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Hueman Risk Adjustment Solutions Jobs in Connecticut

Community Solutions

Contract Analyst

Windsor, CT · On-site

$60 - $80/hr

About the Role Community Solutions, Inc. (CSI) is currently seeking a dedicated Contract Analyst ... Post payments, credit memos and adjustments. * Maintain a working knowledge of and abide by Agency ...

COMMUNITY SOLUTIONS INC

Contract Analyst

Windsor, CT · On-site

$68K - $83K/yr

About the Role Community Solutions, Inc. (CSI) is currently seeking a dedicated Contract Analyst ... Post payments, credit memos and adjustments. * Maintain a working knowledge of and abide by Agency ...

COMMUNITY SOLUTIONS INC

Contract Analyst

Windsor, CT

$68K - $83K/yr

About the Role Community Solutions, Inc. (CSI) is currently seeking a dedicated Contract Analyst ... Post payments, credit memos and adjustments. * Maintain a working knowledge of and abide by Agency ...

Trilon

Industrial Services Specialist

New Haven, CT · On-site

Fuss & O'Neill's Manufacturing Solutions team is seeking a hands-on Industrial Services Specialist ... Conduct comprehensive machine risk assessments for new and existing manufacturing equipment

Trilon Group

Industrial Services Specialist

New Haven, CT · On-site

$100K - $125K/yr

Fuss & O'Neill's Manufacturing Solutions team is seeking a hands-on Industrial Services Specialist ... Conduct comprehensive machine risk assessments for new and existing manufacturing equipment

Trilon Group

Industrial Services Specialist

Hartford, CT · On-site

$100K - $125K/yr

Fuss & O'Neill's Manufacturing Solutions team is seeking a hands-on Industrial Services Specialist ... Conduct comprehensive machine risk assessments for new and existing manufacturing equipment

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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?

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.

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Hueman Risk Adjustment Solutions jobs near you

Health Actuary Consulting Manager

Deloitte

Stamford, CT • On-site

Full-time

Re-posted 9 days ago

Key responsibilities

  • Lead actuarial modeling and analysis to assess the impact of trend changes, review plan design changes, and evaluate enterprise cost strategies for health plan and insurance clients

  • Review and apply trend forecasting, predictive modeling, underwriting, and risk analysis methodologies to support client decision-making

  • Develop presentations, reports, and recommendations for senior client stakeholders and Deloitte leadership

Deloitte rating

8.2

Company rating: 8.2 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

48th of 154 rated financial services

Job description

Join Deloitte's Human Capital practice and help organizations navigate complex challenges across the healthcare ecosystem. As an Actuarial Manager, you will apply actuarial, strategic, and analytical experience to help clients evaluate business issues, improve decision-making, and support transformation in a rapidly evolving market. This role offers the opportunity to work on high-impact engagements spanning the entire health care landscape and product types, focused on pricing, underwriting, forecasting, reserving, and value-based care.  

Our Human Capital practice is at the forefront of transforming the nature of work. As converging forces reshape industries, our team uniquely addresses the complexities of work, workforce, and workplace dynamics. We leverage sector-specific insights and cross-domain perspectives to help organizations tackle their most challenging workforce issues and align talent strategies with their strategic visions. Our practice is renowned for making work better for humans and humans better at work. Be part of this exciting era of change and join us on this transformative journey. 

Recruiting for this role ends on 10/31/2026. 

Work you'll do 
As an Actuarial Manager on the Insights, Innovation & Operate team, you will be responsible for delivering strategic and technical consulting services to help clients address complex challenges.
  • Lead actuarial modeling and analysis to assess the impact of trend changes in the health care landscape, review plan design changes and pricing decisions, and enterprise cost strategies for health plan and insurance clients 
  • Review and apply trend forecasting, predictive modeling, underwriting, and risk analysis methodologies to support client decision-making 
  • Advise clients on alternative plan designs, reimbursement models, and value-based care strategies, including analysis of return on investment for medical management initiatives 
  • Support reserve analyses related to health care liabilities, including work performed in connection with Deloitte & Touche audit engagements 
  • Develop presentations, reports, and recommendations for senior client stakeholders and Deloitte leadership while leading teams across engagements  
A successful candidate would possess these skills: 
  • Ability to work independently and collaborate as part of a team 
  • Effective written and verbal communication skills 
  • Meticulous attention to detail and quality of work product 
  • Ability to build and sustain professional relationships 
  • Ability to lead projects or workstreams 
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment 
  • Strong interpersonal skills and professional demeanor 
  • Ability to meet deadlines 
  • Ability to mentor and provide clear guidance to others 

The Team 
Insights, Innovation, and Operate 
Our Insights, Innovation & Operate Offering is designed to enhance key aspects of our clients' businesses by leveraging cutting-edge technology, data, and a blend of deep technical and human expertise. We innovate and deliver creative, industry-specific solutions that streamline operations and accelerate speed-to-value. 

