Top 77 Investigator Jobs in Oklahoma City, Ok

Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma
CVS Health —Oklahoma
- $43,888 - $76,500 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- Residential
- Health insurance
- Dental insurance
12d
Fraud and Abuse Investigator / CPC - Remote
Sentara Workforce Solutions, LLC —Bethany, OK
- $25.60 - $42.67 an hour
- Overtime
- Remote
- Mid-level
- Bachelor's degree
- 2 years
- 403(b) matching
- Paid parental leave
Quick Apply
2d
Background Investigator I/II/III
Oklahoma Human Services —Oklahoma City, OK
- $43,410.00 - $51,331.28 a year
- Full-time
- Background check
- Mid-level
- Office
Quick Apply
Private Investigator
Photofax, Inc —Oklahoma City, OK
- $25 - $30 an hour
- Overtime
- Clean driving record
- No experience needed
- High school diploma or GED
- Travel reimbursement
- Health insurance
Quick Apply
Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Oklahoma City, OK
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
Surveillance Investigator
Frasco Inc —Oklahoma City, OK
- $20 - $26 an hour
- Part-time
- Clean driving record
- Military
- Writing skills
- Paid training
- Mileage reimbursement
Forensic Scientist II - DNA Lab - City
City of Oklahoma City —Oklahoma City, OK
- $517 an hour
- Weekends as needed
- Background check
- Laboratory
- 5 years
- Health insurance
- Opportunities for advancement
3d
Contract Investigative Technician
ADC LTD NM —Oklahoma City, OK
- Contract
- Mid-level
Quick Apply
Forensic Scientist II - DNA Lab - City
The City of Oklahoma City —Oklahoma City, OK
- $37.61 - $57.53 an hour
- Weekends as needed
- Background check
- Laboratory
- 5 years
- Health insurance
- Opportunities for advancement
3d
Financial Investigator
Ruchman and Associates, Inc. —Oklahoma City, OK
- Mid-level
- High school diploma or GED
- US work authorization
Quick Apply
5d
BSA Investigations Analyst II
STRIDE BANK NA —Oklahoma City, OK
- Full-time
- Research
- Mid-level
- Office
9d
Criminalist
The State of Oklahoma —Oklahoma County, OK
- $68,122.50 - $93,587.00 a year
- Overtime
- Laboratory
- Management
- Basic math
5d
Surveillance Investigator - Part Time
Allied Universal® Compliance and Investigations —Oklahoma City, OK
- $21 - $25 an hour
- Part-time
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
Research Technician
University of Oklahoma —Oklahoma City, OK
- Up to $18.26 an hour
- Monday to Friday
- Background check
- No experience needed
- Bachelor's degree
Grants & Project Coordinator
Oklahoma Medical Research Foundation —Oklahoma City, OK
- Full-time
- Mid-level
- Experience equivalent to degree accepted
- Communication skills
- Free parking
- Paid holidays
Surveillance Investigator I - Entry Level
Command Investigations, LLC —Oklahoma City, OK
- $20 - $25 an hour
- 8 hour shift
- Microsoft Word
- Clean driving record
- Customer service
- Health insurance
- Dental insurance
Quick Apply
2d
SIU Claims Investigator
Lemieux & Associates LLC —Oklahoma City, OK
- $25 - $32 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Flexible schedule
Quick Apply
12d
Surveillance Investigator II - Experienced
Command Investigations, LLC —Oklahoma City, OK
- $25 - $30 an hour
- 8 hour shift
- Microsoft Word
- Clean driving record
- Customer service
- Health insurance
- Dental insurance
Quick Apply
2d
Staff Research Assistant
University of Oklahoma —Oklahoma City, OK
- $38,700 - $45,000 a year
- Monday to Friday
- Background check
- Computer Science
- Travel
Research Technician I/II/III/IV - Lessard Lab
Oklahoma Medical Research Foundation —Oklahoma City, OK
- Overtime
- Bachelor of Science
- Mid-level
- Free parking
- Paid holidays

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Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma

CVS Health -
Oklahoma

Apply Now

Job Details

Full-time
$43,888 - $76,500 a year
12 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Healthcare financial misconduct investigations
Data mining
Fraud Detection Systems
Data analysis software

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 is responsible for thoroughly investigating any allegations of Medicaid healthcare fraud, waste, or abuse in accordance with federal and state regulation. This position will be responsible for collaborating with Compliance, State Medicaid Plans, Health Plans, and Coding teams.

Oklahoma residence required.

Review concern/allegation, develop an investigation plan, identify additional information needed, and individuals to interview.
Manage an active caseload ensuring timely and thorough task completions while adhering to legal and organizational standards.
Interview healthcare providers, patients/members, and others to gather information pertinent to the investigation.
Use data analytics and software tools to analyze billing patterns, identify anomalies, and detect suspicious activities.
Use medical records, billing data, and coding systems to ensure compliance with regulations and code requirements.
Partner with the Senior Investigator, as needed, to support FWA case activities and ensure alignment on investigative strategy and next steps.
Partner with the Clinical team to support pre-payment and post-payment coding reviews.
Collaborate with SIU Compliance and PI Managers for specific state requirements and deliverables.
Refer cases to law enforcement and regulatory agencies as required by state plans.
Coordinate with internal legal teams to review findings, case outcomes, prepare evidence for potential court cases or administrative hearings.
Prepare comprehensive investigation reports that document fact findings and provide recommendations for appropriate corrective action outcomes.
Maintain and document accurate records of all investigations, including evidence collected, interviews, and outcomes.
Monitor and promote healthcare provider adherence to applicable federal and state requirements, as well as payer billing and claims guidelines.
Communicate case outcomes to healthcare providers and complete follow-up outreach as needed.

Required Qualifications

Must reside in Oklahoma.
Experience in working healthcare investigations.
2 years of experience in healthcare fraud investigation.
Experience with using fraud, waste, and abuse (FWA) detection tools and enterprise databases to support data mining, analysis, and information gathering.
Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.

Preferred Qualifications

Credential(s) such as Certified Fraud Examiners (CFE) and National Health Care Anti-Fraud Association (AHFI).
3+ years Medicaid Fraud, Waste and Abuse investigatory experience.
Coding certification such as CPC (AAPC) and/or CCS (AHIMA).
Knowledge of Behavioral Health care delivery, policies and procedures, and contractual implications.
Knowledge of healthcare laws, regulations, and CPT/HCPCS coding.
Strong analytical and investigative skills.
Strong communication skills needed for interviewing and presentations to Health Plans and State Regulators.
Strong documentation/writing skills needed for presentations and case documentation.

Education

Bachelor’s degree in criminal justice, healthcare administration, accounting, or a 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 - $76,500.00

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: 07/25/2026

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

investigator jobs in oklahoma city, ok

Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma

Fraud and Abuse Investigator / CPC - Remote

Background Investigator I/II/III

Private Investigator

Investigator, Special Investigations Unit (Meritain Health)

Surveillance Investigator

Forensic Scientist II - DNA Lab - City

Contract Investigative Technician

Forensic Scientist II - DNA Lab - City

Financial Investigator

BSA Investigations Analyst II

Criminalist

Surveillance Investigator - Part Time

Research Technician

Grants & Project Coordinator

Surveillance Investigator I - Entry Level

SIU Claims Investigator

Surveillance Investigator II - Experienced

Staff Research Assistant

Research Technician I/II/III/IV - Lessard Lab

I want to receive the latest job alert for investigator in oklahoma city, ok

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