Senior Consultant, Health Care Data Analytics
Los Angeles, California, United States
- Pay
$111,600–139,400/yearAnnual period assumed — pay source
Salary Range $111,600 - $139,400 Reports To
Read the full posting- Work setting
- Not stated
- Employment
Full-time — employment source
Employment type in the employer’s posting: Full-Time
From the employer’s posting
What you’ll work on
Full postingAnalyze claims, EMR and operational data to find quality and cost opportunities
Validate data accuracy and investigate anomalies with root cause analysis
Present analytical findings to technical and executive audiences
Support reporting for MSSP, ACO REACH, Medicare Advantage and Medicaid programs
From the employer’s posting
Analyze healthcare claims, EMR, and operational datasets to identify actionable opportunities
Investigate data anomalies, perform root cause analyses
Present analytical findings to both technical and executive audiences
Support implementation of new reporting capabilities for value-based care programs including MSSP, ACO REACH, Medicare Advantage
What you’ll bring
All qualificationsCore experience
- 3+ years of professional experience performing healthcare analytics within a consulting firm, health system, payer, accountable care organization, or healthcare technology organization.
- Familiarity of data visualization and Business Intelligence platforms
- Demonstrated experience working with healthcare claims and eligibility data (professional, institutional, and pharmacy).
- Experience supporting HCC Risk Adjustment, quality, care management reporting, and utilization management analytics.
- Experience utilizing AI technologies (e.g., ChatGPT, Microsoft Copilot, Claude, GitHub Copilot, or similar tools) to improve analytics development, SQL optimization, reporting automation, and operational efficiency.
Preferred experience
- Experience with Electronic Medical Record (EMR/HER) and Utilization Management and Prior Authorization datasets preferred
Qualification wording
3+ years of professional experience performing healthcare analytics within a consulting firm, health system, payer, accountable care organization, or healthcare technology organization.
Familiarity of data visualization and Business Intelligence platforms
Demonstrated experience working with healthcare claims and eligibility data (professional, institutional, and pharmacy).
Experience supporting HCC Risk Adjustment, quality, care management reporting, and utilization management analytics.
Experience utilizing AI technologies (e.g., ChatGPT, Microsoft Copilot, Claude, GitHub Copilot, or similar tools) to improve analytics development, SQL optimization, reporting automation, and operational efficiency.
Experience with Electronic Medical Record (EMR/HER) and Utilization Management and Prior Authorization datasets preferred
Education & alternatives
Qualifications - Graduate degree with a quantitative, healthcare, business or technical focus preferred, bachelor’s degree and applicable experience will be considered. - 3+ years of professional experience performing healthcare analytics within a consulting firm, health system, payer, accountable care organization, or healthcare technology organization.
Tools in this posting
- SQL
- Excel
Source — Tool mentions in context
The Senior Consultant will work with cross-functional teams in a centralized consulting role supporting multiple client engagements and internal operational initiatives. The Senior Consultant is responsible for independent ownership of major analytical workstreams as well as defining methodology and reporting logic. This includes, but is not limited to, designing, developing, maintaining, and executing healthcare analytics and reporting solutions that enable clients and internal leadership to evaluate performance, identify opportunities, and improve outcomes across value-based care programs. This position partners closely with consulting, product, engineering, clinical, and client stakeholders to translate complex healthcare data into meaningful insights that drive operational efficiency, quality improvement, utilization management, care management performance, risk adjustment optimization, and financial success. The ideal candidate must be accountable for deliverable quality and deadlines, comfortable with direct presentation to client executives, possesses deep healthcare data expertise, SQL development skills, strong analytical thinking, and an ability to leverage AI-enabled technologies to improve reporting and analytics capabilities. FLSA Status
- Design, develop, automate, maintain, and execute client-facing and internal dashboards, reports, scorecards, and recurring analytics supporting value-based care initiatives. - Translate client and stakeholder business requirements into scalable reporting and analytical solutions using SMSS SQL, Excel, and other business intelligence tools. - Analyze healthcare claims, EMR, and operational datasets to identify actionable opportunities related to quality performance, care management, utilization management, prior authorization, HCC risk adjustment, population health, and medical cost/utilization.
- Present analytical findings to both technical and executive audiences in a clear, actionable manner. - Utilize AI-enabled technologies to accelerate report development, optimize SQL coding, improve documentation, automate repetitive analytical processes, and identify innovative opportunities for enhancing client value. - Contribute to continuous improvement initiatives that modernize analytics capabilities, increase operational efficiency, and strengthen consulting delivery.
- Experience with Electronic Medical Record (EMR/HER) and Utilization Management and Prior Authorization datasets preferred - Proficiency in SQL - Familiarity of data visualization and Business Intelligence platforms
- Strong consulting, project management, and stakeholder relationship management skills. - Experience utilizing AI technologies (e.g., ChatGPT, Microsoft Copilot, Claude, GitHub Copilot, or similar tools) to improve analytics development, SQL optimization, reporting automation, and operational efficiency. - Excellent written and verbal communication skills with the ability to explain technical concepts to both technical and business audiences.
Benefits in the posting
Full benefits wording- As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/
- About VBC Enablement VBC Enablement helps health plans, provider organizations and health systems design, implement and operate effective value-based care models. Combining strategy, operational expertise, analytics and implementation support, the team works across areas such as risk-based contracting, provider network performance, care management, quality improvement, financial operations and program execution. By connecting organizational goals with practical workflows and performance measures, VBC Enablement helps clients navigate the transition to accountability for clinical outcomes and total cost of care.
