Top 494 Special procedures Jobs in Topeka, Ks

Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Topeka, KS
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
Patient Safety Monitor - Behavioral Health Adult - Less than PT - Day
Stormont-Vail HealthCare, Inc. —Topeka, KS
- 12 hour shift
- Patient monitoring
- Hospital
- Inpatient
Quick Apply
RN - Medical Unit
Lawrence Memorial Hospital —Lawrence, KS
- Full-time
- Nursing
- RN License
- PALS Certification
- Tuition reimbursement
RN - Medical Unit
Lawrence Memorial Hospital —Lawrence, KS
- Full-time
- Nursing
- RN License
- PALS Certification
- Tuition reimbursement
Therapy Physicist Locum
One Physics —Lawrence, KS
- $200 - $250 an hour
- Temporary
- Clinic
- Driver's License
- Doctor of Philosophy
Quick Apply
10d
Health Services Teamleader
Shawnee County Health Department —Topeka, KS
- $28.88 an hour
- Full-time
- CPR Certification
- RN License
- Writing skills
- Health savings account
- AD&D insurance
Quick Apply
Supervisor Group Rating
Blue Cross and Blue Shield of Kansas —Topeka, KS
- $99,440 - $124,300 a year
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Supervising experience
- Paid parental leave
- Health insurance
9d
Technology Assistant
USD 372 Silver Lake —Silver Lake, KS
- $45,000 - $55,000 a year
- Weekends as needed
- Google Workspace
- Computer science
- Computer Science
- Health insurance
- Paid time off
Quick Apply
Experienced Bartender
ELDRIDGE HOTEL PARTNERS LLC —Lawrence, KS
- Serving
- Bar
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Biomedical Imaging Engineer
Renovo Solutions —Topeka, KS
- $33 - $41 an hour
- Weekends as needed
- Hospital
- Military
- Writing skills
Quick Apply
Regional Manager
Confidential —Lawrence, KS
- From $60,000 a year
- Full-time
- Background check
- Microsoft Outlook
- Up to 50% travel
- Health insurance
- Dental insurance
Quick Apply
4d
Midwest Travel Registered Nurse $7500 Sign on bonus
St. Croix Hospice —Topeka, KS
- $90,000 - $105,000 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- AD&D insurance
- Paid holidays
Quick Apply
Certified Nursing Assistant (CNA) Night Shift
Heritage Gardens Healthcare & Rehabilitation —Oskaloosa, KS
- Full-time
- English
- CNA
- Entry level
- Disability insurance
- Health insurance
Quick Apply
County Counselor II (Attorney)
Shawnee County Counselors Office —Topeka, KS
- $39.61 an hour
- Full-time
- Doctoral degree
- Writing skills
- Pass drug screening
- Health savings account
- Health insurance
Quick Apply
8d
Fitness Director
YMCA of Topeka —Topeka, KS
- $18.00 - $23.75 an hour
- Weekends as needed
- Background check
- CPR Certification
- Writing skills
- Employee discount
Quick Apply
3d
Account Clerk III
Shawnee County Health Department —Topeka, KS
- $19.67 an hour
- Full-time
- Background check
- Writing skills
- Basic math
- Health savings account
- Disability insurance
Quick Apply
10d
Group Exercise Coordinator
YMCA of Topeka —Topeka, KS
- $13 - $18 an hour
- Part-time
- Background check
- CPR Certification
- Writing skills
- Employee discount
Quick Apply
3d
LPN - Licensed Practical Nurse - FT Nights
Lawrence Presbyterian Manor —Lawrence, KS
- From $26.50 an hour
- Part-time
- Background check
- Nursing
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
9d
CDL Driver - Residential Rear Load
GFL Environmental —Topeka, KS
- Overtime
- Mid-level
- Residential
- CDL
LPN (Licensed Practical Nurse)
Celebration Villa of Hearthstone East —Topeka, KS
- $33 an hour
- Part-time
- CPR Certification
- LVN
- BLS Certification
- Disability insurance
- Health insurance
Quick Apply

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Investigator, Special Investigations Unit (Meritain Health)

CVS Health -
Topeka, KS

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

special procedures jobs in topeka, ks

Investigator, Special Investigations Unit (Meritain Health)

Patient Safety Monitor - Behavioral Health Adult - Less than PT - Day

RN - Medical Unit

RN - Medical Unit

Therapy Physicist Locum

Health Services Teamleader

Supervisor Group Rating

Technology Assistant

Experienced Bartender

Biomedical Imaging Engineer

Regional Manager

Midwest Travel Registered Nurse $7500 Sign on bonus

Certified Nursing Assistant (CNA) Night Shift

County Counselor II (Attorney)

Fitness Director

Account Clerk III

Group Exercise Coordinator

LPN - Licensed Practical Nurse - FT Nights

CDL Driver - Residential Rear Load

LPN (Licensed Practical Nurse)

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