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Clinical Resolution Analyst Jobs in Oregon (NOW HIRING)

Care Access

OR

... resolution of patient concerns by providing clinical insights and ensuring patients receive ... Leverage data analytics to identify patterns and trends in lab results, contributing to evidence ...

Oregon Health & Science University

Designs, develops and documents new applications and systems or clinical/operational workflows ... Coordinates the escalation and resolution of software processing problems with vendor support ...

Oregon Health & Science University

Designs, develops and documents new applications and systems or clinical/operational workflows ... Coordinates the escalation and resolution of software processing problems with vendor support ...

Oregon Health & Science University

Designs, develops and documents new applications and systems or clinical/operational workflows ... Coordinates the escalation and resolution of software processing problems with vendor support ...

LTS

Functional Business Analyst

OR · Remote

Participate in system testing, validation efforts, and issue resolution activities. * Ensure ... Experience supporting healthcare workflows, clinical operations, or enterprise healthcare systems.

e4.health

$55 - $85/hr

... clinical and financial value across healthcare. Our People make the difference. Serving more than ... Strong problem and issue resolution experience and create quality deliverables KEY SUCCESS ...

e4.health

... clinical and financial value across healthcare. Our People make the difference. Serving more than ... Strong problem and issue resolution experience and create quality deliverables KEY SUCCESS ...

e4.health

$55 - $85/hr

... clinical and financial value across healthcare. Our People make the difference. Serving more than ... Strong problem and issue resolution experience and create quality deliverables KEY SUCCESS ...

e4.health

... clinical and financial value across healthcare. Our People make the difference. Serving more than ... Strong problem and issue resolution experience and create quality deliverables KEY SUCCESS ...

Pulse Biosciences

OR

Ability to analyze and interpret clinical data. * Must recognize and commit to a sense of urgency and teamwork. * Strong ability in problem-solving including conflict resolution. * Ability to work ...

Telix Pharmaceuticals (AMER)

OR

Managing risks proactively and leading problem solving and resolution efforts * Support the ... Strong analytical, organisational, planning, decision making, negotiation, and conflict management ...

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Clinical Resolution Analyst information

See Oregon salary details

$17

$29

$48

How much do clinical resolution analyst jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for clinical resolution analyst in Oregon is $29.50, according to ZipRecruiter salary data. Most workers in this role earn between $24.38 and $36.11 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 Oregon are hiring for Clinical Resolution Analyst jobs? Cities in Oregon with the most Clinical Resolution Analyst job openings:
Clinical Resolution Analyst jobs near you

Registered Nurse, Clinical Delivery

Care Access

OR

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 6 hours ago

Job description

How This Role Makes a Difference

The Registered Nurse, Clinical Delivery (RN) in this role will manage the communication of critical and abnormal lab results to patients, ensuring compliance with state licensure requirements. This includes contacting patients, documenting communications, following up on lab escalations, and collaborating with providers to ensure all patient interactions are appropriately managed and documented. This role is also responsible for patient education, ensuring patients understand their lab results and any necessary next steps in their care, as well as providing study specific information that is tailored to the patient. Furthermore, they serve as a point of escalation for the Member Services team, addressing complex inquiries related to lab results and assisting in the resolution of patient concerns by providing clinical insights and ensuring patients receive accurate information and appropriate follow-up. The RN will liaise with the Clinical Conduct Team to investigate and resolve issues related to duplicate lab results or other concerning findings, as advised by the Medical Director. Lastly, they will assist in training and educating the Member Services team to improve patient interactions and enhance service quality. This role is critical in ensuring timely patient communication and maintaining compliance with clinical and legal standards.

