Top 23 Fraud investigator Jobs in Scottsdale Az

Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Phoenix, AZ
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
4d
Criminal Investigator (Internal Affairs)
US Interior, Bureau of Indian Affairs —Phoenix, AZ
- $91,985 - $125,090 a year
- Multiple hires
- Background check
- Clean driving record
- Writing skills
20h
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Phoenix, AZ
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
5d
Financial Crimes SAR Quality Control & Training Associate
Edward Jones —Tempe, AZ
- $101,700 - $173,200 a year
- Full-time
- Hybrid work
- 6 years
- Office
- Analysis skills
- Profit sharing
- Health savings account
Fraud Specialist
Prosper —Phoenix, AZ
- $22.50 an hour
- Email
- Hybrid work
- Mid-level
- High school diploma or GED
- Fair chance
- Paid parental leave
- Health insurance
Quick Apply
Program Integrity Investigator (Healthcare Fraud Waste & Abuse)
TriWest Healthcare Alliance —Phoenix, AZ
- $64,000 - $68,000 a year
- Full-time
- Research
- Mid-level
- High school diploma or GED
- AD&D insurance
- Disability insurance
GFC Investigator (Brokerage - AML)
Bank of America —Phoenix, AZ
- $68,500 - $102,000 a year
- Full-time
- 5 years
- Writing skills
- Office
Surveillance Operations Manager - Private Investigator
Lemieux & Associates LLC —Phoenix, AZ
- $60,000 - $65,000 a year
- Full-time
- Remote
- Supervising experience
- Team management
- Travel
- Disability insurance
Quick Apply
Asset Protection Investigator
Neiman Marcus —Scottsdale, AZ
- $21.53 - $26.91 an hour
- Full-time
- Computer literacy
- Writing skills
- Conflict management
- Disability insurance
- Health insurance
SIU Investigator (Part-Time)
VRC Investigations —Phoenix, AZ
- $30 - $35 an hour
- Part-time
- Customer service
- 5 years
- Military
- Profit sharing
- Paid training
Quick Apply
Surveillance Agent
Marshall Investigative Group —Phoenix, AZ
- $22 - $32 an hour
- Weekends as needed
- Remote
- Microsoft Word
- 11+ years
- Research
Quick Apply
12h
Investigation Specialist II-JP, Flex I&O
Amazon.com LLC - A03 —Tempe, AZ
- $18 - $31 an hour
- Overtime
- Mid-level
- Analysis skills
- Mentoring
- AD&D insurance
- Health insurance
Supervisory Criminal Investigator (Special Agent in Charge)
US Citizenship and Immigration Services —Phoenix, AZ
- $126,384 - $164,301 a year
- Overtime
- Background check
- Psychiatry
- Pass drug screening
- Paid holidays
- Health insurance
20h
Surveillance Investigator (Part-Time)
VRC Investigations —Phoenix, AZ
- Part-time
- Clean driving record
- Military
- Computer literacy
- Profit sharing
- Paid training
Quick Apply
Nurse Practitioner/Physician Assistant Sub-Investigator, On-Site, Phoenix, AZ
IQVIA —Scottsdale, AZ
- $95,100 - $237,700 a year
- Full-time
- Mid-level
- In-person
- Commercial
Surveillance Investigator
Allied Universal® Compliance and Investigations —Phoenix, AZ
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
Investigation Specialist II-SP, Flex I&O
Amazon.com Services LLC - A57 —Tempe, AZ
- $18 - $31 an hour
- Overtime
- Mid-level
- Analysis skills
- 1 year
- AD&D insurance
- Health insurance
Arizona Professional Investigator
Covert Special Investigations, Inc —Chandler, AZ
- $0.22 - $0.26 an hour
- Part-time
- Spanish
- Writing skills
- English
- Paid time off
- Opportunities for advancement
Quick Apply
Surveillance Investigator
Lemieux & Associates LLC —Phoenix, AZ
- $25 - $32 an hour
- Part-time
- Bilingual
- Microsoft Word
- Computer literacy
- Flexible schedule
Quick Apply
Field Claims Investigator
Phoenix Loss Control —Phoenix, AZ
- $25 an hour
- Part-time
- Hybrid work
- Military
- Mid-level
- Analysis skills
Quick Apply
4d

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Investigator, Special Investigations Unit (Meritain Health)

CVS Health -
Phoenix, AZ

Apply Now

Job Details

Full-time
$46,988 - $122,400 a year
4 days ago

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: 07/17/2026

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 investigator jobs in scottsdale az

Investigator, Special Investigations Unit (Meritain Health)

Criminal Investigator (Internal Affairs)

Investigator, Special Investigations Unit (Aetna SIU)

Financial Crimes SAR Quality Control & Training Associate

Fraud Specialist

Program Integrity Investigator (Healthcare Fraud Waste & Abuse)

GFC Investigator (Brokerage - AML)

Surveillance Operations Manager - Private Investigator

Asset Protection Investigator

SIU Investigator (Part-Time)

Surveillance Agent

Investigation Specialist II-JP, Flex I&O

Supervisory Criminal Investigator (Special Agent in Charge)

Surveillance Investigator (Part-Time)

Nurse Practitioner/Physician Assistant Sub-Investigator, On-Site, Phoenix, AZ

Surveillance Investigator

Investigation Specialist II-SP, Flex I&O

Arizona Professional Investigator

Surveillance Investigator

Field Claims Investigator

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