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Hueman Risk Adjustment Solutions Jobs in Kentucky

$200 - $250/hr

Define and own the end-to-end strategy for Galaxy, Innovaccer's payer solution spanning risk adjustment, quality management, payment integrity, and utilization management, with agentic AI as the ...

$100 - $125/hr

ABOUT ADVANTMED 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 ...

$125 - $150/hr

Become a part of our caring community The Senior Business Intelligence Architect designs, builds, and leads scalable data solutions that support enterprise Risk Adjustment and Stars initiatives. This ...

New

$80 - $100/hr

For over **90 years**, we have been New Jersey's health solutions leader driving innovations that ... Perform or support data analytics and reporting to inform risk adjustment operations, strategy ...

$150 - $200/hr

... affect risk adjustment, mortality index, and quality attribution, and (2) identify gaps and ... Ensure solutions meet healthcare data standards for security, privacy (HIPAA), and auditability.

$150 - $200/hr

... solutions company founded in 2018 with a mission of positively impacting the lives we touch ... Support reimbursement strategies related to Medicare Advantage, Medicaid, risk adjustment, HCC ...

$100 - $125/hr

This position leads the planning, coordination, and execution of CMS-mandated Risk Adjustment Data ... sustainable solutions. * Provide executive-level and cross-functional leadership for strategic ...

New

$150 - $200/hr

... adjustments to engagement realization when needed. Job Duties * Oversees the documentation and ... Collaborates with both RAS and other practice partners to bring the best solutions to our clients ...

$60 - $80/hr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If you have a disability or other need that requires accommodation or adjustment, please let us ...

New

$150 - $200/hr

... risk adjustment performance, and quality outcomes. * Build strong relationships with client ... About COPE Health Solutions COPE Health Solutions is a national tech-enabled services firm powering ...

$60 - $80/hr

About the Business LexisNexis ® Risk Solutions provides customers with solutions and decision ... If you have a disability or other need that requires accommodation or adjustment, please let us ...

New

$125 - $150/hr

About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk ... If you have a disability or other need that requires accommodation or adjustment, please let us ...

New

$150 - $200/hr

Sales Strategic Account Manager (Remote - US) LexisNexis Risk Solutions is the essential partner in ... If you have a disability or other need that requires accommodation or adjustment, please let us ...

$60 - $80/hr

LFUS) is a diversified industrial technology manufacturing company shaping solutions for the safe ... Assists with the receivables to reduce risk and maximize accounts receivable. Performs credit and ...

$150 - $200/hr

... solution innovative ways to mitigate risk using your advanced analytical and critical thinking ... Fidelity will reasonably accommodate applicants with disabilities who need adjustments to ...

Showing results 21-40

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

$200 - $250/hr

Other

Medical, Dental, Vision, Life, PTO

Posted 16 days ago


Job description

About the Role

The Head of Product- Payer Solutions leads Innovaccer’s payer product portfolio, spanning AI applications in IT, financial and clinical operations. Reporting directly to the Chief Product Officer, the Head of Payer Solutions is a senior leadership role with broad organizational scope — you will own the product strategy and roadmap end to end, lead a team of product managers, partner deeply with engineering, data science, design, and clinical operations, and work hand-in-hand with go-to-market teams to personally grow, mature, and scale the go-to-market strategy.

The ideal candidate is someone who has taken a product or a business from a standing start to a real, referenceable market position. You should be equal parts strategist, innovator and closer: someone who can build the plan and then walk into a room with a health plan CXOs and sell it.

