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 We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna’s Special Investigations Unit. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). This position will be focused on Dental Investigations. 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. - Researches and prepares cases for clinical and legal review. - Documents 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. - Facilitates the recovery of company and customer money lost as a result of fraud, waste and abuse. - Cooperates with federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud. - Demonstrates high level of knowledge and expertise during interactions with internal and external partners. - Provide Trial Testimony in support of Criminal or Civil proceedings. - Gives presentations to internal and external customers regarding ongoing case investigations. Required Qualifications - 3-5 years of investigative experience in the area of healthcare fraud, waste and abuse. - Exercises independent judgment and uses available resources and technology to develop evidence in support of case investigations. - Strong communication and customer service skills and the ability to effectively interact with Aetna's customers. - Proficiency in Word, Excel, MS Outlook products, open source database search tools, social media and internet research. - Ability to Travel for Business purposes. Preferred Qualifications - Certified Professional Coder (CPC), AHFI, CFE - Bilingual English/Spanish - Dental Investigative Experience - Medicaid and Medicare experience Education Bachelor's Degree in the following areas: - Criminal Justice - Healthcare Management - Public Health - Biological Sciences - Data and Analytics - Other related field Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $102,000.00 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Date Posted: 2026-03-26Country: United States of AmericaLocation: US-MA-REMOTEPosition Role Type: RemoteU.S. Citizen, U.S. Person, or Immigration Status Requirements: Active and transferable U.S. government issued security clearance is required prior to start date.​ U.S. citizenship is required, as only U.S. citizens are eligible for a security clearance​Security Clearance Type: DoD Clearance: SecretSecurity Clearance Status: Active and existing security clearance required on day 1 At Raytheon, the foundation of everything we do is rooted in our values and a higher calling – to help our nation and allies defend freedoms and deter aggression. We bring the strength of more than 100 years of experience and renowned engineering expertise to meet the needs of today’s mission and stay ahead of tomorrow’s threat. Our team solves tough, meaningful problems that create a safer, more secure world. Our values drive our actions, behaviors, and performance with a vision for a safer, more connected world. At RTX we value: Safety, Trust, Respect, Accountability, Collaboration, and Innovation. This position will be based in the United States, working remotely, reporting directly to the Raytheon Global Security Service International Security Associate Director. This position is responsible for the regional oversight of safety and security in support of Raytheon international operations. The position is high profile and fast-paced which requires a security professional with experience across multiple security disciplines including but not limited to international security requirements, physical security planning, personnel/force protection practices, contractor on the battlefield requirements, foreign legal entities, and US Government and international security standards related to protection of people, technologies and products, and facilities. You will be responsible for coordinating and implementing security plans, programs and strategies while providing operational support to the business units, programs and other RAY functions within the assigned region. The manager will be responsible for liaison with program security and other personnel while devising cost-effective and client-oriented security initiatives designed to implement RAY global security standards, policies and practices as well as customer directed security requirements and/or plans for secure program execution. Also responsible for addressing specific program related security requirements/concerns. You will successfully develop and maintain working relationships with internal and external customers, host country police/security/intelligence elements, US Government/OSAC, peer companies and senior management across the region. Strong interpersonal skills, sound decision-making skills and the ability to take independent actions while maintaining a strong customer service and cultural awareness approach will be essential to your success. What You Will Do: - Responsible for utilizing international security expertise to assess current and potential security threats, develop risk mitigation strategies and security plans, to establish proper security measures for the protection of Raytheon personnel and locations - Collaborate with stakeholders to develop, revise or update policies and strategic risk assessments for current and projected business initiatives/locations - Support Strategic Business Units as it relates to global captures and program support - Coordinate international duty of care and evacuation operations, working with vendors and employees. - Manage the International Physical Security Assessment Program to ensure an accurate and timely review, and documentation of site physical security standard requirements - Collaboration with Business Resilience Crisis Management in the development of International Incident Response Plan (IIRP) and regionally based Tabletop Exercises - Provide direct support to programs and personnel by managing security-related incidents, investigations, crisis-management and potential counterintelligence incidents - Collaborate with the RTX Travel Security team to ensure a comprehensive effort for safety of all Raytheon expatriates and international travelers - Collaborate with internal and external stakeholders to evaluate and approve hotels, lodging options for events, business travelers, and deployments. - Develop relationships with key government and law enforcement/intelligence officials, private sector counterparts, US Embassy/OSAC elements and security vendors to ensure appropriate knowledge and ability to support security requirements and services - Develop tailored threat briefings to in country and business travelers when deemed necessary - Collaborate with internal and external stakeholders to support executive protection for Raytheon Senior Leadership Team members on international trips to high-risk destinations - Collaborate