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Clinical Resolution Analyst Jobs in Washington (NOW HIRING)

Support reporting and analytics by analyzing clinical and operational data, developing reports and ... issue resolution and operational stability. * Support interoperability, archiving, and data ...

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Support reporting and analytics by analyzing clinical and operational data, developing reports and ... issue resolution and operational stability. * Support interoperability, archiving, and data ...

New

Support reporting and analytics by analyzing clinical and operational data, developing reports and ... issue resolution and operational stability. * Support interoperability, archiving, and data ...

New

... resolution through the ServiceNow ticketing system. • Participate in the review of clinical research protocols, reports, and statistical analysis plans. • Support quality assurance and data ...

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Clinical Resolution Analyst information

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$18

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$52

How much do clinical resolution analyst jobs pay per hour?

As of Aug 8, 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 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 Washington are hiring for Clinical Resolution Analyst jobs? Cities in Washington with the most Clinical Resolution Analyst job openings:

Epic Clinical Analyst II, ClinDoc

VHC Health

Alexandria, VA • On-site

$78K - $143K/yr

Full-time

Re-posted 11 days ago


VHC Health rating

8.0

Company rating: 8.0 out of 10

Based on 34 frontline employees who took The Breakroom Quiz

87th of 887 rated healthcare providers


Job description

Responsibilities

At VHC Health, every role contributes to exceptional care, better outcomes, and stronger communities.
\nIn addition to your base compensation, VHC Health offers a comprehensive benefits package, including medical, dental, and vision coverage (subject to eligibility requirements), as well as additional wellness and retirement benefits designed to support our employees and their families.
\nVHC Health is committed to wage transparency and equitable pay practices. The compensation offered for this position—whether expressed as an annual salary or hourly rate—is determined based on a variety of legitimate, non-discriminatory factors. These factors include, but are not limited to, a candidate’s qualifications, relevant training and experience, skill level, shift differentials (where applicable), internal equity, and current market conditions.
\nThe posted hiring range reflects the range VHC Health, in good faith, believes is appropriate for this role at the time of posting. This range may be adjusted in the future based on business needs or market changes. No portion of compensation is considered earned until it is vested and determined in accordance with the terms of applicable policies and benefit plans. The availability and amount of any bonuses, incentives, or other benefits are subject to the terms of those plans and may be modified at the sole discretion of VHC Health, in accordance with applicable law.
\nVHC Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.
\nVHC Health maintains a drug-free workplace. The unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited at all VHC Health locations.

Qualifications

Purpose & Scope:

This position is an intermediate level analyst position that develops Epic application solutions as well as other 3rd party clinical systems by investigating processes to understand data and communications flow with individual tasks and transactions. The analyst typically fulfills multiple roles throughout the development, implementation, management, and on-going support of comprehensive clinical information systems. Gains knowledge of the Epic EMR software, as well as medical center operations and workflow, and works closely with the Epic project team's application analysts and clinical leaders to translate business needs into EMR functionality.
This individual participates in the development of workflows, system configuration, change documentation, and training staff on EPIC clinical application functionality. Analyzes procedures and problems within manual/automated health care systems; reports findings and when applicable recommends options for resolutions. Formulates system scope and objectives. Confers with professional staff to ascertain specific requirements and assists in the completion of programming specifications. This requires the individual to stay current with the system and/or application as well as interfacing with appropriate departmental and external analysts. Must employ excellent communication skills in sharing information with users within department.
Works independently in completing project tasks and executing the following tasks as part of a clinical systems implementation: 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 (On-Call) and resolution for clinical systems. In addition this position requires the ability to independently interact with clients and demonstrate critical thinking and follow through when developing solutions to identified issues
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.
The Clinical Systems Applications Analyst II is responsible for establishing credibility at all levels including clinical providers and builds problem-solving partnerships with customers and colleagues.

Education:

Bachelor's degree is required (or four years of 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.

Experience:

• Five years of progressive healthcare industry experience preferably in a hospital or major medical center clinical setting required.
• Three years of experience in systems deployment as a clinical analyst, business analyst, or systems analyst required. This includes designing, configuring, training, implementing, and supporting clinical systems applications.
• Healthcare operations background is desirable. Knowledge of operational healthcare hospital workflows including clinical and business workflow analysis for development of electronic solutions within assigned applications is preferred.
• Hands-on Epic clinical systems experience with appropriate Epic training in at least one area is preferred. Demonstrated technical administrative experience with Epic clinical applications, including but not limited to master file maintenance and clinical build (i.e. smart sets, order sets, documentation flowsheets). Experience supporting Epic clinical systems, with design, build and validate experience preferred.
• Proficient knowledge of and ability to employ systems analysis concepts, techniques, industry best practices, tools and standards.
• Proficient knowledge of and ability to employ software quality assurance and testing concepts, techniques, industry best practices, tools and standards.
• Experience in project planning and procedural analysis preferred.
• Proficient knowledge of and ability to work with SDLC concepts.
• Excellent written and oral communications skills, especially active listening and writing

Certification/Licensure:

Epic Certification: application specific to be obtained within six months.


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