A Day in the Life Business & Product Strategy
  • Define and own the end-to-end strategy for Galaxy, Innovaccer's payer solution spanning risk adjustment, quality management, payment integrity, and utilization management, with agentic AI as the operating model rather than a feature layer.
  • Develop a differentiated point of view on where the market is heading and translate that into an AI-first product roadmap that positions Innovaccer ahead of the curve, defining where Galaxy expands next — new use cases, new payer segments, new regulatory surface area — and building the business case for each bet.
  • Partner with the CPO to shape Innovaccer's overall product narrative and communicate strategy to customers, investors, and internal stakeholders.
  • Lead a team of product leaders to develop world-class products with the agility of an early-stage startup
Go-to-Market & Commercial Ownership
  • Build and own the go-to-market plan for Galaxy: target segments, buyer personas, sales motion, and the proof points that move a payer CXO from interested to signed.
  • Be the lead seller in strategic deals — you will personally pitch, negotiate, and help close alongside sales, not hand off a deck, do demos, and step back.
  • Partner with sales, marketing, and customer success to build and convert pipeline, and be direct with yourself and the team about what is working and what is not.
Team & Execution Leadership
  • Work seamlessly with GTM and commercial teams to execute at the pace the market demands
  • Set a high operating cadence: fast decisions, clear prioritization, and a bias toward shipping and closing over deliberating.
  • Partner with engineering, data science, and clinical and regulatory SMEs to make sure what gets built is what the market will actually buy.
  • Own the metrics that matter to the business — pipeline, bookings, retention, and product adoption — and build a rhythm of accountability around them.
Market & Customer Engagement
  • Be Galaxy's most visible external voice — with customers, at industry conferences, in analyst and KLAS conversations, and in the press.
  • Develop deep relationships with payer CXOs, VPs of Risk Adjustment, VPs of Quality and Stars, and Medical Directors of UM, understanding their world well enough to sell into it credibly.
  • Represent Innovaccer in competitive evaluations against point payer vendors and payer-owned solutions, and win the room.
  • Turn every customer conversation into product and GTM insight, and close the loop back into strategy fast.
What You Need

This role demands a rare combination of builder instincts, commercial range, and payer domain fluency.

  • 8+ years of experience in product, strategy, or general management, with a demonstrated track record of launching new products or new businesses into market from an early stage, including the strategy, the go-to-market plan, and the first wave of customers.
  • Entrepreneurial, founder-operator mindset: you have owned P&L responsibility, you have taken products from idea to market, and you have a track record of consulting with payer clients on growth and market entry.
  • A demonstrated ability to sell: You can personally pitch, negotiate, and close with senior executives — you do not just build the product and hand it to someone else to sell.
  • Payer domain fluency: in risk adjustment, quality and Stars performance, utilization management, or value-based care economics — or the speed to get fluent fast.
  • Comfort owning a business outcome, not just a roadmap: pipeline, bookings, and market share, in addition to product quality and adoption.
  • A track record of building and leading high-performing, cross-functional teams: You hire well, develop talent, and build teams from a standing start.
  • Exceptional executive presence and communication skills: equally credible in a boardroom, an analyst briefing, or a working session with a health plan's VP of Risk Adjustment.
  • Comfort operating in ambiguity: You do not wait for a fully built playbook. You build the plan as you go and create clarity for the people around you.
Nice to have
  • Prior experience selling to health plan or payers.
  • Experience competing against or partnering with payer point vendors or payer-owned solutions.
  • Experience scaling a health-tech or payer-tech business from early revenue to a durable, referenceable market position.
  • Direct P&L ownership at a startup or business unit, including pricing and packaging decisions.
  • Familiarity with agentic AI or AI-native product architectures in healthcare.
Here’s What We Offer
  • Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance.
  • Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments.
  • Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed.
  • Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.

Innovaccer Inc. is an equal opportunity employer. We celebrate diversity and are committed to fostering an inclusive workplace where all employees feel valued and empowered regardless of any characteristic protected by federal, state or local law including, without limitation, race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, medical condition, disability, age, marital status, or veteran status. Innovaccer Inc. participates in the E-Verify program to confirm employment eligibility of all newly hired employees based out of the U.S. and employed by Innovaccer Inc.

For any additional information, please visit the below websites:

  • E-Verify
  • Right to Work (English)
  • Right to Work (Spanish)
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