Top 50 Fraud investigator Jobs in Washington State

Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Washington State
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Director, Fraud Intelligence & Investigations
Vouched —Seattle, WA
- $160,000 - $190,000 a year
- Full-time
- Remote
- US work authorization
- Senior level
- Paid parental leave
- Health insurance
Quick Apply
Auditor/Investigator II
Qlarant —Washington State
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
BSA Investigator
First Fed —Washington State
- $26.45 - $44.96 an hour
- Full-time
- Remote
- Writing skills
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
3d
Corporate Investigator, Enterprise Protection Program - Global Investigations
Amazon.com Services LLC —Seattle, WA
- $80,200 - $143,100 a year
- Full-time
- Customer service
- Mid-level
- Office
- AD&D insurance
- Health insurance
INVESTIGATOR (ADMINISTRATIVE)
U.S. Pacific Fleet —Bremerton, WA
- $100,602 - $130,786 a year
- Overtime
- Hybrid work
- Writing skills
- Pass drug screening
- Travel
Entry Level Private Investigator
DigiStream Investigations —Bothell, WA
- $55,000 - $65,000 a year
- Overtime
- Background check
- Writing skills
- High school diploma or GED
- Travel reimbursement
- Paid training
Surveillance Investigator
Allied Universal® Compliance and Investigations —Vancouver, WA
- $16.28 - $24.00 an hour
- Weekends as needed
- Microsoft Word
- Military
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
9d
Security Analyst Investigator - Youth Safety or Human Exploitation
Meta —Bellevue, WA
- $137,000 - $196,000 a year
- Computer science
- Computer Science
- 5 years
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Olympia, WA
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Surveillance Agent
Marshall Investigative Group —Tacoma, WA
- $22 - $32 an hour
- Part-time
- Remote
- Microsoft Word
- 11+ years
- Research
Quick Apply
14d
Special Investigations Unit Investigator
CareOregon —Olympia, WA
- $74,250 - $90,750 a year
- Full-time
- Research
- Mid-level
- Office
- Wellness program
- Paid jury duty
Investigator
Ethos Risk Services —Spokane, WA
- $30 - $40 an hour
- Weekends as needed
- Mid-level
- Residential
- Driver's License
- Disability insurance
- Health insurance
Quick Apply
Investigations Unit Investigator, Senior
CareOregon —Olympia, WA
- $92,070 - $112,530 a year
- Full-time
- Research
- 1 year
- Senior level
- Wellness program
- Paid jury duty
Security Engineer Investigator, Integrity Investigations, Intelligence, and Events
Meta —Bellevue, WA
- $184,000 - $257,000 a year
- Computer science
- Computer Science
- Bachelor of Science
L&I INVESTIGATOR 1
State of Washington Dept. of Labor & Industries —Tumwater, WA
- $49,296 - $66,072 a year
- Full-time
- Background check
- Research
- Driver's License
- Flexible schedule
10d
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Washington State
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
6d
Private Investigator - Seattle, WA
Delta Group —Seattle, WA
- $20 - $30 an hour
- Per diem
- Background check
- 18 years or older
- Clean driving record
- Disability insurance
- Health insurance
Quick Apply
As Needed Field Investigator- Newport, WA
J T Becker & Co Inc —Newport, WA
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
L&I INVESTIGATOR 3
State of Washington Dept. of Labor & Industries —Everett, WA
- $71,136 - $95,676 a year
- Full-time
- Background check
- Writing skills
- Research
10d

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Senior Investigator, Special Investigations Unit (Aetna SIU)

CVS Health -
Washington State

Apply Now

Job Details

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

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Healthcare financial misconduct investigations
Customer communication
Spreadsheets
Research
Suspicious activity investigations
HCPCS
Insurance investigations
Productivity 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

As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that are complex cases involving or cases involving multiple perpetrators or intricate healthcare fraud schemes.

Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business
Researches and prepares cases for clinical and legal review
Documents all appropriate case activity in case tracking system
Facilitates feedback with providers related to clinical findings
Initiates proactive data mining to identify aberrant billing patterns
Makes referrals, both internal and external, in the required timeframe
Facilitates the recovery of company and customer money lost as a result of fraud matters
Provides on the job training to new Investigators and provides guidance for less experienced or skilled Investigators.
Assists Investigators in identifying resources and best course of action on investigations
Serves as back up to the Team Leader as necessary
Cooperates with federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters.
Demonstrates high level of knowledge and expertise during interactions and acts confidently when providing testimony during civil and criminal proceedings
Gives presentations to internal and external customers regarding healthcare fraud matters and Aetna's approach to fighting fraud
Provides input regarding controls for monitoring fraud related issues within the business units

Required Qualifications

3+ years investigative experience in the area of healthcare fraud and abuse matters.

Working knowledge of medical coding; CPT, HCPCS, ICD10
Experience with Microsoft Office with advanced skills in Excel (must know how to do pivot tables).
Ability to travel up to 10% (approx. 2-3x per year, depending on business needs)

Preferred Qualifications

Previous Medicaid/Medicare investigatory experience
Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations for fraud and abuse.
Credentials such as certification from the Association of Certified Fraud Examiners (CFE), or an accreditation from the National Health Care Anti-Fraud Association (AHFI)
Knowledge of Aetna's policies and procedures.
Knowledge and understanding of complex clinical issues.
Competent with legal theories.
Strong communication and customer service skills.
Ability to effectively interact with different groups of people at different levels in any situation.
Strong analytical and research skills.
Proficient in researching information and identifying information resources.
Strong verbal and written communication skills.

Education:

Bachelor's degree or equivalent experience (3+ years of working health care fraud, waste and abuse investigations).

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: 08/01/2026

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 washington state

Senior Investigator, Special Investigations Unit (Aetna SIU)

Director, Fraud Intelligence & Investigations

Auditor/Investigator II

BSA Investigator

Corporate Investigator, Enterprise Protection Program - Global Investigations

INVESTIGATOR (ADMINISTRATIVE)

Entry Level Private Investigator

Surveillance Investigator

Security Analyst Investigator - Youth Safety or Human Exploitation

Investigator, Special Investigations Unit (Aetna SIU)

Surveillance Agent

Special Investigations Unit Investigator

Investigator

Investigations Unit Investigator, Senior

Security Engineer Investigator, Integrity Investigations, Intelligence, and Events

L&I INVESTIGATOR 1

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Private Investigator - Seattle, WA

As Needed Field Investigator- Newport, WA

L&I INVESTIGATOR 3

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