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Clinical Resolution Analyst Jobs in California (NOW HIRING)

Mindlance

Clinical - Sr Spec, ProdQuality Clinician

Encino, CA · On-site

$70K - $88K/yr

... resolution * Analyze complex clinical evaluation reports (CER) regulatory submissions, regulatory agency requests, and/or management report including ad hoc report * Provide clinical input to Product ...

Currance Inc

Account Resolution Specialist II

Irvine, CA · On-site

$18.50 - $20/hr

Investigate and analyze claim errors and rejections to apply necessary corrections. * Follow up ... Identify and document coding, clinical, and registration issues for referral to the appropriate ...

Eisenhower

Applications Analyst-Clinical

Rancho Mirage, CA · On-site

$39.04 - $59.31/hr

Supports the core functions of EMC Epic clinical applications to enable cost-effective, high ... Works with these groups to reach resolution of issues, define necessary modifications and develop ...

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Clinical Resolution Analyst information

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$16

$27

$45

How much do clinical resolution analyst jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for clinical resolution analyst in California is $27.54, according to ZipRecruiter salary data. Most workers in this role earn between $22.79 and $33.70 per hour, depending on experience, location, and employer.

What is the difference between Clinical Resolution Analyst vs Medical Claims Specialist?

AspectClinical Resolution AnalystMedical Claims Specialist
Required CredentialsHealthcare-related certifications, clinical knowledgeMedical billing/coding certifications, insurance knowledge
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, insurance companies, billing centers
Employer & Industry UsageHospitals, healthcare providers, insurance firmsInsurance companies, healthcare billing services
Common Search & ComparisonYesNo

The Clinical Resolution Analyst primarily focuses on resolving clinical and patient-related issues, often requiring healthcare knowledge and clinical certifications. In contrast, a Medical Claims Specialist handles billing, coding, and claims processing. While both roles work within healthcare and insurance environments, their core responsibilities differ, making this comparison relevant for those exploring healthcare support careers.

How does a clinical resolution analyst typically collaborate with healthcare providers and insurance teams to resolve patient cases?

A Clinical Resolution Analyst frequently acts as a liaison between healthcare providers, insurance teams, and patients to address complex clinical or billing issues. They review medical records, insurance claims, and provider notes to investigate discrepancies or denials, and then communicate findings and solutions to all parties involved. This collaborative process often involves regular meetings, detailed documentation, and coordination with clinical staff to ensure accurate and timely case resolution. Building strong relationships with both internal and external stakeholders is key to success in this role.

What are the key skills and qualifications needed to thrive as a clinical resolution analyst, and why are they important?

To thrive as a Clinical Resolution Analyst, you need a strong background in healthcare administration or clinical practice, analytical thinking, and problem-solving skills, often supported by a relevant degree or certification. Familiarity with electronic health records (EHR) systems, claims processing platforms, and healthcare compliance regulations is crucial. Excellent communication, attention to detail, and the ability to collaborate across departments are important soft skills for this role. These competencies ensure accurate case resolution, regulatory compliance, and effective communication between providers, payers, and patients.

What is a clinical resolution analyst?

A Clinical Resolution Analyst is a healthcare professional who reviews, investigates, and resolves clinical issues or complaints, often related to healthcare claims, patient care, or provider services. They work closely with clinical teams, insurance companies, and patients to ensure accurate and efficient resolution of clinical concerns. Their responsibilities may include analyzing medical records, interpreting clinical guidelines, and communicating outcomes to stakeholders. This role requires strong analytical skills, attention to detail, and knowledge of healthcare regulations and terminology.
What cities in California are hiring for Clinical Resolution Analyst jobs? Cities in California with the most Clinical Resolution Analyst job openings:
Clinical Resolution Analyst jobs near you

Clinical Communications Analyst

University of California San Francisco

San Francisco, CA • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

University Of California San Francisco rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

