Data Risk Analyst

Title: Data Risk AnalystLocation: Phoenix , AZ (Onsite)Duration: ContractJob DescriptionThe Risk Adjustment Analyst serves as a data and strategic specialist who tracks health plan performance and financial risk By using advanced coding methodologies and data extraction tools they bridge the gap between clinical documentation and actuarial health forecasting Their overarching goal is to maintain absolute regulatory compliance while optimizing organizational revenueMust HaveData Analysis Modeling Gather clean and consolidate financial claims pharmacy enrollment and premium datasets into actionable modelsRisk Score Calculation Analyze diagnostic patterns to calculate Risk Adjustment Factors RAF and forecast financial impacts using clinical metricsCoding Quality Compliance Maintain deep familiarity with medical terminologies ICD10CM coding and Hierarchical Condition Categories HCC to isolate coding discrepancies or revenue gapsAudit Support Provide backend reporting and data validation to assist with internal quality checks and federal Risk Adjustment Data Validation RADV auditsCrossfunctional Collaboration Partner with clinical providers to deliver Documentation Improvement CDI training ensuring that medical charts comprehensively capture a patients overall disease burdenReporting Dashboards Design custom automated dashboards and adhoc financial plans to report risk trends directly to executive leadershipSkills Advanced proficiency in SQL for relational databases paired with statistical modeling in Python SAS or RNice to HaveHealthcare experienceSoft SkillsStrong communication and interpersonal skillsGood analytical and problemsolving skillsSkillsMandatory Skills : Dimensional Data Modeling, MS SQL Server, Python for DATA, R - Data Science, SAS-Data IntegratorGood to Have Skills : Statistics-Data Science