đź“Ť Remote | Available in 50 Locations
🏢 CVS Health
đź“Ś About the Role
CVS Health is seeking a Quality Reviewer to join its Aetna Special Investigations Unit (SIU). In this critical compliance-focused position, you’ll assess the integrity and accuracy of healthcare fraud investigations, support legal action, and collaborate across teams to protect patients and payer resources from abuse and fraud. This is a fully remote role suited for detail-oriented professionals passionate about healthcare integrity.
âś… Position Highlights
• Salary Range: $43,888 – $102,081 annually
• Employment Type: Full-time
• Schedule: 40 hours/week
• Remote: Yes — fully remote, available nationwide
• Benefits Include:
- Medical, dental, vision insurance
- 401(k) with company match
- Stock purchase plan
- Paid time off, family leave, tuition assistance
- Wellness programs, counseling, and more
📋 What You’ll Own
• Review and evaluate internal and external healthcare fraud investigations
• Ensure documentation standards are met for clinical and legal review
• Present findings for prosecution or recovery, collaborating with law enforcement as needed
• Provide input on fraud monitoring and prevention measures
• Offer testimony in legal settings, depositions, and proceedings
• Deliver fraud-related presentations to internal and external stakeholders
• Utilize internal systems to gather and verify documentation
🎯 Must-Have Traits
• At least 1 year of experience in healthcare auditing, compliance, or fraud, waste, and abuse
• Strong research, communication, and customer service skills
• Proficiency in Microsoft Word, Excel, Outlook, and online research tools
• Willingness to travel for legal proceedings and investigative follow-ups
• Bachelor’s degree or equivalent experience in fraud investigations
đź’» Remote Requirements
• Quiet, secure home office setup
• Reliable high-speed internet
• Familiarity with digital research and case tracking tools
💡 Why It’s a Win for Remote Job Seekers
• Play a vital role in stopping healthcare fraud — all from home
• Use your investigative skills to create real-world impact
• Collaborate with a passionate team on high-stakes, mission-driven work
• Full access to competitive benefits and growth opportunities at one of America’s top healthcare companies
✍️ Call to Action
If you have a sharp eye for detail and a passion for protecting the integrity of healthcare, this remote role is your next move. Join CVS Health and help reshape the future of fraud prevention with purpose.
Let’s do meaningful work—together.
~ 2 Chicks