Top 35 Product manager, fraud & Jobs in Springfield, Il

Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Springfield, IL
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Product Manager
Advanced Monitored Caregiving Inc. —Springfield, IL
- $110,000 - $135,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Product management
14d
Product Manager, Fraud & Abuse
CVS Health —Springfield, IL
- $92,700 - $203,940 a year
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
Senior Product Manager, Healthcare Contact CenterDigital Product
CVS Health —Springfield, IL
- $106,605 - $260,590 a year
- Full-time
- Presentation skills
- Bachelor's degree
- Product management
- Health insurance
- Dental insurance
4d
Data Analyst, Medicaid Fraud, Springfield, 26-03
Office of the Illinois Attorney General —Springfield, IL
- $64,152 - $75,672 a year
- Full-time
- Computer Science
- Research
- Mid-level
- Disability insurance
- Health insurance
Entry Level Cost Auditor
CGS Administrators —Springfield, IL
- Full-time
- CPA
- Office
- Finance
- Health insurance
- Dental insurance
13d
Sr Mgr, Product Manager (Aetna One Advocate)
CVS Health —Springfield, IL
- $106,605 - $260,590 a year
- Full-time
- Analysis skills
- Bachelor's degree
- Continuous improvement
- Health insurance
- Dental insurance
7d
Special Investigator, Medicaid Fraud, Springfield 23-48
Office of the Illinois Attorney General —Springfield, IL
- $79,956 - $103,980 a year
- Full-time
- Bachelor's degree
- Senior level
- Disability insurance
- Health insurance
Communications Attendant, Consumer Fraud, Springfield, #26-09
Office of the Illinois Attorney General —Springfield, IL
- $44,472 - $57,900 a year
- Full-time
- Office
- Typing
- 1 year
- Disability insurance
- Health insurance
Investigative Financial Analyst 24-E-12
Office of the Illinois Attorney General —Springfield, IL
- $70,000 - $100,000 a year
- Full-time
- Research
- Mid-level
- Office
- Disability insurance
- Health insurance
Forensic Financial Analyst (Medicaid Fraud) 23-E-32, Springfield
Office of the Illinois Attorney General —Springfield, IL
- $70,000 - $110,000 a year
- Full-time
- Mid-level
- Microsoft Office
- 3 years
- Disability insurance
- Health insurance
Investigator
Ethos Risk Services —Springfield, IL
- $28 - $38 an hour
- Part-time
- Mid-level
- Residential
- Driver's License
- Paid time off
- Referral program
Quick Apply
COMPLIANCE INTEGRITY MANAGER
State of Illinois —Springfield, IL
- $9,495 - $10,000 a month
- Online Application
- Bilingual
- Background check
- Mid-level
5d
Product Owner
Teachers Retirement System of the State of Illinois —Springfield, IL
- $88,672 - $138,328 a year
- Full-time
- Computer science
- Computer Science
- SQL
- Health insurance
- Dental insurance
Surveillance Investigator
Allied Universal® Compliance and Investigations —Springfield, IL
- $20 - $23 an hour
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
5d
Director Business Management & Data Products – Growth Analytics
CVS Health —Springfield, IL
- $144,200 - $288,400 a year
- Full-time
- Finance
- Bachelor's degree
- Continuous improvement
- Health insurance
- Dental insurance
Senior Business Architect [Product Owner Proxy]
Krasan Consulting Services Inc —Springfield, IL
- $60 - $65 an hour
- Full-time
- Remote
- SQL
- Analysis skills
- Senior level
Quick Apply
Group Product Manager, Digital Commerce & Marketing Products
CLEAResult Consulting Inc. —Springfield, IL
- $141,900 - $212,900 a year
- Full-time
- 7 years
- Product management
- Mentoring
- Health insurance
- Dental insurance
Quick Apply
Assistant Attorney General - Medicaid Fraud - Springfield
Office of the Illinois Attorney General —Springfield, IL
- $84,480 - $107,550 a year
- Full-time
- Mid-level
- Travel
- Disability insurance
- Health insurance
FRAML (Fraud Anti Money Laundering) Compliance Officer
United Community Bank —Springfield, IL
- $100,000 - $140,000 a year
- Full-time
- Microsoft Excel
- Computer literacy
- Writing skills
- Paid jury duty
- Disability insurance
Quick Apply

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product manager, fraud & jobs near springfield, il

Investigator, Special Investigations Unit (Aetna SIU)

CVS Health -
Springfield, IL

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

Refine Your Search

product manager, fraud & jobs in springfield, il

Investigator, Special Investigations Unit (Aetna SIU)

Product Manager

Product Manager, Fraud & Abuse

Senior Product Manager, Healthcare Contact CenterDigital Product

Data Analyst, Medicaid Fraud, Springfield, 26-03

Entry Level Cost Auditor

Sr Mgr, Product Manager (Aetna One Advocate)

Special Investigator, Medicaid Fraud, Springfield 23-48

Communications Attendant, Consumer Fraud, Springfield, #26-09

Investigative Financial Analyst 24-E-12

Forensic Financial Analyst (Medicaid Fraud) 23-E-32, Springfield

Investigator

COMPLIANCE INTEGRITY MANAGER

Product Owner

Surveillance Investigator

Director Business Management & Data Products – Growth Analytics

Senior Business Architect [Product Owner Proxy]

Group Product Manager, Digital Commerce & Marketing Products

Assistant Attorney General - Medicaid Fraud - Springfield

FRAML (Fraud Anti Money Laundering) Compliance Officer

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