Data Risk Analyst

Droisys is an innovation technology company focused on helping companies accelerate their digital initiatives from strategy and planning through execution. We leverage deep technical expertise, Agile methodologies, and data-driven intelligence to modernize systems of engagement and simplify human/tech interaction. At Droisys, we invest in our talent and support career growth, and we are always on the lookout for amazing talent who can contribute to our growth by delivering top results for our clients. Join us to challenge yourself and accomplish work that matters. Role: Senior Data Risk Analyst Location : Phoenix , AZ Mandatory Skills : Dimensional Data Modeling, MS SQL Server, Python for DATA, R - Data Science, SAS-Data Integrator Good to Have Skills : Statistics-Data Science Please find the JD Below: The 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 revenue Must Have Data Analysis Modeling Gather clean and consolidate financial claims pharmacy enrollment and premium datasets into actionable models Risk Score Calculation Analyze diagnostic patterns to calculate Risk Adjustment Factors RAF and forecast financial impacts using clinical metrics Coding Quality Compliance Maintain deep familiarity with medical terminologies ICD10CM coding and Hierarchical Condition Categories HCC to isolate coding discrepancies or revenue gaps Audit Support Provide backend reporting and data validation to assist with internal quality checks and federal Risk Adjustment Data Validation RADV audits Crossfunctional Collaboration Partner with clinical providers to deliver Documentation Improvement CDI training ensuring that medical charts comprehensively capture a patients overall disease burden Reporting Dashboards Design custom automated dashboards and adhoc financial plans to report risk trends directly to executive leadership Skills Advanced proficiency in SQL for relational databases paired with statistical modeling in Python SAS or R Nice to Have Healthcare experience Soft Skills 1 Strong communication and interpersonal skills 2 Good analytical and problemsolving skills Droisys is an equal opportunity employer. We do not discriminate based on race, religion, color, national origin, gender, gender expression, sexual orientation, age, marital status, veteran status, disability status or any other characteristic protected by law. Droisys believes in diversity, inclusion, and belonging, and we are committed to fostering a diverse work environment.