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Remote Claims Risk & Quality Analyst; TRICARE

Remote / Online - Candidates ideally in
Columbia, Lexington County, South Carolina, 29228, USA
Listing for: Humana Inc
Remote/Work from Home position
Listed on 2026-01-03
Job specializations:
  • Insurance
    Health Insurance
  • Healthcare
    Health Insurance
Salary/Wage Range or Industry Benchmark: 65000 - 88600 USD Yearly USD 65000.00 88600.00 YEAR
Job Description & How to Apply Below
Position: Remote Claims Risk & Quality Analyst (TRICARE)
Location: Columbia

A healthcare organization is seeking a Claims Risk Management Professional to ensure the quality of claims payment as per TRICARE requirements. The role involves reviewing high-dollar claims for accuracy and identifying potential payment risks. Candidates should possess strong TRICARE policy knowledge and analytical skills, along with 2 years of relevant claims experience. This remote position offers a competitive salary and bonus incentives based on performance.
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