
The Senior Investigator role within the Special Investigations Unit at Aetna focuses on preventing, investigating, and prosecuting healthcare fraud and abuse. Key responsibilities include managing complex cases involving behavioral health and multi-disciplinary providers, researching evidence for clinical and legal review, and collaborating with law enforcement agencies to recover lost funds. The position requires presenting findings in civil and criminal proceedings while providing input on fraud monitoring controls. This opportunity appeals to professionals seeking to contribute to a compassionate healthcare mission within a collaborative culture that values innovation and accountability. The full-time position offers a supportive work environment with comprehensive benefits and requires occasional travel for legal proceedings.













