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Hueman Risk Adjustment Solutions Jobs in Springfield, MA

CVS Health

Software Development Engineer

Hartford, CT · On-site

STARS, HEDIS/QM measures, Risk Adjustment (HCC), Encounter data, CTM/Grievances & Appeals * CMS ... GenAI Solutions * ApplyVertex AIand LLMs for use cases likeprior authorization summarization,member ...

Corvel

Medical Bill Review Analyst I

East Hartford, CT · Hybrid

$16.94 - $23.42/hr

The level may impact the salary range and these adjustments would be clarified during the offer ... leading risk management solutions for the workers' compensation, auto, health and disability ...

LCR EPC LLC

Director Project Delivery

Enfield, CT · On-site

$160K - $180K/yr

... sustainable solutions in the energy sector. Specializing in large-scale projects including ... adjustments to ensure timely, cost-effective delivery. Risk Management & Quality Assurance

Corvel

Medical Bill Review Analyst I

East Hartford, CT · On-site

$16.94 - $23.42/hr

The level may impact the salary range and these adjustments would be clarified during the offer ... leading risk management solutions for the workers' compensation, auto, health and disability ...

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Hueman Risk Adjustment Solutions information

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How much do hueman risk adjustment solutions jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for hueman risk adjustment solutions in Springfield, MA is $30.23, according to ZipRecruiter salary data. Most workers in this role earn between $19.42 and $38.56 per hour, depending on experience, location, and employer.

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 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, and why are they important?

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.
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Hueman Risk Adjustment Solutions jobs near you

Nurse Practitioner (PRN) - Health Risk Assessments

Hueman Risk Adjustment Solutions

Holyoke, MA

Other

Posted 19 days ago

Job description

Description
Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Holyoke, MA.
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
  • 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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