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Humana Inc

Remote Senior Clinical Risk & Fraud Analytics Lead

Humana Inc, Charleston, West Virginia, us, 25329

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A leading health organization seeks a Senior Clinical Medical/Financial Risk Evaluation Professional in Charleston, WV. This role involves analyzing medical/financial risk and supporting healthcare fraud initiatives. Responsibilities include monitoring data pipelines and conducting clinical training sessions. Candidates should hold a Bachelor's degree, possess applicable nursing licenses, and have at least 5 years of experience in healthcare claims systems. Strong analytical and communication skills are essential. The position offers competitive compensation and comprehensive benefits. #J-18808-Ljbffr