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Clinical Resolution Analyst Jobs in Minnesota (NOW HIRING)

The Emily Program

Senior EHR Analyst

Roseville, MN · On-site

$70K - $85K/yr

Position Overview The Senior EHR Analyst is an experienced healthcare IT professional responsible ... resolution. * Prioritizes work effectively and adapts to changing business, clinical, and technical ...

Accanto Health

Senior EHR Analyst

Roseville, MN · On-site

$70K - $85K/yr

Position Overview The Senior EHR Analyst is an experienced healthcare IT professional responsible ... resolution. * Prioritizes work effectively and adapts to changing business, clinical, and technical ...

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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 29, 2026, the average hourly pay for clinical resolution analyst in Minnesota is $27.33, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $33.41 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 Minnesota are hiring for Clinical Resolution Analyst jobs?

Cities in Minnesota with the most Clinical Resolution Analyst job openings:

Clinical Resolution Analyst jobs near you

Clinical Informaticist Analyst

Saint Paul, MN • On-site

ClinDCast LLC
Health Care and Social Assistance • 11 - 50 employees
Learn more about ClinDCast LLCexternal

Full-time

Re-posted 19 days ago

Job description

Job Title: Clinical Informaticist

Job Summary:
The Clinical Informaticist will bridge the gap between clinical and technical teams by interpreting clinical guidelines from CMS and Health Plans, and transforming them into models for automation. This role requires close collaboration with clinicians and engineers to ensure that automated models are accurate, clinically sound, and technically feasible.
Key Responsibilities:

  • Interpret clinical guidelines and policies from CMS and Health Plans
  • Build and validate clinical automation models based on policy requirements
  • Collaborate with clinicians (MDs, Nurses) to ensure clinical accuracy
  • Act as liaison between clinical, business, and technical teams
  • Support engineering teams through the development and QA lifecycle
  • Analyze clinical data and develop data mapping and transformation rules
  • Develop use cases, user stories, and support resolution of production issues
Required Qualifications:

  • Bachelor’s degree
  • 3+ years of experience in Healthcare IT
  • Strong clinical understanding and experience
  • Familiarity with medical coding (CPT, ICD, etc.)
  • Experience as a Business Analyst or in a similar liaison role
  • Strong communication and analytical skills
  • Proficient in Excel, Visio; able to explain and understand technical solutions
Preferred Qualifications:

  • Degree in Clinical Informatics
  • Familiarity with CMS, MCG, InterQual guidelines
  • Experience with EMRs and querying using SQL
  • Experience analyzing large clinical datasets

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About ClinDCast

Sourced by ZipRecruiter

ClinDCast is at the forefront of shaping the future of healthcare by partnering with globally recognized healthcare organizations and offering them innovative solutions and expert guidance. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy. With 15+ Years Of Healthcare IT Industry Experience, ClinDCast Is A Trusted Partner For Payers, Providers, And Lifesciences Organizations, Enabling Them To Deliver Exceptional Product And Solutions For Their Customers.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Wesley Chapel, FL, US

Social media

Twitter

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