Top 3 Medicare fraud Jobs in Columbus

Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Columbus, OH
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Regional Director of Therapy Services
PACS —Alexandria, OH
- Full-time
- CPR Certification
- Doctoral degree
- BLS Certification
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Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Columbus, OH
The Special Investigations Unit (SIU) Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare…
$43,888 - $93,574 a year
Regional Director of Therapy Services
PACS —Alexandria, OH
Must maintain a license in good standing at all time with the state board. Assist facilities in achieving survey excellence by taking part in facility mock…
Quick Apply

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Investigator, Special Investigations Unit (Aetna SIU)

CVS Health -
Columbus, OH

Apply Now

Job Details

Full-time
$43,888 - $93,574 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Microsoft Word
Healthcare financial misconduct investigations
Customer communication
Microsoft Excel
Microsoft Outlook
Research
Suspicious activity investigations
Healthcare billing investigations
Insurance investigations
Legal support investigation

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.

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

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $93,574.00

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: 08/22/2026

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

Apply Now

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medicare fraud jobs in columbus

Investigator, Special Investigations Unit (Aetna SIU)

Regional Director of Therapy Services

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