Top 19 Fraud investigator Jobs in Vermont

Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Vermont
- $46,988 - $112,200 a year
- Full-time
- Remote
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Fraud, Waste and Abuse Investigation, Senior Analyst
CVS Health —Vermont
- $46,988 - $112,200 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Montpelier, VT
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
17h
Surveillance Investigator
Allied Universal® Compliance and Investigations —Montpelier, VT
- From $23 an hour
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
11d
Surveillance Investigator
Allied Universal® Compliance and Investigations —Burlington, VT
- From $23 an hour
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
11d
Private Investigator - Retired/Former Law Enforcement
Lemieux & Associates LLC —Burlington, VT
- $25 - $30 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Mileage reimbursement
Quick Apply
Surveillance Investigator
Lemieux & Associates LLC —Burlington, VT
- $25 - $32 an hour
- Part-time
- Bilingual
- Microsoft Word
- Computer literacy
- Flexible schedule
Quick Apply
Vermont, Burlington SIU Investigator PT
Insight Service Group (ISG) —Burlington, VT
- $20 - $27 an hour
- 8 hour shift
- Mid-level
- Driver's License
- Travel
Quick Apply
SIU Claims Investigator
Lemieux & Associates LLC —Montpelier, VT
- $25 - $32 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Flexible schedule
Quick Apply
As Needed Field Investigator- Montpelier, VT
J T Becker & Co Inc —Montpelier, VT
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- Concord, VT
J T Becker & Co Inc —Concord, VT
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
Vermont, Londonderry SIU Investigator PT
Insight Service Group (ISG) —Londonderry, VT
- $20 - $27 an hour
- 8 hour shift
- Mid-level
- Driver's License
- Travel
Quick Apply
Vermont, Montpelier Surveillance Investigator PT
Insight Service Group (ISG) —Montpelier, VT
- $20 - $27 an hour
- 8 hour shift
- Writing skills
- Mid-level
- Driver's License
Quick Apply

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Fraud Investigator
Heartland Bank —Whitehall, OH
Accredited ACH Professional (AAP) or similar payments certification. Bachelor’s degree in finance, criminal justice, cybersecurity, or related field.
6d
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
17h

I want to receive the latest job alert for fraud investigator in vermont

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

fraud investigator jobs near vermont

Private Investigator jobs in Burlington, VT

Siu Investigator jobs in Burlington, VT

Siu Investigator jobs in Vermont

Investigator jobs in Orlando, FL

Fire Investigator jobs in California

Surveillance Investigator jobs in Bolingbrook, IL

Surveillance Investigator jobs in Baton Rouge, LA

Financial Crime Investigator jobs in New York, NY

Surveillance Investigator jobs in Washington, DC

Private Investigator jobs in California

Surveillance Investigator jobs in Brooklyn, NY

Siu Investigator jobs in Englewood, CO

Insurance Investigator jobs in Colorado

Siu Investigator jobs in Harrisburg, PA

Nurse Investigator jobs in Texas

Investigator jobs in Georgia

Siu Investigator jobs in Massachusetts

Siu Investigator jobs in Rancho Cordova, CA

Death Investigator jobs in California

Private Investigator jobs in Cape Cod Bay, MA

Senior Investigator, Special Investigations Unit (Aetna SIU)

CVS Health -
Vermont

Apply Now

Job Details

Full-time
$46,988 - $112,200 a year

Benefits

Health insurance
Dental insurance
Paid time off
Work from home
Vision insurance

Qualifications

Microsoft Word
Healthcare financial misconduct investigations
Customer communication
Microsoft Excel
Microsoft Outlook
Research
Insurance investigations

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.

This position can be work from home anywhere in the United States.

Position Summary

We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), Self-Funded investigations team.

In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA).

Key Responsibilities

Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and abuse.
Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers.
Research and prepare cases for clinical and legal review.
Document all appropriate case activity in case tracking system.
Prepare written case summaries and make referrals to State and Federal Agencies within the timeframes required by Law.
Facilitate the recovery of company and customer money lost as a result of fraud, waste and abuse.
Cooperate with federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud.
Demonstrate high level of knowledge and expertise during interactions with internal and external partners.
Provide trial testimony in support of criminal or civil proceedings.
Give frequent presentations to internal and external customers regarding ongoing case investigations.
Respond quickly and accurately to questions and leads from internal and external customers.
Exercises independent judgment and uses available resources and technology to develop evidence in support of case investigations.

Required Qualifications

3-5 years investigative experience in the area of healthcare fraud, waste and abuse.
Experience in in Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research.
Ability to travel approximately 10% of time for business purposes.

Preferred Qualifications

Certified Professional Coder (CPC), AHFI, CFE
Knowledge of CVS/Aetna's policies and procedures
Understanding of self-funded insurance plan operations
Strong communication and customer service skills and the ability to effectively interact with Aetna's customers
Resident of North Carolina

Education

Bachelor's degree preferred or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

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: 07/27/2026

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 vermont

Senior Investigator, Special Investigations Unit (Aetna SIU)

Fraud, Waste and Abuse Investigation, Senior Analyst

Investigator, Special Investigations Unit (Aetna SIU)

Surveillance Investigator

Surveillance Investigator

Private Investigator - Retired/Former Law Enforcement

Surveillance Investigator

Vermont, Burlington SIU Investigator PT

SIU Claims Investigator

As Needed Field Investigator- Montpelier, VT

As Needed Field Investigator- Concord, VT

Vermont, Londonderry SIU Investigator PT

Vermont, Montpelier Surveillance Investigator PT

Explore jobs in cities nearby

I want to receive the latest job alert for fraud investigator in vermont

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected