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Clinical Resolution Analyst Jobs in Georgia (NOW HIRING)

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 ...

Clinical Pharmacist - Sales

Atlanta, GA

$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 ...

... and resolution, back creation and maintenance, SQL and Laboratory Information Management System ... Health Level - 7 (HL7) for transfer of clinical data between multiple applications in various ...

VP Clinical Quality

Atlanta, GA

$76K - $103K/yr

This role will integrate routine root cause analysis into the monitoring and development process to ... Assists with the proper handling and resolution of any complaints from patients, families, and the ...

Showing results 41-60

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 Pharmacist - Sales

McKesson

Alpharetta, GA

$115K - $138K/yr

Full-time

Posted 11 days ago


McKesson rating

7.9

Company rating: 7.9 out of 10

Based on 209 frontline employees who took The Breakroom Quiz

47th of 86 rated pharmaceutical


Job description

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.

What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you.

Rx Savings Solutions (RxSS), part of McKesson's CoverMyMeds prescription technologies business segment, offers an innovativepatented software system that educates and empowers consumers to make the best healthcare choices at the lowest cost. Founded and operated by a team of pharmacists and software engineers, we support a collaborative, cost-saving solution for purchasing prescription drugs.

TheClinical Pharmacist - Salesprimarily serves business development as a Clinical Pharmacist on the Clinical Advisory Team responsible for providing clinical and industry expertise to the Sales (Employer, Health Plan, Consultant/Broker, State/Local Government) team.The Clinical Pharmacist also provides industry guidance and support to the Revenue Demand Generation team as needed. This is a client facing role requiring skills that leverage clinical expertise, knowledge of competitive landscape, strategic thinking, quantitative analysis, and a clear understanding of key business objectives.

This role requires up to 35% business travel and is primarily office-based in Overland Park, Kansas. We would prefer a local candidate with the ability to work in office/hybrid but may consider a well-qualified fully remote individual.

What You'll Do:

  • Provide clinical and industry expertise to the Sales (Employer, Health Plan, Consultant/Broker, State/Local Government) team on a day-to-day basis

  • Compile, develop, and deliver clinical and analytical content for virtual and on-site pre-sell prospecting and partner presentations

  • Collaborate with commercial teams to continuously develop clinical strategies and opportunities to drive value with prospects and current clients

  • Support revenue demand generation with clinical content such as webinars, blog posts, clinical content updates, public speaking, and specific engagement campaigns when needed

  • Act as a voting member for the P&T Committee

  • Perform other duties as reasonably requested by department leadership

Basic Requirements:

  • Doctorate in Pharmacy from an accredited college or university, or RPh, and typically requires 4+ years of pharmacy industry experience with proven ability to communicate with internal and external stakeholders to provide overall clinical support to both clinical and non-clinical teams

  • Valid Pharmacist license

  • Previous success within clinical teams in managed care pharmacy, pharmacy consulting, health system, or pharmacy benefit manager environments

  • Previous technical work experience with Microsoft OfficeSuites, data visualization software, data analytics reporting, and pharmacy adjudication platforms

Preferred Skills /Experience

  • Experience and demonstrated success in a team selling environment for employer groups, pharmacy consultants, and state/local governments

  • Understanding of pharmacy benefit design, managed care pharmacy for Commercial lines of business, pharmacy adjudication processes, formulary design, utilization management edits, pharmacy networks, clinical compendia for decision support, FDA approval process, medical and pharmacy rebates, pharmaceutical market access strategies

  • Demonstrated success in client facing role(s) or public speaking specifically on clinical, industry, or thought leadership in the field of pharmacy

  • Experience with PBM clinical programs, specialty and channel management, Medication Therapy Management (MTM), case management programs, and/or academic detailing to providers

  • Demonstrates effective communication and listening skills, with the ability to efficiently problem solve novel situations in collaboration with teams from different departments

  • Desire to evaluate, prioritize, develop, and lead innovations that require managing both short- and long-term initiatives to optimize RxSS procedures and future offerings

  • Desire to work directly withdata files, pharmacy claim utilization, and data visualization software to research, investigate, and develop sound business strategies

  • Ability to assess and interpret data to identify pharmacy trends and irregularities for resolution and troubleshooting capabilities

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, pleaseclick here.

Our Base Pay Range for this position

$111,200 - $185,300

McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson's (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:
McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.


McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.

McKesson job postings are posted on our career site: careers.mckesson.com.

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) Disability_Accommodation@McKesson.com or (Canada) Accessibility@mckesson.ca. Resumes or CVs submitted to this email box will not be accepted.

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