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Clinical Resolution Analyst Jobs in Montana (NOW HIRING)

Jobtailor

Sales Director

Jefferson City, MT · On-site

$90 - $130/hr

Partner with Clinical and Analytics teams to demonstrate ROI, patient outcomes, and program impact ... Act as a senior escalation point to ensure timely and effective resolution of issues. * Provide ...

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All JobsClinical Resolution Analyst JobsClinical Resolution Analyst Jobs in Montana

Clinical Resolution Analyst information

See Montana salary details

$15

$25

$42

How much do clinical resolution analyst jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for clinical resolution analyst in Montana is $25.61, according to ZipRecruiter salary data. Most workers in this role earn between $21.20 and $31.35 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 Montana are hiring for Clinical Resolution Analyst jobs?

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

Clinical Resolution Analyst jobs near you

Clinical Applications Specialist

Jimmy Jazz

Missoula, MT • On-site

$70 - $95/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

  • Location 2673 PALMER ST STE 201,Missoula, MT, 59808-1710,United States
  • Job Category Healthcare IT Specialist, Systems Administrator, Clinical Systems Analyst
  • Employee Type Nonexempt
Contact information
  • Phone 4068308770
  • Email teetersk@partnersinhomecare.org
Description

Clinical Applications Specialist - Missoula, MT - Full-Time

Partners In Home Care is seeking a detail-oriented Clinical Applications Specialist to join our team on-site in Missoula, MT. The Clinical Applications Specialist will be responsible for promoting evidence-based practice, regulatory compliance, operational efficiency, and strong user adoption through education, workflow redesign, system optimization, and data-driven improvement.

Essential Job Functions
  • Serve as the clinical subject matter expert for the electronic health record (EHR), Home Care Home Base and Care Tend, along with other clinical technologies.
  • Assess clinical workflows, recommend and implement technology solutions that improve patient care, staff efficiency, documentation quality, and regulatory compliance.
  • Partner with clinical leadership to design, standardize, and continuously improve workflows that align with organizational goals and best practices.
  • Lead and participate in all phases of clinical technology projects — needs assessment, workflow mapping, solution design, configuration, testing, user acceptance testing, go-live support, and post-implementation optimization — while minimizing disruption to patient care.
  • Coordinate clinical readiness activities and support organizational strategic initiatives involving clinical technology and innovation.
Clinical Education & Training
  • Develop and deliver training on clinical applications, documentation standards, workflows, and technology enhancements.
  • Create user guides, workflow documents, and other educational resources.
  • Provide one-on-one coaching and ongoing support to clinical staff before, during, and after implementation projects.
  • Promote clinical adoption through education, mentoring, and change management strategies.
Analytics, Quality Improvement & Continuous Learning
  • Use clinical and operational data to identify trends and improvement opportunities and assist with dashboard development and performance reporting.
  • Collaborate with Quality, Compliance, and Clinical Operations leadership to support quality improvement initiatives.
  • Recommend best practices based on data analysis, industry standards, and emerging healthcare technology and regulatory trends.
  • Maintain competency in clinical informatics through ongoing professional development.
  • Serve as the clinical liaison between Operations, IT, vendors, and clinical staff, providing expert consultation on clinical technology, workflow optimization, and documentation standards.
  • Participate in interdisciplinary committees, project teams, and strategic planning initiatives, and assist in evaluating new technologies and software.
  • Partner with software vendors and implementation partners on upgrades, enhancements, issue resolution, and ongoing optimization, maintaining positive working relationships with internal and external stakeholders.
QualificationsEducation
  • Nursing background preferred, other clinical disciplines accepted.
Licensure
  • Valid driver\'s license and acceptable driving record.
Experience
  • Minimum five (5) years of progressive clinical nursing experience preferred; Home Health, Hospice, Acute Care, or Community-Based Healthcare experience preferred.
  • Minimum three (3) years supporting clinical information systems, workflow redesign, education, implementation, or project management preferred; clinical informatics experience preferred.
  • Experience with Home Care Home Base, Well Sky/CareTend, Sysaid, and Forcura/Mosaic preferred.
  • Experience leading technology implementation projects preferred.
Summary

What We Offer:

We have a large variety of benefits and unique programs to help support our staff to maintain a happy, healthy work-life balance.

  • Generous Paid Time Off
  • Comprehensive Medical, Dental, & Vision - Beginning the first of the month following your start date. No months of waiting!
  • Supplemental Insurance, FSA, & HSA Account Options
  • 401k Retirement Plan with Company Match
  • Company Paid Life Insurance
  • Tuition Reimbursement
  • Annual Training Budget for Personal Development
  • Employee Assistance Program, Legal and ID Protection, Pet Insurance, Financial Wellness Program, and many more!

Partners In Home Care 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, or protected veteran status.

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