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Remote Claims Risk & Quality Analyst; TRICARE
Remote / Online - Candidates ideally in
Boston, Suffolk County, Massachusetts, 02298, USA
Listed on 2026-01-04
Boston, Suffolk County, Massachusetts, 02298, USA
Listing for:
Humana Inc
Remote/Work from Home
position Listed on 2026-01-04
Job specializations:
-
Healthcare
Health Insurance, Healthcare Administration
Job Description & How to Apply Below
A leading health services organization is seeking a Claims Risk Management Professional to ensure claim payment quality in accordance with TRICARE policies. This role involves auditing high dollar claims, providing actionable feedback, and identifying potential claims risks. The ideal candidate will have a solid understanding of TRICARE policies and claims processing, along with strong analytical and communication skills. This position is remote with occasional travel required, offering a competitive salary and a comprehensive benefits package.
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