- About COPE Health Solutions COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit https://copehealthsolutions.com/about-us/
- To Apply: To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/
From the employer’s posting.
Posting record
Report an error- Status in our records
- Live
- First seen by us
- Sep 26, 2026 · 31 days ago
- Recorded sightings
- 17
- Last seen by us
- Oct 28, 2026
- Employer says posted
- Sep 21, 2026
These dates show when we found the posting. Check the employer’s website to confirm it is still accepting applications.
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Job description
The Senior Consultant will work with cross-functional teams in a centralized consulting role supporting multiple client engagements and internal operational initiatives. The Senior Consultant is responsible for independent ownership of major analytical workstreams as well as defining methodology and reporting logic. This includes, but is not limited to, designing, developing, maintaining, and executing healthcare analytics and reporting solutions that enable clients and internal leadership to evaluate performance, identify opportunities, and improve outcomes across value-based care programs.
This position partners closely with consulting, product, engineering, clinical, and client stakeholders to translate complex healthcare data into meaningful insights that drive operational efficiency, quality improvement, utilization management, care management performance, risk adjustment optimization, and financial success. The ideal candidate must be accountable for deliverable quality and deadlines, comfortable with direct presentation to client executives, possesses deep healthcare data expertise, SQL development skills, strong analytical thinking, and an ability to leverage AI-enabled technologies to improve reporting and analytics capabilities.
FLSA Status
Exempt
Salary Range
$111,600 - $139,400
Reports To
Director, Medical Economics
Direct Reports
None
Location
Los Angeles, CA Hybrid
Travel
Up to 40%
Work Type
Regular
Schedule
Full Time
Position Description
- Design, develop, automate, maintain, and execute client-facing and internal dashboards, reports, scorecards, and recurring analytics supporting value-based care initiatives.
- Translate client and stakeholder business requirements into scalable reporting and analytical solutions using SMSS SQL, Excel, and other business intelligence tools.
- Analyze healthcare claims, EMR, and operational datasets to identify actionable opportunities related to quality performance, care management, utilization management, prior authorization, HCC risk adjustment, population health, and medical cost/utilization.
- Develop executive-ready reporting that highlights operational efficiencies, outcomes, successes, failures, emerging trends, and strategic opportunities.
- Validate healthcare data for completeness, accuracy, consistency, and adherence to business rules while ensuring reporting integrity and reproducibility.
- Collaborate with product, engineering, consulting, and implementation teams to map client-specific data elements and define reporting logic aligned with client requirements.
- Investigate data anomalies, perform root cause analyses, and recommend solutions that improve data quality and accurate reporting.
- Support implementation of new reporting capabilities for value-based care programs including MSSP, ACO REACH, Medicare Advantage, Commercial Risk, and Medicaid value-based arrangements.
- Present analytical findings to both technical and executive audiences in a clear, actionable manner.
- Utilize AI-enabled technologies to accelerate report development, optimize SQL coding, improve documentation, automate repetitive analytical processes, and identify innovative opportunities for enhancing client value.
- Contribute to continuous improvement initiatives that modernize analytics capabilities, increase operational efficiency, and strengthen consulting delivery.
- Review or quality oversight of junior team members.
- Project leadership or information mentorship.
Qualifications
- Graduate degree with a quantitative, healthcare, business or technical focus preferred, bachelor’s degree and applicable experience will be considered.
- 3+ years of professional experience performing healthcare analytics within a consulting firm, health system, payer, accountable care organization, or healthcare technology organization.
- Demonstrated experience working with healthcare claims and eligibility data (professional, institutional, and pharmacy).
- Experience with Electronic Medical Record (EMR/HER) and Utilization Management and Prior Authorization datasets preferred
- Proficiency in SQL
- Familiarity of data visualization and Business Intelligence platforms
- Working knowledge of value-based care programs and healthcare risk-based arrangements including MSSP, ACO REACH, Medicare Advantage, and alternative payment models.
- Experience supporting HCC Risk Adjustment, quality, care management reporting, and utilization management analytics.
- Strong consulting, project management, and stakeholder relationship management skills.
- Experience utilizing AI technologies (e.g., ChatGPT, Microsoft Copilot, Claude, GitHub Copilot, or similar tools) to improve analytics development, SQL optimization, reporting automation, and operational efficiency.
- Excellent written and verbal communication skills with the ability to explain technical concepts to both technical and business audiences.
Benefits:
As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/
About VBC Enablement
VBC Enablement helps health plans, provider organizations and health systems design, implement and operate effective value-based care models. Combining strategy, operational expertise, analytics and implementation support, the team works across areas such as risk-based contracting, provider network performance, care management, quality improvement, financial operations and program execution. By connecting organizational goals with practical workflows and performance measures, VBC Enablement helps clients navigate the transition to accountability for clinical outcomes and total cost of care.
About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit https://copehealthsolutions.com/about-us/
To Apply:
To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/
Source details
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- Pay
Salary Range $111,600 - $139,400 Reports To
- Location & working pattern
Los Angeles, California, United States
Location Los Angeles, CA Hybrid Travel
- Work authorization
No clear work-authorization passage found. Eligibility is unconfirmed.
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