Qualifications 
Required: 
  • Bachelor's degree 
  • 6+ years of health actuarial experience 
  • Passage of 5 actuarial exams 
  • Ability to travel 50%, on average, based on the work you do and the clients and industries/sectors you serve. 
  • Limited immigration sponsorship may be available. 
Preferred: 
  • 6+ years of consulting, health plan, or insurance company experience 
  • 4+ years of experience leading teams 
  • Associate of the Society of Actuaries (ASA) with progression to Fellow of the Society of Actuaries (FSA), FSA, or career ASA designation 
  • 4+ years of experience with product design or product strategy 
  • 4+ years of experience with reimbursement models, including value-based care or accountable care organization (ACO) modeling 
  • 4+ years of experience with risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care reform involving individual medical, small group, or state Medicaid markets  
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $148,200 to $292,300.  

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

#HCFY27
Qualifications:
Join Deloitte's Human Capital practice and help organizations navigate complex challenges across the healthcare ecosystem. As an Actuarial Manager, you will apply actuarial, strategic, and analytical experience to help clients evaluate business issues, improve decision-making, and support transformation in a rapidly evolving market. This role offers the opportunity to work on high-impact engagements spanning the entire health care landscape and product types, focused on pricing, underwriting, forecasting, reserving, and value-based care.  

Our Human Capital practice is at the forefront of transforming the nature of work. As converging forces reshape industries, our team uniquely addresses the complexities of work, workforce, and workplace dynamics. We leverage sector-specific insights and cross-domain perspectives to help organizations tackle their most challenging workforce issues and align talent strategies with their strategic visions. Our practice is renowned for making work better for humans and humans better at work. Be part of this exciting era of change and join us on this transformative journey. 

Recruiting for this role ends on 10/31/2026. 

Work you'll do 
As an Actuarial Manager on the Insights, Innovation & Operate team, you will be responsible for delivering strategic and technical consulting services to help clients address complex challenges.
  • Lead actuarial modeling and analysis to assess the impact of trend changes in the health care landscape, review plan design changes and pricing decisions, and enterprise cost strategies for health plan and insurance clients 
  • Review and apply trend forecasting, predictive modeling, underwriting, and risk analysis methodologies to support client decision-making 
  • Advise clients on alternative plan designs, reimbursement models, and value-based care strategies, including analysis of return on investment for medical management initiatives 
  • Support reserve analyses related to health care liabilities, including work performed in connection with Deloitte & Touche audit engagements 
  • Develop presentations, reports, and recommendations for senior client stakeholders and Deloitte leadership while leading teams across engagements  
A successful candidate would possess these skills: 
  • Ability to work independently and collaborate as part of a team 
  • Effective written and verbal communication skills 
  • Meticulous attention to detail and quality of work product 
  • Ability to build and sustain professional relationships 
  • Ability to lead projects or workstreams 
  • Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment 
  • Strong interpersonal skills and professional demeanor 
  • Ability to meet deadlines 
  • Ability to mentor and provide clear guidance to others 

The Team 
Insights, Innovation, and Operate 
Our Insights, Innovation & Operate Offering is designed to enhance key aspects of our clients' businesses by leveraging cutting-edge technology, data, and a blend of deep technical and human expertise. We innovate and deliver creative, industry-specific solutions that streamline operations and accelerate speed-to-value. 

Qualifications 
Required: 
  • Bachelor's degree 
  • 6+ years of health actuarial experience 
  • Passage of 5 actuarial exams 
  • Ability to travel 50%, on average, based on the work you do and the clients and industries/sectors you serve. 
  • Limited immigration sponsorship may be available. 
Preferred: 
  • 6+ years of consulting, health plan, or insurance company experience 
  • 4+ years of experience leading teams 
  • Associate of the Society of Actuaries (ASA) with progression to Fellow of the Society of Actuaries (FSA), FSA, or career ASA designation 
  • 4+ years of experience with product design or product strategy 
  • 4+ years of experience with reimbursement models, including value-based care or accountable care organization (ACO) modeling 
  • 4+ years of experience with risk adjustment mechanisms, group insurance products, mergers and acquisitions, or health care reform involving individual medical, small group, or state Medicaid markets  
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $148,200 to $292,300.  

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

#HCFY27
Education:Bachelor's DegreeEmployment Type:

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