... risk adjustment and related projects across one or more state Medicaid clients. Work with our ... solutions. Oversee the completion and delivery of actuarial work product and communications ...
... risk adjustment and related projects across one or more state Medicaid clients. Work with our ... solutions. Oversee the completion and delivery of actuarial work product and communications ...
... risk adjustment and related projects across one or more state Medicaid clients. Work with our ... solutions. Oversee the completion and delivery of actuarial work product and communications ...
... risk adjustment and related projects across one or more state Medicaid clients. Work with our ... solutions. Oversee the completion and delivery of actuarial work product and communications ...
... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care ... We innovate and deliver creative, industry-specific solutions that streamline operations and ...
... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care ... We innovate and deliver creative, industry-specific solutions that streamline operations and ...
... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care ... We innovate and deliver creative, industry-specific solutions that streamline operations and ...
... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care ... We innovate and deliver creative, industry-specific solutions that streamline operations and ...
... risk adjustment and related projects across one or more state Medicaid clients. * Work with our ... solutions. * Oversee the completion and delivery of actuarial work product and communications ...
... risk adjustment and related projects across one or more state Medicaid clients. * Work with our ... solutions. * Oversee the completion and delivery of actuarial work product and communications ...
Solution Principal Sr
Chandler, AZ · On-site +1
As a Fortune 500 Solutions Integrator with deep expertise in cloud, data, AI, cybersecurity, and ... Ensure alignment between pre-sales solutioning and delivery execution to reduce risk and improve ...
Solution Principal Sr
Chandler, AZ · On-site +1
As a Fortune 500 Solutions Integrator with deep expertise in cloud, data, AI, cybersecurity, and ... Ensure alignment between pre-sales solutioning and delivery execution to reduce risk and improve ...
Solution Principal Sr
Chandler, AZ · Hybrid
As a Fortune 500 Solutions Integrator with deep expertise in cloud, data, AI, cybersecurity, and ... reduce risk and improve customer outcomes Collaborate cross-functionally with architecture ...
Solution Principal Sr
Chandler, AZ · Hybrid
As a Fortune 500 Solutions Integrator with deep expertise in cloud, data, AI, cybersecurity, and ... reduce risk and improve customer outcomes Collaborate cross-functionally with architecture ...
... risk adjustment and related projects across one or more state Medicaid clients. * Work with our ... solutions. * Oversee the completion and delivery of actuarial work product and communications ...
... risk adjustment and related projects across one or more state Medicaid clients. * Work with our ... solutions. * Oversee the completion and delivery of actuarial work product and communications ...
We innovate and deliver creative, industry-specific solutions that streamline operations and ... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care ...
We innovate and deliver creative, industry-specific solutions that streamline operations and ... risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care ...
... risk adjustment and related projects across one or more state Medicaid clients. * Work with our ... solutions. * Oversee the completion and delivery of actuarial work product and communications ...
... risk adjustment and related projects across one or more state Medicaid clients. * Work with our ... solutions. * Oversee the completion and delivery of actuarial work product and communications ...
Network Engineer
Fort Huachuca, AZ · On-site
About Us AGE Solutions is a premier technology and professional services company, providing in ... Analyze network performance and recommend adjustments to infrastructure capacity, scalability, and ...
Network Engineer
Fort Huachuca, AZ · On-site
About Us AGE Solutions is a premier technology and professional services company, providing in ... Analyze network performance and recommend adjustments to infrastructure capacity, scalability, and ...
Network Engineer
Fort Huachuca, AZ · On-site
About Us AGE Solutions is a premier technology and professional services company, providing in ... Analyze network performance and recommend adjustments to infrastructure capacity, scalability, and ...
Network Engineer
Fort Huachuca, AZ · On-site
About Us AGE Solutions is a premier technology and professional services company, providing in ... Analyze network performance and recommend adjustments to infrastructure capacity, scalability, and ...
About Us AGE Solutions is a premier technology and professional services company, providing in ... Analyze network performance and recommend adjustments to infrastructure capacity, scalability, and ...
About Us AGE Solutions is a premier technology and professional services company, providing in ... Analyze network performance and recommend adjustments to infrastructure capacity, scalability, and ...
Analyze network performance and recommend adjustments to infrastructure capacity, scalability, and ... Experience with cybersecurity tools, firewall technologies, and network monitoring solutions.
Analyze network performance and recommend adjustments to infrastructure capacity, scalability, and ... Experience with cybersecurity tools, firewall technologies, and network monitoring solutions.
WORLD WIDE PROFESSIONAL SOLUTIONS is a project solutions organization committed to implementing ... Develop risk based cost contingencies and support cost reduction, cost avoidance, and value ...
WORLD WIDE PROFESSIONAL SOLUTIONS is a project solutions organization committed to implementing ... Develop risk based cost contingencies and support cost reduction, cost avoidance, and value ...
WORLD WIDE PROFESSIONAL SOLUTIONS is a project solutions organization committed to implementing ... Develop risk based cost contingencies and support cost reduction, cost avoidance, and value ...
WORLD WIDE PROFESSIONAL SOLUTIONS is a project solutions organization committed to implementing ... Develop risk based cost contingencies and support cost reduction, cost avoidance, and value ...
Maintenance Technician, 1st Shift
Phoenix, AZ · On-site
$25/hr
Conduct detailed preventive maintenance inspections and adjustments on vehicles and subsystems ... About Acara Solutions: Acara is a premier recruiting and workforce solutions provider-we help ...
