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Clinical Resolution Analyst Jobs in California (NOW HIRING)

Kings View

EHR Data Systems Analyst II

Fresno, CA · On-site +1

$33.80 - $35.86/hr

... clinical, and regulatory objectives. Key Responsibilities * Analyze business and operational ... Develop testing scenarios, document findings, and track issue resolution * Analyze and resolve ...

Kings View

EHR Data Systems Analyst II

Fresno, CA · On-site

$33.80 - $35.86/hr

... clinical, and regulatory objectives. Key Responsibilities * Analyze business and operational ... Develop testing scenarios, document findings, and track issue resolution * Analyze and resolve ...

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Clinical Resolution Analyst information

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$27

$45

How much do clinical resolution analyst jobs pay per hour?

As of Aug 29, 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 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.

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 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.

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

Applications Analyst-Clinical (Epic Clinical Documentation)

Rancho Mirage, CA • On-site

Eisenhower
See more jobs at Eisenhowerexternal

$39.04 - $59.31/hr

Full-time

Posted 15 days ago

Job description

Default Work Shift:

Day (United States of America)

Hours:

40

Salary range:

$39.04 - $59.31

Schedule:

Full Time

Shift Hours:

8 Hour employee

Department:

Information Systems

Job Objective:

Eisenhower is seeking an Epic Clinical Documentation certified analyst or individual that possesses relevant experience in the clinical setting to join Eisenhower to gain certification within the required time frame. This analyst will provide production support, on call and after-hours support, develop new functionality, analysis, problem solve, and support our clinical and non-clinical users daily fast paced environment. In this role, this analyst will own or manage small to medium projects.
Supports the core functions of EMC Epic clinical applications to enable cost-effective, high quality, efficient, and safe patient care. This position will implement, administer, and support assigned clinical systems under the guidance of senior members of the team. This position will have a thorough understanding of assigned applications, ancillary systems, and health system operations. This position will address issues and design decisions of moderate to high complexity and deliver clear communication and documentation of complex concepts and issues related to applications, interfaces, data structures, and workflows across the organization. Coordinate application support with other information technology teams including System Administrator's, DBA, Networking, Reporting, and the Help Desk. Implement changes using documented procedures that are compliant with department's policies and procedures. Provide solutions to work orders, trouble tickets and projects for assigned departments.

Job Description:

Education:
Required: Relevant degree or experience in lieu of degree
Preferred: Bachelor's degree

Licensure/Certification:
Required: Relevant Epic certification(s) required for those positions supporting an Epic application; must complete relevant Epic certification(s) within 12 months of hire or 12 months from transferring into position

Experience:
Required: Two to four years in healthcare or information systems related positions

Preferred: Experience with the assigned applications desirable (Epic Certification if applicable); experience working in an acute healthcare or vendor setting

Reports To: Director-Clinical Applications
Supervises: N/A
Ages of Patients: N/A
Blood Borne Pathogens: Minimal/ No Potential

Skills, Knowledge, Abilities:

Ability to maintain positive interpersonal relations with peers, users and vendors, Ability to teach/train other staff, Excellent communication skills, Excellent oral and written skills, Facilitation skills, strong organization skills, team building skills, PC Computer skills using MS Office, Internet Browsers, Email, Working knowledge of and experience using healthcare applications

Essential Responsibilities

1. Demonstrates compliance with Code of Conduct and compliance policies and takes action to resolve compliance questions or concerns and report suspected violations.
2. Acts as a liaison between assigned departments, clinical end users and I.S. technical personnel.
3. Assists in the coordination and maintenance of all current systems for assigned departments.
4. Supports the departments and staff during, and post implementation, of assigned applications/systems.
5. Provides at the elbow support for providers and end users as needed during and after clinical system upgrades.
6. Analyzes current systems and processes in order to identify opportunities for improvement in patient care, provider productivity, financial outcomes and ancillary relations or cost savings.
7. Identify and assist with planning for, and developing, department-specific requirements for future product acquisitions.
8. Performs written and oral project status reporting on a regular basis as requested.
9. Communicates with IS staff members, vendors and users, and facilitates communication between these groups to identify system needs, modifications, and/or issues. Works with these groups to reach resolution of issues, define necessary modifications and develop solutions.
10. Analyzes user-requested programming changes, documents requests, facilitates communication between users and IS staff.
11. Works with vendors to determine, review and document acceptance of system changes. Facilitates communications between IS personnel and vendor representatives.
12. Provides technical assistance and support to expert users.
13. Follows Project Management Office (PMO) guidelines on all projects.
14. Assures that all necessary documentation (i.e. procedures, processes) is properly completed.
15. Troubleshoots issues and document for vendor resolution.
16. Updates all service requests on a monthly basis and communicate updates to the requestor on a monthly basis.
17. Ensures that email and voice mail indicate unavailability with alternative contact when out of office.
18. Assumes administrative tasks to support management as requested and perform other duties as assigned.
19. Performs other duties assigned.

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