Senior Consultant, Health Care Data Analytics
Job Location:
Los Angeles, CA - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
The Senior Consultant will work with cross-functional teams in a centralized consulting role supporting multiple client engagements and internal operational initiatives. The Senior Consultantis responsible forindependent ownership of major analytical workstreamsas well as definingmethodologyand reporting logic. Thisincludes but is not limited todesigning developingmaintaining and executing healthcare analytics and reporting solutions that enable clients and internal leadership to evaluate performanceidentifyopportunities 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 improvementutilizationmanagement care management performance risk adjustment optimization and financial success.The ideal candidatemust beaccountable for deliverable quality and deadlinescomfortable with direct presentation to client executivespossessesdeep healthcare dataexpertise SQL development skills strong analytical thinking and an ability toleverageAI-enabled technologies to improve reporting and analytics capabilities.
FLSA Status | Exempt | Salary Range | $111600 - $139400 |
Reports To | Director Medical Economics | Direct Reports | None |
Location | Hybrid in LA/NY Office | Travel | Up to 40% |
Work Type | Regular | Schedule | Full Time |
Position Description
- Design develop automatemaintain 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 toidentifyactionable opportunities related to quality performance care managementutilizationmanagement prior authorization HCC risk adjustment population health and medical cost/utilization.
- Develop executive-readyreporting 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 andaccuratereporting.
- 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 developmentoptimizeSQL coding improve documentation automate repetitive analytical processes andidentifyinnovative 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 focuspreferredbachelors degree and applicable experience will be considered.
- 3 years of professional experience performinghealthcare 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
- ProficiencyinSQL
- Familiarity of data visualization and Business Intelligence platforms
- Working knowledgeofvalue-based care programsand healthcare risk-based arrangements includingMSSP ACO REACH Medicare Advantage and alternative payment models.
- Experience supporting HCC Risk Adjustment quality care management reporting andutilizationmanagement analytics.
- Strong consulting project management and stakeholder relationship management skills.
- ExperienceutilizingAI 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 careweredeeply 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 forwellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: 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 deepexpertise 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 healthplansand self-insured employers. For moreinformation visit Apply: To apply for this position or for more information about COPE Health Solutions visit us at Experience:
Senior IC