with internal and external stakeholders to support international events involving Raytheon employees - Work in concert with Global Trade to develop physical security mitigation plans to meet USG and RTX standards related to protection of “controlled” information - Provide support, guidance and assistance with Raytheon Enterprise Supplier Evaluations (RESA) efforts - Work extended hours in a fast-paced deadline driven environment and be available outside scheduled work hours to support business execution requirements - Travel both domestically and internationally up to 25% of the time Qualifications You Must Have: - Typically requires: A University Degree or equivalent experience and minimum 10 years prior relevant experience, or An Advanced Degree in a related field and minimum 7 years experience - Active and transferable U.S. government issued SECRET clearance or higher; U.S. citizenship is required, as only U.S. citizens are eligible for a security clearance - International security experience, preferably having lived and worked overseas. - Experience providing international security services while operating within a team environment - Experience with crisis management, which requires demonstrating high-pressure decision-making, communication and coordination skills - Experience with physical and technical security systems, crisis management, and risk mitigation practices to ensure the safety and security of people living and working in austere environments - Experience with international security standards (e.g., ISO 27001, ASIS, BS 7858) - Experience with coordination and collaboration with both internal and external customers. Qualifications We Prefer: - Five (5) or more years of prior international security experience with advanced skills related to physical security protection, threat management, risk mitigation and evacuation planning and execution - Understanding and application of security measures in global cultures, working across different countries, and experience within international environments - Exceptional communication (written and verbal) and interpersonal skills to effectively brief, present, and communicate with a wide range of internal and external stakeholders - Experience delivering international risk appropriate briefings, in depth reporting, or advisories to business leadership and project teams based on an analysis and evaluation of open source and security related intelligence - Proven experience excelling in a corporate/government regional security role with multi-country responsibility - A CPP Certification (or equivalent) from an accredited professional organization. What We Offer: - Our values drive our actions, behaviors, and performance with a vision for a safer, more connected world. At RTX we value: Safety, Trust, Respect, Accountability, Collaboration, and Innovation. Learn More & Apply Now - Please consider the following role type definition as you apply for this role: Remote - Employees who are working in Remote roles will work primarily remotely As part of our commitment to maintaining a secure hiring process, candidates may be asked to attend select steps of the interview process in-person at one of our office locations, regardless of whether the role is designated as on-site, hybrid or remote. The salary range for this role is 132,400 USD - 251,600 USD. The salary range provided is a good faith estimate representative of all experience levels. RTX considers several factors when extending an offer, including but not limited to, the role, function and associated responsibilities, a candidate’s work experience, location, education/training, and key skills. Hired applicants may be eligible for benefits, including but not limited to, medical, dental, vision, life insurance, short-term disability, long-term disability, 401(k) match, flexible spending accounts, flexible work schedules, employee assistance program, Employee Scholar Program, parental leave, paid time off, and holidays. Specific benefits are dependent upon the specific business unit as well as whether or not the position is covered by a collective-bargaining agreement. Hired applicants may be eligible for annual short-term and/or long-term incentive compensation programs depending on the level of the position and whether or not it is covered by a collective-bargaining agreement. Payments under these annual programs are not guaranteed and are dependent upon a variety of factors including, but not limited to, individual performance, business unit performance, and/or the company’s performance. This role is a U.S.-based role. If the successful candidate resides in a U.S. territory, the appropriate pay structure and benefits will apply. RTX anticipates the application window closing approximately 40 days from the date the notice was posted. However, factors such as candidate flow and business necessity may require RTX to shorten or extend the application window. RTX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status, or any other applicable state or federal protected class. RTX provides affirmative action in employment for qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans’ Readjustment Assistance Act. Privacy Policy and Terms: Click on this link to read the Policy and Terms

• ISMS consulting: Establishment, implementation and continuous improvement of information security management systems according to established standards (e.g., ISO/IEC 27001, NIS-2, TISAX, BSI IT-Grundschutz) • Security analysis: Assessment of existing measures and processes, identification of vulnerabilities and derivation of optimization potential • Gap analyses & project management: Conducting maturity assessments, planning appropriate measures and supporting them through to successful certification • Risk management: Performing risk analyses and developing technical and organizational security measures • Policies & training: Creating and improving security policies, guidelines and awareness concepts • Cross-functional collaboration: Close cooperation with data protection, product development and other internal teams

• TRUSTED ADVISOR: As a trusted partner, you advise our clients as equals and jointly develop customer-specific security solutions. • ENABLEMENT: You guide them through the entire audit process, raise awareness of relevant regulations, and ensure successful certification. • CONSULTING: You support our clients throughout the entire process on all aspects of information security and identify potential security risks early. • SALES: You work closely with our Sales and Customer Success teams to implement up- and cross-sell opportunities together. • SHARING IS CARING: You share your expertise with colleagues and act as a mentor so we can continuously improve together.