Quick apply
Maintenance Technician, 1st Shift
Phoenix, AZ · On-site
$25/hr
Conduct detailed preventive maintenance inspections and adjustments on vehicles and subsystems ... About Acara Solutions: Acara is a premier recruiting and workforce solutions provider-we help ...
SBA Advisor, Vice President
$88K - $165K/yr
Works closely with internal teams and stakeholders to define products, solutions and strategies ... Credit Risk Assessment * Project Management * Customer Service * Problem Solving * Negotiation
SBA Advisor, Vice President
$88K - $165K/yr
Works closely with internal teams and stakeholders to define products, solutions and strategies ... Credit Risk Assessment * Project Management * Customer Service * Problem Solving * Negotiation
Works closely with internal teams and stakeholders to define products, solutions and strategies ... Credit Risk Assessment * Project Management * Customer Service * Problem Solving * Negotiation
Works closely with internal teams and stakeholders to define products, solutions and strategies ... Credit Risk Assessment * Project Management * Customer Service * Problem Solving * Negotiation
Commercial Relationship Manager Associate
Phoenix, AZ · On-site
$88K - $165K/yr
... bank's risk management standards. * Develops market strategies to align with business goals ... Works closely with internal teams and stakeholders to define products, solutions and strategies ...
Commercial Relationship Manager Associate
Phoenix, AZ · On-site
$88K - $165K/yr
... bank's risk management standards. * Develops market strategies to align with business goals ... Works closely with internal teams and stakeholders to define products, solutions and strategies ...
Hueman Risk Adjustment Solutions information
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.
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?
| Aspect | Hueman Risk Adjustment Solutions | Medical Coding Specialist |
|---|---|---|
| Credentials | Certifications in risk adjustment, coding, or related fields | Certified Professional Coder (CPC), CCS, or equivalent |
| Work Environment | Consulting, healthcare analytics, risk adjustment programs | Hospitals, clinics, insurance companies |
| Industry Usage | Health plan risk management, analytics firms | Medical 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 are popular job titles related to Hueman Risk Adjustment Solutions jobs in Arizona?
For Hueman Risk Adjustment Solutions jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Hueman Risk Adjustment Solutions jobs in Arizona look for?
The top searched job categories for Hueman Risk Adjustment Solutions jobs in Arizona are:
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Cities in Arizona with the most Hueman Risk Adjustment Solutions job openings:
Full-time
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Job description
Senior Leader, Government Health ActuaryWe are seeking a talented individual to join our Government Health Actuaries team at Mercer, a Marsh business. This role can be based in Phoenix, Atlanta, or Minneapolis. This is a hybrid role that has a requirement of working at least three days a week in the office.
As a Senior Leader, Government Health Actuary, you will develop the overall strategy for the Health Actuaries team and strive to become a trusted resource by delivering ongoing actuarial work that is client ready, on time, and on budget. You will provide high-level review of data analyses related to underwriting health and welfare insurance, brokering contracts, and projecting health care costs, ensuring actuarial soundness and proper use of models. You will also lead the development of senior team members and oversee client engagements to maintain our high service standards.
We will count on you to: Lead a team that of actuaries, actuarial and data analysts, clinicians and health policy consultants supporting a portfolio of large, complex capitation rate setting, risk adjustment and related projects across one or more state Medicaid clients.
Work with our clients to define and manage the scope of the project, serve as an expert on rate structures and methodologies, and ensure consistency with federal regulations and actuarial standards.
Oversee the all aspects of actuarial rate development and related services, advise our clients on the impact of data, assumptions and emerging trends on their programs and budgets, and provide on-going review and guidance throughout the project life cycle.
Collaborate with client and projects team to finalize actuarial work product and educate clients on the impact of their policies on the data and rates.
Work directly with clients on emerging and/or unique challenges facing their programs, and leverage the skills and expertise of Mercer actuaries, clinicians, and health policy consultants to design innovative and comprehensive solutions.
Oversee the completion and delivery of actuarial work product and communications, including rate certification letters and presentations, and act as an actuarial authority that signs rate certification letters and other statements of actuarial opinion.
Cultivate a growth-oriented culture within your project teams, including overseeing the development experienced actuaries, junior actuaries, and actuarial students. Provide guidance, oversight and mentoring for actuarial staff as needed.
Support new business pursuits, including responses to competitive procurements and expansion of existing contracts.
What you need to have: BA/BS degreeActuarial credentials (ASA or FSA, MAAA) strongly preferred15+ years minimum health actuarial experience, with 10+ Medicaid actuarial experienceWhat makes you stand out: Medicaid actuarial experience spanning multiple states, programs, health insurers or Federal agenciesClient-facing actuarial consulting experienceExperience building and managing multiple large, multi-disciplinary teamsExcellent interpersonal skills; strong oral and written communication skillsAbility to prioritize and handle multiple tasks in a demanding work environmentStrong critical thinking and analytical problem-solving skillsEngagement with the Society of Actuaries, American Academy of Actuaries, or other professional actuarial organizationsWhat's in it for you: Opportunity to work on meaningful programs that support vulnerable populations as part of multi-disciplinary teams. Professional development, growth and advancement opportunities, and strong peer support.
Thrive and be motivated by an environment that embraces AI and technology-enabled tools. A vibrant, inclusive culture within a global firm offering competitive benefits and rewards.