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Clinical Resolution Analyst Jobs in Washington (NOW HIRING)

Resource Point LLC

Epic Clinical Analyst

Arlington, VA · On-site

Epic Clinical Analyst Job Type: Permanent Location: Arlington, VA Our client is seeking an Epic ... Provides 24/7 problem management support and resolution for clinical systems * Key attention to the ...

MedStar Health

Principal Clinical Data Analyst

Columbia, MD · On-site

$114K - $219K/yr

About the Job General Summary of Position We are recruiting for a Principal Clinical Data Analyst ... Ability to identify problems and propose seek and facilitate resolution. * Demonstrated combination ...

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Clinical Resolution Analyst information

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$52

How much do clinical resolution analyst jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for clinical resolution analyst in Washington is $31.61, according to ZipRecruiter salary data. Most workers in this role earn between $26.15 and $38.65 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 Washington are hiring for Clinical Resolution Analyst jobs?

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

Clinical Resolution Analyst jobs near you

Epic Clinical Analyst

Arlington, VA • On-site

Resource Point LLC
IT Services • 51 - 200 employees
Learn more about Resource Point LLCexternal

Full-time

Re-posted 12 days ago

Job description

Job Title: Epic Clinical Analyst

Job Type: Permanent

Location: Arlington, VA

Job Description

Our client is seeking an Epic Clinical Analyst responsible for establishing credibility at all levels including clinical providers and builds problem-solving partnerships with customers and colleagues.

The Epic Clinical Analyst works independently in completing project tasks and executing the following tasks as part of a clinical systems implementation.

Responsibilities:

  • Building system components; testing, documentation of workflows and other project information
  • Implementation support and maintenance of Epic clinical system software
  • Builds data sets, master files and reports
  • Performs quality assurance and integrated testing and releases new functionality to end-users
  • Reviews vendor software releases and updates
  • Provides 24/7 problem management support and resolution for clinical systems
  • Key attention to the build and workflow requirements needed to achieve and maintain federal incentive programs, for example, Meaningful Use
  • Dedicated attention and resources to make rapid adjustments to improve compliance to federal initiative, reporting of outcomes related to patient safety and quality

Requirements:

  • Bachelor's degree is required (or four years equivalent experience); Preferred degree in: Health Care Administration, Clinical Information Systems, Informatics, Information Technology, or Sciences; RN, RRT, RPH, ARNP, PA degrees may also be acceptable
  • 1+ years of healthcare industry experience preferably in a hospital or major medical center clinical setting
  • 1+ years of EHR experience, either as an analyst or end-user
  • Ability to interact with clients and demonstrate critical thinking and follow through when developing solutions to identified issues
  • Knowledge of operational healthcare hospital workflows
  • Hands-on clinical systems experience (Epic preferred)
  • Demonstrated ability to work with and facilitate multidisciplinary clinician groups as part of a clinical information system support, preferred
  • Experience educating staff on the use of systems, preferably in a healthcare environment, is highly desired
  • Experience in project planning and procedural analysis preferred
  • Basic knowledge of and ability to work with SDLC concepts
  • Excellent written and oral communications skills, especially active listening and writing