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Humana Inc

Remote Senior Clinical Risk & Fraud Analytics Lead

Humana Inc, Carson City, Nevada, us, 89702

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A healthcare organization is seeking a Senior Clinical Medical/Financial Risk Evaluation Professional in Carson City, Nevada. This role involves analyzing medical and financial risks, performing clinical reviews, and supporting fraud evaluations in a healthcare context. Ideal candidates will hold a Bachelor's degree, be licensed as an LPN or RN, and have a minimum of 5 years experience with healthcare claims systems. Strong data analysis skills are essential for effective decision-making within the team. #J-18808-Ljbffr