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Hueman Risk Adjustment Solutions Jobs in Ohio (NOW HIRING)

Actalent

Mechanical Design Engineer

Lewis Center, OH

$72K - $98K/yr

Mechanical Design Engineer - Automation Solutions This role focuses on developing concepts and ... Recognize high-risk mechanisms and develop prototypes to validate design concepts and mitigate ...

Robert Half

IT Project Manager

Dublin, OH · On-site

$95K - $112K/yr

... enabled solutions. The role calls for a confident leader who can coordinate technical delivery ... Monitor project risks, dependencies, and resource needs, then implement adjustments to support ...

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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

Asset Liability Management Professional

Veterinary Pet Insurance

Columbus, OH • Hybrid

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago

Job description

As a team member in Finance at Nationwide, a Fortune 100 company with nearly $70 billion in annual sales, the opportunities are endless! Let Nationwide help create your career journey! At Nationwide, "on your side" goes beyond just words. Our customers are at the center of everything we do and we're looking for associates who are passionate about delivering extraordinary care.

The hired associate must reside within 35 miles of the following location:

Columbus: One Nationwide Plaza, Columbus OH, 43215

Work schedule: 3 days in office, 2 days remote.

This role does not qualify for employer sponsored work authorization. Nationwide does not participate in the STEM OPT extension program.

#LI-SS1

Job Description Summary

Do you have the desire to play a critical role in driving data-and risk-based business outcomes? Nationwide has been using data to serve our members and drive business outcomes for almost 100 years. Our industry-leading workforce has a collaborative culture that delivers outstanding solutions and results. Our Risk professionals play a key role in transforming quantitative data analysis into meaningful insights that drive business results.
As a Professional on the Investment Risk Asset/Liability Management (ALM) Team, you will be an important contributor to the development of investment strategy and risk targets across the organization to help the company grow the funds necessary to serve our customers in their greatest times of need. You will leverage your investment and risk management expertise to evaluate asset classes through an ALM lens, ensuring alignment with risk, return, and liquidity objectives. You'll be a subject matter expert on investment income forecasting and will lead the automation and modernization of our reporting ecosystem for the ALM team and contribute to the maintenance and enhancements of asset modeling to support pricing, ALM, Corporate Risk Model, along with capital forecasting. You will also aid investment risk and strategy recommendations to senior leadership focusing on impact to total return, investment income, volatility, and capital. Additionally, you will assist on additional investment risk and ALM-related research projects.

Job Description

Key Responsibilities:

  • Shapes ALM strategies by analyzing investment portfolios, interest rate risks, and liquidity needs to optimize balance sheet performance.

  • Collaborates with investment teams to assess long-term asset allocation, evaluate long-term trends, and provide insights on investment risks and opportunities as they relate to ALM objectives.

  • Leads the Net Investment Income forecasting process for the Investment Risk-ALM team that includes, but not limited to, preparing and reviewing quarterly forecast assumptions (prepayments, rates, spreads, and investment pool strategies), preparing new money rate assumptions, and leading client-specific deliverables.

  • Leads the automation and modernization of legacy models for Net Investment Income forecasting by designing and implementing scalable solutions. This includes modernizing the reporting structures for client deliverables using Power BI/Tableau.

  • Monitors capital markets to build and update investment assumptions used in ALM tools and applications. Develops and maintains assumptions, including the complex statistical analysis of historical data and trends.

  • Maintains and enhances asset modeling to support pricing, ALM, Corporate Risk Model, and investment income and capital forecasting, such as Operating Plan, Strategic Plan, etc. Utilizes deep knowledge of all types of investments on the balance sheet as well as maintenance of complex models of prepayments / cash flow risk, interest rate risk, credit risk [migration/defaults], equity market risk, inflation risk, etc.

  • Partners with other members of the Investment Risk-ALM and Product ALM teams to maintain investment pool assumptions and strategies, analyze new purchase cash flow, along with ensuring accurate alignment of asset terms and holdings data.

  • Serves as the primary Investment Risk-ALM team representative in the ongoing enterprise platform redesign initiative by identifying and communicating ALM-related issues, providing actionable feedback, and collaborating with stakeholders to create effective solutions.

  • Partners with senior members of the Investment Risk-ALM team to add new asset classes and strategies in the proprietary ALFA model to generate model results for distribution.

  • Recommends adjustments to the calibration of Office of Investments' incentive performance (OIP) scorecard, using eVestment database of peer investment manager performance.

May perform other responsibilities as assigned.

Reporting Relationships: Reports to Asset Liability Management Leader
Typical Skills and Experiences:
Education: Undergraduate degree in finance or quantitative field. Graduate degree preferred.

License/Certification/Designation: Chartered Financial Analyst (CFA) or actuarial designation (FSA or ASA) preferred.
Experience: Typically, 5 or more years of experience in investments and/or previous insurance company experience. Experience in investments and Asset Liability Management strongly desired and will consider experience in investment risk management. Experience in fixed income, equity, alternative, and derivative asset class concepts and relationships gained through investment management role. Experience with Python and SQL. Experience with advanced analytical tools (Bloomberg, FactSet, FIRM, ADVISE, MG-ALFA, GGY-AXIS, MATLAB, etc.) is a plus.

Knowledge, Abilities and Skills: Working knowledge of data related python packages (pandas and numpy), basic object-oriented programming, and data processing. Deep understanding of capital markets, risk management, insurance products, and insurance capital frameworks (regulatory and rating agency). Exceptional analytical, critical thinking, and problem-solving capabilities. Excellent written and verbal communication skills. Team oriented. Composed and decisive under pressure or when challenged. Driven, self-motivated, and inquisitive. Creative, organized, responsive, and detail oriented. Ability to apply financial knowledge and methods to address investment questions and facilitate improved decision making. Knowledge of related accounting, and tax concepts is beneficial. Knowledge of insurance and financial services products.
Other criteria, including leadership skills, competencies and experiences may take precedence.
Staffing exceptions to the above must be approved by the hiring manager's leader and Human Resource Business Partner.
Values: Regularly and consistently demonstrates Nationwide Values.
Job Conditions:
Overtime Eligibility: Not Eligible (Exempt)
Working Conditions: Normal office environment with limited travel.
ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties.

Benefits

We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage,paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer, click here.

Nationwide is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law.


NOTE TO EMPLOYMENT AGENCIES:

We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means.

Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range. Note on Compensation for Part-Time Roles: Please be aware that the salary ranges listed below reflect full-time compensation. Actual compensation may be prorated based on the number of hours worked relative to a full-time schedule.The national salary range for Asset Liability Management Professional : $118,000.00-$222,000.00The expected starting salary range for Asset Liability Management Professional : $118,000.00 - $178,000.00

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