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Hueman Risk Adjustment Solutions Jobs in Kentucky

$56 - $101/hr

Act as subject matter experts for proper risk adjustment coding and CMS data validation. * Work in ... solutions that help families and individuals get well, stay well and be well. #J-18808-Ljbffr

$100 - $232/hr

Drive modernization of analytics platforms, data solutions, and self-service reporting tools ... Partner with executive leaders across Risk Adjustment, Finance, Actuarial, Clinical, Provider, and ...

$100 - $232/hr

Drive modernization of analytics platforms, data solutions, and self-service reporting tools ... Partner with executive leaders across Risk Adjustment, Finance, Actuarial, Clinical, Provider, and ...

$100 - $232/hr

Lead Director, Informatics** (Performance Reporting & Insights) to lead the development and delivery of enterprise risk adjustment analytics and business intelligence solutions. This role transforms ...

$109 - $181/hr

JOB SUMMARY This job supports leadership of the Risk Adjustment Accuracy Management (RAAM ... solution and recommendations, represent findings to stakeholders and own the outcome. Lead the ...

New

$100 - $232/hr

Lead the development and implementation of advanced predictive analytics and AI solutions to support risk adjustment, population health, and business performance initiatives.* Drive innovation ...

$113 - $198/hr

... risk adjustment scoring * Oversee and monitor network access standards for market to include ... solutions and services that help to ensure optimum business performance * Oversee the development ...

New

$150 - $175/hr

... in Risk Adjustment. * Direct experience at a healthcare SaaS company in a product, solutions, or strategy role with domain accountability. * Demonstrated ownership of a domain-level strategy or ...

New

... solutions for organizations across the healthcare ecosystem - including providers, health plans ... for risk adjustment and reimbursement purposes. You will play a critical role in translating ...

New

RAAPID is a leading healthcare technology innovator specializing in AI-enabled risk adjustment solutions. Funded by Microsoft and Great Place to Work-certified organization, we serve payers, healt ...

$250 - $350/hr

Own solution strategy across risk adjustment, Stars/HEDIS, medical cost management, member and ... provider engagement. * Translate CMS regulations and clinical complexity into clear solution ...

$170 - $200/hr

... solutions for organizations across the healthcare ecosystem - including providers, health plans ... migrating its entire retrospective risk adjustment coding platform to next-generation ...

$140 - $160/hr

Position healow Insights solutions to address payer challenges related to quality improvement, member engagement, risk adjustment, and value‑based contracts. * Understand health plan priorities ...

$90 - $120/hr

Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology ...

$117 - $143/hr

About Advantmed Advantmed is a leading healthcare solutions company focused on improving healthcare outcomes through comprehensive risk adjustment, quality improvement, and patient engagement ...

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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.

What are popular job titles related to Hueman Risk Adjustment Solutions jobs in Kentucky?

For Hueman Risk Adjustment Solutions jobs in Kentucky, the most frequently searched job titles are:

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The top searched job categories for Hueman Risk Adjustment Solutions jobs in Kentucky are:

What cities in Kentucky are hiring for Hueman Risk Adjustment Solutions jobs?

Cities in Kentucky with the most Hueman Risk Adjustment Solutions job openings:

Nurse Practitioner (PRN) - Health Risk Assessments

Hueman Risk Adjustment Solutions

Owensboro, KY • On-site

Other

This job post has expired today. Applications are no longer accepted.


Job description

Job Description
Job Description

Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Daviess County, Kentucky

This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your preferences in mind. Whether it be for supplemental income or the desire for community connection, this position invites you to become an integral part of the thriving HRA landscape, fostering connections that go beyond the clinic.

Benefits include:

  • Competitive compensation and travel reimbursement
  • Flexible schedule
  • Comprehensive home assessment training
  • Dedicated patient scheduling assistance
  • All required supplies provided
  • Liability insurance options

Position Summary

Qualified Nurse Practitioners interested in this position will have the opportunity to interact with members in a more intimate setting. Unlike a typical clinic visit, this role allows NPs to connect with patients on a more personal and effective level. Nurse Practitioners performing HRAs are not required to treat or prescribe in the home.

Nurse Practitioner Responsibilities

  • Travel to and from patients’ homes.
  • Perform comprehensive, non-invasive physical assessments.
  • Review medical history and ensure accurate and timely documentation.
  • Conduct medical reconciliation to ensure patient safety and compliance.
  • Provide basic patient education on wellness and preventative healthcare measures.

Nurse Practitioner Qualifications and Experience Requirements:

  • Master’s Degree OR commensurate experience and satisfactory completion of NP license
  • Active State NP license
  • Active National board certification
  • Current BLS certification
  • 12 months of experience as a paid advanced clinical provider is preferred but not required

To learn more about this position, please use this link to schedule a call with a member of our recruitment team.
About Hueman

At Hueman, we're dedicated to guiding you toward fulfilling career opportunities.

We believe that happiness should be a fundamental part of every role in risk assessment. Our opportunities provide flexibility, extra income, and integration into your local healthcare network. If this resonates with your idea of career satisfaction, allow us to assist you in discovering your next healthcare position!

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