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Remote Medical & Financial Risk Evaluation Specialist

Remote / Online - Candidates ideally in
Charleston, Kanawha County, West Virginia, 25329, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-01-14
Job specializations:
  • Healthcare
    Healthcare Compliance, Healthcare Administration, Healthcare Management
Job Description & How to Apply Below
A healthcare solutions company is searching for a Medical/Financial Risk Evaluation Professional 2 in Charleston, West Virginia. This role will involve developing and monitoring risk evaluations, identifying potential financial risks, and ensuring compliance with established guidelines. Candidates should possess a Bachelor's degree and experience in healthcare fraud reporting. Additional preferred skills include advanced data analysis capabilities and familiarity with medical and pharmacy claims processing systems.
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