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Clinical Resolution Analyst Jobs in Georgia (NOW HIRING)

MCKESSON

Clinical Pharmacist - Sales

Alpharetta, GA

$115K - $137K/yr

Compile, develop, and deliver clinical and analytical content for virtual and on-site pre-sell ... Ability to assess and interpret data to identify pharmacy trends and irregularities for resolution ...

MCKESSON

Clinical Pharmacist - Sales

Atlanta, GA

$106K - $127K/yr

Compile, develop, and deliver clinical and analytical content for virtual and on-site pre-sell ... Ability to assess and interpret data to identify pharmacy trends and irregularities for resolution ...

Rx Savings Solutions

Clinical Pharmacist - Sales

Atlanta, GA · On-site

$114K - $136K/yr

Compile, develop, and deliver clinical and analytical content for virtual and on-site pre-sell ... Ability to assess and interpret data to identify pharmacy trends and irregularities for resolution ...

McKesson

Clinical Pharmacist - Sales

Atlanta, GA · On-site

$114K - $136K/yr

Compile, develop, and deliver clinical and analytical content for virtual and on-site pre-sell ... Ability to assess and interpret data to identify pharmacy trends and irregularities for resolution ...

McKesson

Clinical Pharmacist - Sales

Alpharetta, GA

$115K - $138K/yr

Compile, develop, and deliver clinical and analytical content for virtual and on-site pre-sell ... Ability to assess and interpret data to identify pharmacy trends and irregularities for resolution ...

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Showing results 21-40

All JobsClinical Resolution Analyst JobsClinical Resolution Analyst Jobs in Georgia

Clinical Resolution Analyst information

See Georgia salary details

$14

$23

$38

How much do clinical resolution analyst jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for clinical resolution analyst in Georgia is $23.56, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $28.85 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 Georgia are hiring for Clinical Resolution Analyst jobs? Cities in Georgia with the most Clinical Resolution Analyst job openings:
Clinical Resolution Analyst jobs near you

Clinical Informatics Analyst

Koch Enterprises Family of Companies

Atlanta, GA • On-site

Other

Posted 26 days ago

Job description

South Western Communications
South Western Communications, SWC, is one trusted source for communication, physical security and life safety solutions to meet the needs of Healthcare, Education, Detention and Commercial customers. We utilize a consultative approach to conduct an in-depth needs analysis, enabling our customers to fulfill their mission critical processes. We continuously research and select only the best-in class product collection. We utilize these products to create an integrated solution with your goals and needs in mind, ensuring satisfaction and flawless integration. At SWC, we strive to exceed your expectations and invest the time and resources into every job because we care about our customers.
Title: Informatics Analyst
Reports To: Manager of Informatics
Class: Full-Time
Type: Salaried, Exempt
The Informatics Analyst provides support and expertise to advance the safety, efficiency, and quality of outcomes of our customers and those they serve through our portfolio of technology and services.
Duties include, but are not limited to:
  1. Lead assessment meetings by exploring system capabilities and best practices with customer
  2. Create and maintain documentation of user requirements and system configuration
  3. Review system design and confirm facility layout with customer
  4. Work closely with internal teams to relay requested system design modifications
  5. Modify and develop system configurator to reflect the functionality depicted in assessment documentation
  6. Adhere to customer's defined policy for system governance and change management
  7. Lead efforts to develop, display, and understand customer performance metrics using both proprietary and non-proprietary platforms
  8. Research, document, and collate baseline assessments of our customers' integrated systems
  9. Participate in continuous improvement huddles with customers to promote adoption of technologies and ongoing optimization of systems through:
    1. Consultative discovery meetings
    2. Analysis of current state operations and desired outcomes
    3. Providing recommendations for configuration changes, process improvement, and system support needs
  10. Work closely with Application Specialists to develop plans for training, implementation, and adoption of technology
  11. Work closely with Technicians and Application Specialists to ensure correct system configuration performance
  12. Triage customer issues and provide a resolution or refer to other subject matter experts when necessary
  13. Present a positive attitude and self-assured image to the community on behalf of SWC
  14. Maintain a commitment to achieve a "best in class" program through continuous improvement
  15. All other duties assigned

Travel obligations include, but are not limited to:
  1. Occasional day travel within governed region is required
  2. Infrequent overnight travel for special events and team member functions

Administrative responsibilities include, but are not limited to:
  1. Maintain data for benchmarking customer performance metrics
  2. Maintain current state documentation for any/all governed systems
  3. Assist with producing supporting material for presentations
  4. Attend coordination meetings and update status of all assigned activities
  5. Accurately record time allocated towards projects, service contracts, etc.
  6. Additional responsibilities as assigned

Education/Experience: Bachelor's or Master's Degree in Clinical Informatics, Health Informatics, Data Analytics, Healthcare Administration, Business Administration, OR equivalent work experience demonstrating proficiency in field preferred
Desirable Experience:
Process Improvement Training
Nursing
Clinical IS Experience
Data-Driven Decision Making
Clinical Informatics
Project Management or Coordination
Skills:
  1. Strong client-facing and communication skills.
  2. Advanced troubleshooting, multi-tasking skills, and time management skills.
  3. Ability to effectively present and disseminate technical information to diverse groups.
  4. Ability to learn in both an organized classroom environment and individually.
  5. Ability to continuously learn new technologies and have a technical curiosity.
  6. Creative aptitude and passion for using data and research to tell a story
  7. Attentive to detail
  8. Comprehensive knowledge of management methods, techniques, and the Microsoft Suite of software solutions.

Physical, Mental, and Environmental Requirements:
  1. Employees must stand, walk, climb, sit, and use their hands and fingers.
  2. Some lifting of objects up to fifty pounds is required.
  3. Reaching, grasping, and carrying activities are also required.
  4. The noise level in the work environment is usually moderate.
  5. Although most work is performed inside, occasional outside activities are subject to seasonal temperature fluctuations.

SWC reserves the right to change any or all this statement as required to allow the company to respond to market changes or changes in operational workflow.
Management has the right to revise this description at any time. The job description is not a contract for employment, and either you or the employer may terminate employment at any time, for any reason as outlined in the employee manual or other written agreement.

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