Medical/Financial Risk Evaluation Professional

Humana

Medical/Financial Risk Evaluation Professional managing medical and financial risk evaluations for healthcare organization. Supporting development and implementation of risk monitoring strategies with minimal supervision.

Posted 5/28/2026full-timeRemote • California, Illinois, Montana, South Dakota • 🇺🇸 United StatesJuniorMid-Level💰 $65,000 - $88,600 per yearWebsite

About the role

Key responsibilities & impact

Responsible for supporting the development, implementation and monitoring of medical/financial risk
Identifies, assesses, and mitigates any medical or financial risk that arises from inadequate or failed processes, people, systems, or external events
Maintains a balance between risk mitigation and efficiency
Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
Follows established guidelines/procedures

Requirements

What you’ll need

Minimum of 2 years of medical claim billing or auditing experience
Strong data analytics skills and experience in data extraction and analysis
Demonstrated ability to perform effectively in a metric-driven environment
Working knowledge of Microsoft Office Programs: PowerPoint, Access, OneNote and Excel
Excellent written and verbal communication skills
Meticulous attention to detail, with proven capability to manage multiple priorities simultaneously
Able to work independently as well as collaboratively within a team, with minimal supervision
Strong organizational and collaboration skills
Effective time management skills, including the ability to multitask

Benefits

Comp & perks

Benefits starting day 1 of employment
Competitive 401K match
Generous Paid Time Off accrual
Tuition Reimbursement
Parental Leave

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical claim billingauditingdata analyticsdata extractiondata analysis

Soft Skills

written communicationverbal communicationattention to detailorganizational skillscollaboration skillstime managementmultitaskingindependencedecision making