Top 17 Administrator/sr research Jobs in Columbus

Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Columbus, OH
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
Health Information Management Specialist
Equitas Health, Inc. —Columbus, OH
- Weekends as needed
- Hybrid work
- HIPAA
- Research
- Mid-level
Quick Apply
Right of Way Records Specialist-Right of Way Records Senior
Ohio Power Company —Gahanna, OH
- $54,063.00 - $93,188.50 a year
- Full-time
- Microsoft Excel
- Research
- Mid-level
- Tuition reimbursement
2d
IT Tech Lead - Senior PACS Administrator
OhioHealth —Columbus, OH
- Full-time
- Computer science
- 7 years
- Computer Science
Senior Unix Administrator
Enterprise Solutions & Management Corporation —Columbus, OH
- $120,000 - $125,000 a year
- Full-time
- Azure
- 5 years
- Research
Quick Apply
Credit Administrator
Peoples Bank —Worthington, OH
- Full-time
- Mid-level
- Office
- 3 years
- Employee stock purchase plan
- Paid holidays
Senior Project Manager - Psychiatry
The Ohio State University —Columbus, OH
- Full-time
- Background check
- 6 years
- Psychiatry
Senior Career Counselor
The Ohio State University —Columbus, OH
- $51,500 - $67,250 a year
- Full-time
- Background check
- Pass drug screening
- Employment & labor law
Senior Project Manager - Psychiatry
The Ohio State University Wexner Medical Center —Columbus, OH
- Online Application
- Background check
- 6 years
- Psychiatry
Health Physics Supervisor (PNs 20013929 & 20013940)
State of Ohio - Health —Columbus, OH
- $40.40 - $42.70 an hour
- Weekends as needed
- Background check
- Public speaking
- Team management
- Paid holidays
- Health insurance
10d
Cloud Security Senior Consultant - M365
Deloitte —Columbus, OH
- Full-time
- Computer Science
- Up to 50% travel
- Bachelor of Science
Police Officer
City of Whitehall, OH —Whitehall, OH
- $36.52 - $53.60 an hour
- Overtime
- Computer literacy
- Basic math
- Research
- Health insurance
- Dental insurance
Theranostics Program Manager
The Ohio State University Wexner Medical Center —Columbus, OH
- Online Application
- Background check
- Pass drug screening
- Clinic experience
Service Line Administration Senior Analyst - Outpatient Care Powell
The Ohio State University Wexner Medical Center —Powell, OH
- Online Application
- Background check
- Nursing
- Pass drug screening
Sr. Compensation Analyst
Northwest Bank —Columbus, OH
- Full-time
- 5 years
- Research
- Office
- Employee stock purchase plan
Quick Apply
Manager of Retirement Services
Northwest Bank —Columbus, OH
- Full-time
- Research
- Office
- Bachelor's degree
- 401(k)
Quick Apply

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Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Columbus, OH
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Investigator, Special Investigations Unit (Meritain Health)

CVS Health -
Columbus, OH

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

administrator/sr research jobs in columbus

Investigator, Special Investigations Unit (Meritain Health)

Health Information Management Specialist

Right of Way Records Specialist-Right of Way Records Senior

IT Tech Lead - Senior PACS Administrator

Senior Unix Administrator

Credit Administrator

Senior Project Manager - Psychiatry

Senior Career Counselor

Senior Project Manager - Psychiatry

Health Physics Supervisor (PNs 20013929 & 20013940)

Cloud Security Senior Consultant - M365

Police Officer

Theranostics Program Manager

Service Line Administration Senior Analyst - Outpatient Care Powell

Sr. Compensation Analyst

Manager of Retirement Services

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