How You'll Make An Impact 
  • Receive and Review Lab Results from Pre-screening Program: Autonomously evaluate flagged abnormal, urgent, or critical lab findings to prepare them for patient communication, ensuring accuracy and timeliness.
  • Patient Communication: Proactively contact patients to discuss abnormal and critical lab outcomes. Ensure focused and uninterrupted communication, adhering to protocols while delivering only legally permissible information within the RN scope of practice. Use communication techniques to convey complex medical information clearly in a way non-medical patients will understand. Understand that the results shared with the patients may have serious health implications for them and relay them in a compassionate manner.
  • Patient Education: Develop and implement patient education initiatives to enhance understanding of lab result significance and promote informed decision-making. Ensure patients understand their lab results and any necessary next steps in their care.
  • Critical Thinking: Independently utilize critical thinking to assess the urgency and implications of abnormal and critical lab results, prioritizing patient communication based on clinical significance.
  • Documentation: Maintain comprehensive and precise documentation of communications in patient progress notes. Record abnormal and critical results, patient concerns, and subsequent actions. Ensure compliance with regulatory signature requirements.
  • Time Management: Exhibit exceptional time management skills to efficiently manage multiple lab results and patient communications, prioritizing urgent cases promptly.
  • Problem Solving Expertise: Apply advanced problem-solving abilities using medical training and experience to troubleshoot issues related to lab result discrepancies or data integrity.
  • Data-Driven Decision Making: Leverage data analytics to identify patterns and trends in lab results, contributing to evidence-based practice and enhanced patient outcomes.
  • Regulatory Knowledge: Maintain up-to-date knowledge of healthcare regulations and compliance standards to ensure all communications adhere to legal and ethical guidelines.
  • Escalation to Providers: For questions beyond the RN's medical scope, escalate to a licensed, on call provider (NP/PA/MD/DO) and manage the completion of result delivery and accompanying required documentation.
  • Member Services Team Escalations: Address lab-related escalations from the Member Services Team, such as result clarifications, data discrepancies, or additional test requests, and communicate resolutions back to the patient, documenting the outcome.
The Expertise Required
  • Strong analytical capabilities, exceptional communication skills, and a commitment to fostering a patient centered environment.
  • Strong attention to detail and ability to manage multiple patients efficiently.
  • Ability to work independently while collaborating with a larger clinical team.
  • This role is pivotal in upholding clinical and legal standards through meticulous communication and patient care management.
  • Precision in data analysis and documentation to ensure accuracy in lab results and reporting.
Certifications/Licenses, Education, and Experience
  • Minimum Education:
    • Active RN licensure with a commitment to compliance and regulatory standards. Compact Licensure required. Additional licenses may be required in addition.
    • BSN or equivalent degree preferred.
  • Minimum Experience:
    • Minimum of 3 years of experience as a working nurse, clinical research, medical communications, and/or related field.
    • Proficiency in Salesforce or other EMR systems for documenting patient interactions.
    • Licensure Requirement: Compact licensure required, non-compact state license preferred. Willingness to maintain and obtain additional state licenses as needed. Must hold all licenses in good standing.
      • Compact States [42]: RNs with compact licenses can practice in all 42 states in the compact, including Alabama, Arizona, Arkansas, Colorado, Florida, Texas, and more.
      • Non-Compact States [8]: California, Nevada, Illinois, Hawaii, Alaska, Oregon, Minnesota, New York.
How We Work Together
  • Location: Remote within the United States. This role requires 100% of work to be performed in a remote office environment.
  • PTO and On-Call Coordination: Work within a structured on-call system to ensure coverage when team members are on leave.
  • Travel: This is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the role.
  • Physical demands associated with this position Include: The ability to use keyboards and other computer equipment.

The expected pay range for this role is $70,000 - $100,000 USD per year for full time team members.

Benefits & Perks (US Full Time Employees)
  • Paid Time Off (PTO) and Company Paid Holidays
  • 100% Employer paid medical, dental, and vision insurance plan options
  • Health Savings Account and Flexible Spending Accounts
  • Bi-weekly HSA employer contribution
  • Company paid Short-Term Disability and Long-Term Disability
  • 401(k) Retirement Plan, with Company Match 

Mandatory Employer Disclosures:
Notice to Illinois applicants: Applicants are not obligated to disclose expunged juvenile records or adjudication, arrest, or conviction.
Notice to Connecticut applicants: Care Access may require applicants to submit to a urinalysis drug test in connection with an application for employment.
Notice to Arizona, Georgia, Indiana, and North Dakota applicants: Care Access complies with applicable laws prohibiting smoking in and around places of employment.
Notice to Massachusetts applicants: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Notice to Rhode Island applicants: Care Access complies with Rhode Island law prohibiting smoking in enclosed areas within places of employment. Care Access is also subject to is subject to Chapters 29-38 of Title 28 of the Rhode Island General Laws.
Notice to Maryland applicants: UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND, AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100. 

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