228th of 616 rated colleges and universities

Job description


This position requires onsite work 5 days per week.
Applies skills as a seasoned clinical applications professional to projects of medium size at all levels of complexity, or portions of large projects.
Under general supervision of the Clinical Communications Lead, this position is responsible for providing supervision and technical assistance in the development and support of clinical communications primarily at UCSF and its clinics including BCH Oakland Campuses. This position will work closely with various teams in order provide best in class service to Voalte users; interacts with clinical and business customers, as well as various IT groups, external departments, and outside vendors and consultants. This position will be a primary contact with our field services group and directly assist them with hardware. This is a hybrid onsite position with onsite days to be 5 days Mon-Fri unless otherwise approved by supervisor. Position is responsible for complex assignments that are small to significantly sized, that require independence, decision making, project management, and judgment levels beyond that of Programmer/Analyst II. Analysis of situations or data requires an in-depth evaluation of various factors. Incumbent will exercise judgment within broadly defined practices and policies in selecting methods, techniques and evaluation criterion for obtaining results.
This position will work closely with various teams in order to provide best in class service to Voalte users; interacts with clinical and business customers, as well as various IT groups, external departments, and outside vendors and consultants. This position will be a primary contact with our field services group and directly assist them with hardware.
  • Assist with resolving/troubleshooting issues (help pull log files, replicate, document).
  • Assist with escalations to the appropriate Customer or vendor contact.
  • Assist with escalation of issues regarding network or servers to the appropriate customer contact.
  • Track and trend Clinical Communications issues to institute process improvements where possible to reduce issue escalations.
  • Support new project development, including systems analysis, planning and preparation, testing and implementation and client coordination as needed.
  • Develop, support and maintain systems documentation and procedures as needed and provide training to other IT staff and user clients as appropriate.
  • Coordinate interactions and activities of vendors, both on-site and off-site as related to systems or areas supported.
  • Assign, plan, manage and complete tasks with minimal supervision and coordinate multiple assignments concurrently.
  • Coordinate and participate directly in the support of infrastructural applications, including
  • Troubleshoot problems end-to-end, identifying potential root cause, coordinating service/support between Clinical Engineering, IT, Network support, server support, medical device vendors, MDI application vendor and Apex application support.
  • Work with IT to coordinate security management process including risk and vulnerability analysis and related documentation associated with interconnected/integrated medical systems
  • Work with clinical and application stakeholders in developing specifications for new interfaces.
  • Test and provide quality control for implementation of patches, upgrades, and interfaces.
  • Meet weekly with the Clinical Communication team lead to prioritize workload
  • All other duties as may be assigned.

Qualifications
Required Qualifications
  • Bachelor's degree in health care information technology, computer science, or related area, and/or equivalent combination of experience/training.
  • Minimum 3 years relevant work experience
  • Experience supporting and troubleshooting computer hardware and software in healthcare, preferably with nursing point of care solutions.
  • Understanding and knowledge of clinical workflows, applicable to the functionality and capability of Nurse Call systems and integrated devices.
  • Strong problem-resolution skills, with the ability to quickly diagnose problems, and develop, test, and implement appropriate and effective solutions in a timely manner.
  • Strong interpersonal skills, with the ability to effectively train, support, and work collaboratively with users of clinical information systems at all professional and technical levels.
  • Detail-oriented, with proven organizational skills and the ability to effectively manage time, prioritize tasks, and see projects through to completion on deadline.
  • Strong written and verbal communication skills, with the ability to convey technical information and instructions to all levels of clinical applications users in a specific, clear, and concise manner.
  • Strong analytical skills and knowledge in documentation and reporting, with the ability to design and execute tests, analyze system performance data, and produce substantive reports and analyses.
  • Ability to work with senior staff and managers, serving as a technical resource and providing advice and counsel on issues of functionality, efficiency, cost-effectiveness, policy, and performance.

License/Certification:
  • none

Preferred Qualifications
  • Broad and / or in-depth knowledge of 1-2 areas of focus in clinical applications specialty area(s). Knowledge of systems and functions, including design, development, implementation, user support and training, maintenance, quality assurance, and system testing and evaluation.
  • At least 2 years of experience in a highly regulated clinical healthcare environment.
  • Knowledge of JAMF and/or ability to become proficient at using the MDM
  • Working knowledge of Clinical Communications Systems
  • Working knowledge of middleware systems

About Us
About UCSF
The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world's leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here.
Join us to find a rewarding career contributing to improving healthcare worldwide.
Equal Employment Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
Salary Information
The final salary and offer components are subject to additional approvals based on UC policy.
Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

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