SIU Investigator (Remote - Must be in Oklahoma) at CVS Health

The SIU Investigator will conduct investigations to prevent, investigate, and prosecute healthcare fraud and abuse, recover lost funds, and comply with state regulations. This includes investigating known or suspected acts of fraud, communicating with law enforcement, preventing fraudulent claims, and facilitating the recovery of company funds. The role involves providing input on fraud controls, delivering educational programs on fraud deterrence and detection, and maintaining communication with internal and external constituents. Investigators will use available resources and technology to develop evidence, prepare cases for review, document activities, and make referrals within required timeframes. They will also manage outside resources cost-effectively and attend/present at quarterly state meetings.