

VP, Compliance

Asset Protection Investigator

Compliance Auditor

Securities Fraud Investigator III (Criminal Investigator III) - DORA: Division of Securities Hybrid

Internal Audit and Advisory Data Analyst

Claims Audit Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)

Private Investigator - Retired/Former Law Enforcement

Criminal Investigator (Open to both U.S. Citizens and Federal Employees)

Part-Time SIU Investigator

Investigator (Rate/Financial Analyst II) - DORA: DOI Hybrid

Analyst, Corp Compliance

Pharmacy Auditor

Data Analytics Specialist (Audit) - Contracts & Supply Management

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