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Hueman Risk Adjustment Solutions Jobs in Alabama

VIVA Health

RN-Clinical Quality Liaison

Birmingham, AL · On-site

$61K - $82K/yr

... and risk adjustment performance within the University of Alabama (UAB) health system and large ... This role translates organizational goals into sustainable, scalable solutions within the assigned ...

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Hueman Risk Adjustment Solutions information

What are some typical challenges faced by professionals working in risk adjustment solutions at Hueman, and how can they be addressed?

Professionals in Risk Adjustment Solutions at Hueman often encounter challenges such as accurately interpreting complex medical records and ensuring compliance with evolving healthcare regulations. Maintaining high data quality while meeting deadlines can also be demanding, especially when working with large volumes of patient information. These challenges are best addressed by leveraging advanced coding tools, participating in ongoing training, and collaborating closely with clinical staff and data analysts. This teamwork and commitment to best practices help ensure accurate risk adjustment and contribute to improved patient outcomes.

What is the difference between Hueman Risk Adjustment Solutions vs Medical Coding Specialist?

AspectHueman Risk Adjustment SolutionsMedical Coding Specialist
CredentialsCertifications in risk adjustment, coding, or related fieldsCertified Professional Coder (CPC), CCS, or equivalent
Work EnvironmentConsulting, healthcare analytics, risk adjustment programsHospitals, clinics, insurance companies
Industry UsageHealth plan risk management, analytics firmsMedical billing, coding departments

Hueman Risk Adjustment Solutions focuses on optimizing risk adjustment processes through analytics and consulting, while Medical Coding Specialists handle the accurate coding of medical records. Both roles require coding certifications but differ in scope and work environment, with Hueman primarily providing strategic solutions and Medical Coding Specialists executing coding tasks within healthcare facilities.

What is Hueman Risk Adjustment Solutions?

Hueman Risk Adjustment Solutions is a company that specializes in providing risk adjustment services for healthcare organizations. Their solutions help healthcare providers accurately capture and report patient health data to ensure proper reimbursement and compliance with government programs like Medicare Advantage. They offer services such as coding, chart reviews, and analytics to improve risk score accuracy and optimize revenue cycles. Hueman's approach is designed to enhance the quality of care documentation and support organizations in navigating the complexities of value-based care.

What are the key skills and qualifications needed to thrive as a risk adjustment specialist at Hueman Risk Adjustment Solutions?

To thrive as a Risk Adjustment Specialist, you need a strong background in medical coding, healthcare data analysis, and a comprehensive understanding of risk adjustment models, typically supported by certifications such as CRC, CPC, or CCS. Familiarity with coding software, electronic health records (EHR) systems, and risk adjustment platforms is essential. Attention to detail, analytical thinking, and effective communication are standout soft skills in this role. These skills ensure accurate coding, compliance with regulatory standards, and optimal reimbursement outcomes for healthcare organizations.
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What cities in Alabama are hiring for Hueman Risk Adjustment Solutions jobs? Cities in Alabama with the most Hueman Risk Adjustment Solutions job openings:
Hueman Risk Adjustment Solutions jobs near you
Infographic showing various Hueman Risk Adjustment Solutions job openings in Alabama as of June 2026, with employment types broken down into 88% Full Time, and 12% Contract. Highlights an 83% In-person, 6% Hybrid, and 11% Remote job distribution.

RN-Clinical Quality Liaison

VIVA Health

Birmingham, AL • On-site

$61K - $82K/yr

Full-time

Re-posted 29 days ago

Viva Health rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

151st of 304 rated insurance

Job description

RN, Clinical Quality Liaison

Location: Birmingham, AL

The RN, Clinical Quality Liaison plays a critical role in improving quality outcomes and risk adjustment performance within the University of Alabama (UAB) health system and large clinical practice. This practicededicated role serves as the primary clinical liaison for Primary Care Physicians (PCPs) and  practice staff, driving performance improvement related to Star Ratings, HEDIS measures, risk adjustment and coding completeness. This position requires advanced clinical knowledge, analytical skills and the ability to influence change at the practice level through deep engagement, workflow redesign, clinical education and datadriven targeting. This role translates organizational goals into sustainable, scalable solutions within the assigned practice that supports both quality outcomes and financial performance drivers. This position may travel to locations within the Viva HEALTH service area through a reliable means of transportation insured in accordance with Company policy.

REQUIRED:

  • Graduate of an accredited program of professional nursing, ADN/BSN
  • Minimum of 5 years’ experience in quality improvement, population health or practice performance support
  • Current RN License in good standing with the state of Alabama Board of Nursing
  • Willing to submit to vaccine testing and screening
  • Strong clinical assessment and judgment
  • Working knowledge of Stars, HEDIS and risk adjustment methodologies
  • Ability to interpret data and translate metrics into targeted clinical action
  • Ability to engage, educate and influence physicians and practice staff
  • Experience with workflow redesign and performance improvement initiatives
  • Organized, detail oriented and skilled at multi-tasking
  • Strong written and verbal communication skills
  • Proficient in Microsoft Office suite of products and EHR systems
  • Ability to work under pressure and manage multiple priorities with limited supervision
  • Valid driver's license in good standing

PREFERRED:

  • Experience supporting risk adjustment, coding, or data-driven performance initiatives
  • Experience supporting coding completeness or chronic condition documentation
  • Familiarity with attribution management and population-level analytics

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