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Humana Inc

Remote Senior Clinical Risk & Fraud Analytics Lead

Humana Inc, Springfield, Illinois, us, 62777

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A healthcare services company is looking for a Senior Clinical Medical/Financial Risk Evaluation Professional in Springfield, Illinois. This role focuses on medical and financial risk evaluation, supporting the development of healthcare fraud monitoring. Candidates should have a Bachelor’s degree and at least 5 years of experience in healthcare claims systems. Key skills include strong communication, data analysis, and nursing licensure. The position is remote with occasional travel for training, offering a competitive salary range of $86,300 - $118,700 per year. #J-18808-Ljbffr