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Hueman Risk Adjustment Solutions Jobs in Arizona

We deliver solutions that help our nation and allies defend freedoms and deter aggression, creating ... adjustments. * Conduct risk assessments, including the preparation and execution of Monte Carlo ...

... innovative solutions that reduce risk and enhance productivity. Your ability to build trust ... If you have a disability and need a workplace accommodation or adjustment during the application ...

... reduce risk, increase visibility, and implement scalable supply chain best practices. The role ... Review and approve inventory adjustments, waste/scrap reporting, and batch corrections. * Monitor ...

... reduce risk, increase visibility, and implement scalable supply chain best practices. The role ... Review and approve inventory adjustments, waste/scrap reporting, and batch corrections. * Monitor ...

... reduce risk, increase visibility, and implement scalable supply chain best practices. The role ... Review and approve inventory adjustments, waste/scrap reporting, and batch corrections. * Monitor ...

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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.
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:
What cities in Arizona are hiring for Hueman Risk Adjustment Solutions jobs? Cities in Arizona with the most Hueman Risk Adjustment Solutions job openings:

Senior Manager Enterprise Data (Financial Crimes& Fraud)

First Citizens Bank

Phoenix, AZ • On-site

Full-time

Re-posted yesterday


First Citizens Bank rating

7.4

Company rating: 7.4 out of 10

Based on 106 frontline employees who took The Breakroom Quiz

108th of 170 rated banks


Job description

Overview

Leads a team of associates who facilitate technical innovation and continuous improvement initiatives through enterprise data management. Directs initiatives that improve enterprise data quality, governance, reporting, and analytics, with a focus on supporting Corporate Functions - Financial Crimes Risk Management, and Fraud teams through trusted, actionable data solutions. Provides expert guidance and leadership to associate teams, management, and lines of business. Oversees all Enterprise Data Warehouse activities, including the creation and maintenance of related documentation. Enables effective risk, compliance, and fraud operations by delivering high-quality data, reporting, and analytical capabilities. Implements strategies and process improvements that achieve data management goals in alignment with wider organizational objectives.


Responsibilities
  • Data Enhancement - Leads projects and process improvements that enhance the quality, management, and storage of enterprise data. Manages a team of associates who facilitate initiatives and data management. Directs activities that improve profiling, exception reporting, data analysis, and issue resolution as well as general fixes for the Enterprise Data Warehouse. Delegates work tasks and makes adjustments as needed to ensure the appropriate data governance.
  • Business Support - Creates data policies and procedures to be used both within the department and enterprise-wide. Reviews feedback from associates in order to identify areas of improvement within data management capabilities. Oversees data validation and reporting to ensure the quality and completeness of data prior to business use. Directs the creation and maintenance of technical documentation for the Enterprise Data Warehouse. Makes modifications as necessary to Enterprise Data Warehouse processes in order to enhance efficiencies.
  • Managerial Functions - Establishes and monitors expectations to achieve company and department goals. Makes appropriate changes to team policies, procedures, and efficiencies in order to meet objectives. Manages the performance, training, and evaluation of assigned staff. Maximizes department achievements by providing professional development.
  • Business Strategy - Facilitates the implementation of process improvements and strategies that develop the Bank's data management capabilities. Serves as an expert data resource to other management, associates, and project teams. Maintains a strong knowledge of current and emerging technologies or trends impacting the financial service industry.

Qualifications

Bachelor's Degree and 8 years of experience in Risk Management including Enterprise Data Warehouse OR High School Diploma or GED and 12 years of experience in Risk Management including Enterprise Data Warehouse

Preferred:

  • Understanding of data warehousing and transformation as well as extract, transform, and load processes, Knowledge of technologies and trends impacting the financial service and insurance industry.
  • Experience in Banking, Regulatory, Data Warehouse/Data Lakes, AWS/ Snowflake
  • Proven track record of leading agile data product delivery across cross-functional teams using agile frameworks such as Scrum, SAFe, or Kanban.
  • Domain expertise in Financial Crimes Risk Management including KYC, BSA/AML, Sanctions and Fraud Management.

#LI-XG1

Benefits are an integral part of total rewards and First Citizens Bank is committed to providing a competitive, thoughtfully designed and quality benefits program to meet the needs of our associates. More information can be found at https://jobs.firstcitizens.com/benefits.

Qualifications:

Bachelor's Degree and 8 years of experience in Risk Management including Enterprise Data Warehouse OR High School Diploma or GED and 12 years of experience in Risk Management including Enterprise Data Warehouse

Preferred:

  • Understanding of data warehousing and transformation as well as extract, transform, and load processes, Knowledge of technologies and trends impacting the financial service and insurance industry.
  • Experience in Banking, Regulatory, Data Warehouse/Data Lakes, AWS/ Snowflake
  • Proven track record of leading agile data product delivery across cross-functional teams using agile frameworks such as Scrum, SAFe, or Kanban.
  • Domain expertise in Financial Crimes Risk Management including KYC, BSA/AML, Sanctions and Fraud Management.

#LI-XG1

Benefits are an integral part of total rewards and First Citizens Bank is committed to providing a competitive, thoughtfully designed and quality benefits program to meet the needs of our associates. More information can be found at https://jobs.firstcitizens.com/benefits.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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