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Clinical Resolution Analyst Jobs in Washington (NOW HIRING)

EDJ Associates,

Protocol Data Analyst I

Washington, DC · On-site

... resolution through the ServiceNow ticketing system. * Participate in the review of clinical ... analysis plans. * Support quality assurance and data integrity activities as directed. Skills ...

VHC Health

MyChart Digital Solutions Analyst

Alexandria, VA · On-site

$105K - $124K/yr

The MyChart Digital Solutions Analyst will merge digital/virtual solutions with healthcare ... resolution for clinical systems. In addition this position requires the ability to interact with ...

VHC Health

MyChart Digital Solutions Analyst

Alexandria, VA · On-site +1

$105K - $124K/yr

The MyChart Digital Solutions Analyst will merge digital/virtual solutions with healthcare ... resolution for clinical systems. In addition this position requires the ability to interact with ...

Axle

Clinical Research Coordinator

Bethesda, MD

$26 - $34.50/hr

Data Quality and Query Resolution Reports - Monthly * Monitoring Visit Support Documentation - Ad ... analyses and final study reports * Support maintenance of databases, tracking systems, and study ...

Axle

Clinical Research Coordinator

Bethesda, MD · On-site

$26 - $34.50/hr

Data Quality and Query Resolution Reports -- Monthly * Monitoring Visit Support Documentation -- Ad ... analyses and final study reports * Support maintenance of databases, tracking systems, and study ...

Axle

Clinical Research Coordinator

Bethesda, MD · On-site

$26 - $34.50/hr

Data Quality and Query Resolution Reports - Monthly * Monitoring Visit Support Documentation - Ad ... analyses and final study reports * Support maintenance of databases, tracking systems, and study ...

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Clinical Resolution Analyst information

See Washington salary details

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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:
Clinical Resolution Analyst jobs near you

Lead Health Informatics Analyst

Gritter Francona

Washington, DC • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Job description

VHA supports and provides medical care for VA's eligible beneficiaries through the VA health program, which includes VA Medical Centers (VAMCs) and contracted health care networks. The Office of Clinical Informatics within the Office of Health Informatics (OHI), Digital Health Office (DHO) advances the enterprise standard of care and patient experience using improved data, tools, and informatics processes organized around continuously delivering value to its customers. This is achieved through Lean-Agile delivery of clinical practice solutions that support best practice standards for clinical care. OHI is further responsible for ensuring the success of the modernized VA EHR, Oracle Health Millennium/Cerner through continuous exploration, integration, deployment and release on demand of Integrated Health Technology (IHT) solutions. These efforts aim to increase Veterans' access to care and support their active participation in their healthcare. Gritter Francona is looking for a Lead Health Informatics Analyst to help support a potential project to assist this objective.
Key Responsibilities
Leadership & Team Oversight
  • Lead and mentor a team of Health IT Informatics Analysts specializing in clinical systems and data standardization
  • Establish and enforce informatics standards, best practices, and quality assurance processes
  • Review and approve informatics artifacts to ensure accuracy, consistency, and compliance with organizational and client expectations
  • Serve as the escalation point for complex informatics, configuration, and requirements challenges

Stakeholder & Client Engagement
  • Act as a primary client-facing representative for Health IT informatics activities
  • Build and maintain strong relationships with clinicians, researchers, administrators, vendors, and technical teams
  • Facilitate stakeholder meetings, workshops, and working sessions to elicit and validate requirements
  • Translate clinical and business needs into clear, actionable functional and non-functional requirements

Requirements & Analysis
  • Lead requirements elicitation, analysis, documentation, validation, and change management activities
  • Develop and maintain requirements artifacts, including use cases, user stories, workflows, data dictionaries, and traceability matrices
  • Ensure alignment of requirements with clinical workflows, regulatory standards, and Health IT best practices
  • Support User Acceptance Testing (UAT) planning, execution, defect triage, and resolution

Informatics & Systems Expertise
  • Provide expert-level configuration, analysis, and support for OH and/or CPRS/VistA systems
  • Lead informatics activities related to the capture, standardization, and use of health and clinical data
  • Support systems and data used for therapeutic discovery, medical research, clinical operations, and life sciences initiatives
  • Ensure accurate information modeling and data governance practices across Health IT solutions

Documentation & Process Improvement
  • Develop and maintain comprehensive documentation for systems, processes, and data flows
  • Create standardized templates and artifacts to support repeatable, high-quality informatics delivery
  • Identify opportunities for process improvement and optimization within clinical informatics workflows

Requirements
  • Bachelor's Degree in related field
  • 8 years of relevant experience, of which at least 6 years must be specialized in Health Informatics
  • Extensive experience with configuration of OH and/or CPRS/VISTA

Benefits
  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off (Vacation, Sick & Public Holidays)
  • Short Term & Long Term Disability
  • Training & Development

Apply