Senior Investigator, Special Investigations Unit (Aetna SIU)

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**

+ Conducts high level, complex analysis of Pharmacy and Prescriber behavior to effectively pursue the prevention, investigation and prosecution of Fraud Waste and Abuse.
+ Collaboration with Pharmacy Benefit Manager, providing meaningful evidence of Fraud, Waste and Abuse to support Pharmacy Audit activities.
+ Routinely handles cases that are sensitive or high profile, those that are national in scope, complex cases involving Pharmacies and Prescribers.
+ Investigates to prevent payment of fraudulent ac...