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Clinical Resolution Analyst Jobs in Boston, MA (NOW HIRING)

Analyst I, Clinical

Boston, MA ยท On-site

$79K - $95K/yr

The Analyst I position will be housed under a subsidiary organization of C3, Community Technology ... resolution of application issues * Work with the IT Education staff to assist in training users and ...

New

Troubleshoot user-reported issues and coordinate resolution with Meditech or internal IT teams ... analysis. * Experience with data migration and system conversions from legacy EHRs This is a remote ...

Lead cross-functional data review meetings and track resolution of key data issues. Clinical Science & Data Interpretation * Analyze and interpret emerging clinical, safety, efficacy, and biomarker ...

Lead cross-functional data review meetings and track resolution of key data issues. Clinical Science & Data Interpretation * Analyze and interpret emerging clinical, safety, efficacy, and biomarker ...

Lead cross-functional data review meetings and track resolution of key data issues. Clinical Science & Data Interpretation * Analyze and interpret emerging clinical, safety, efficacy, and biomarker ...

... analysis to communicate trends and other clinically related information. The position requires ... Provides daily support to resolution of escalated issues or questions * Collaborates with internal ...

Conduct comprehensive clinical root-cause analyses and incident investigations to develop and implement proactive risk mitigation strategies. Patient Advocacy & Collaborative Resolution * Balanced ...

Description Preferred Location is US East Join 4G Clinical as an Integration Project Lead and lead ... Logs, tracks and drives resolution of functional and technical issues discovered during ...

... resolution, etc.) * Prepare key clinical documents (e.g. protocols, informed consent, amendments, CRF's, training materials, project plans, monitoring plans, data plans, statistical analysis plans ...

... resolution, etc.) * Prepare key clinical documents (e.g. protocols, informed consent, amendments, CRF's, training materials, project plans, monitoring plans, data plans, statistical analysis plans ...

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Clinical Resolution Analyst information

See Boston, MA salary details

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How much do clinical resolution analyst jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for clinical resolution analyst in Boston, MA is $30.32, according to ZipRecruiter salary data. Most workers in this role earn between $25.05 and $37.07 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 near Boston, MA are hiring for Clinical Resolution Analyst jobs? Cities near Boston, MA with the most Clinical Resolution Analyst job openings:

Analyst I, Clinical

Community Care Cooperative

Boston, MA โ€ข On-site

$79K - $95K/yr

Full-time

Posted 3 days ago

New


Job description


Location: Boston (Hybrid)

Organization Summary:

Community Care Cooperative (C3) is a 501(c)(3) non-profit, Accountable Care Organization (ACO) governed by Federally Qualified Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We are a fast-growing organization founded in 2016 with 9 health centers and now serving hundreds of thousands of beneficiaries who receive primary care at health centers and independent practices across Massachusetts. We are an innovative organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners.

Job Summary:

The Analyst I position will be housed under a subsidiary organization of C3, Community Technology Cooperative, LLC (CTC) to implement, maintain, support, and maximize the use of clinical, financial, and administrative portions of the software applications utilized by CTC in conducting daily operations under the direction of the Director of Clinical Applications.

Responsibilities:
  • Maintain current clinical, financial, and administrative applications, implementing new clinical, financial, and administrative Epic applications
  • Assist in the assessment of workflow processes and assisting in process re-engineering to achieve efficiencies in departmental operations
  • Assist users in developing reports and analyses, troubleshooting, and resolution of application issues
  • Work with the IT Education staff to assist in training users and in the development of documentation
  • Maintain a level of knowledge about IT operations and network issues and maintaining current industry knowledge
  • Ability to maintain current system applications
  • Facilitate end users’ ability to understand and maximize the use of the software to perform daily operations
  • Evaluate user knowledge and work with IT education staff to develop specialized training when necessary; educate users in system optimization
  • Acts as liaison between users and the software vendor(s)
  • Guides the modification of system applications in instances where current applications impede performance or where changes will enhance performance
  • Ensure system application updates are working properly before updates are loaded into the live system by coordinating testing and update dates with users and vendors
  • Integrate new application(s) in the existing HIS according to the implementation schedule
  • Respond to user questions with timely answers and/or referral to appropriate department/person
  • Assist users with technical problems by alerting HIS Operations staff to the need for repair or investigation
  • Coordinate with Database Analysts to provide expertise in the development of reports and analyses
  • Work with other IT staff to ensure interfaces between applications and systems are functioning properly
  • Maintain and periodically review dictionaries, assist in entering and maintaining user codes, maintain the security of applications, and ensure consistency between various dictionaries
  • Investigate on timely basis discrepancies in statistics which could indicate a problem with the accuracy of data
  • Work with application managers, staff from affected areas, and representatives from other impacted areas, to analyze computer system functions and compare data and existing systems both functionally and procedurally
  • Implement new clinical, financial, and administrative software, including add-on features, and/or new routines in existing applications
  • Participates with other IT staff and other clinical, financial, and administrative areas in the planning and implementation stages of the application, including the development of dictionaries
  • Work with Department Managers and IT Education staff to ensure training programs for use of applications are developed and conducted for all levels of users and participate in such programs when needed
  • Develop system documentation to supplement vendor manuals and which defines processes, procedures, and policies regarding utilization of various functions
  • Assist departments with the development of downtime procedures
  • Work with Operation Manager and staff to establish schedules for report production and system jobs to maintain balanced system utilization and minimize system degradation, if necessary
  • Sustain working knowledge of key functions of all aspects of the department in order to provide emergency coverage in the absence of others in the department
  • Work with Applications Manager to accomplish other departmental tasks
  • Notify the Applications Manager of requests for custom modifications to standard applications and of any updates to standard systems which replace existing custom modifications so that the Application Manager can take appropriate action
  • Assist in the development of IT policies and procedures and notify users as appropriate
  • Participate in applications on-call rotation for the information system
  • Participate in hospital quality teams and committees as necessary
  • Demonstrates competent and effective job performance skills as evidenced by the volume, skill, and technical knowledge of work performed, neatness, accuracy, thoroughness, and completeness, and the ability to follow instructions
  • Demonstrates the ability to interact effectively and in a professional manner with peers
  • Administration and other customers as demonstrated by willingness to work with others to achieve CTC’s goals
  • Ability to present a friendly and positive manner, willingness to seek additional tasks
  • Responsibility to assist the department and/or peers, ability to be flexible and perform new tasks and adjust to change even under pressure
  • Ability to accomplish results by working effectively with or through other people
  • Ability to hear and communicate with others in a clear, understandable, and professional manner in person and on the phone
  • Demonstrated use of good written and verbal communication skills
  • Maintain current industry knowledge by attending industry seminars, reviewing professional literature, and communicating on a regular basis with other IT analysts
  • Other duties as assigned
Required Skills:
  • Ability to understand, analyze, document, and explain business processes and the data that underlie them
  • Experience working with Electronic Health Records, medical claims, and other health care data
  • Flexible and adaptable to change in a fast-paced environment
  • Demonstrated ability to work both independently and as part of a team
  • Demonstrated ability to thrive in a fast-paced environment
  • Nuanced interpersonal communication skills
  • Weekly on-call will be a requirement for this position
Desired Other Skills:
  • Familiarity with the MassHealth ACO program
  • Familiarity with Federally Qualified Health Centers
  • Experience working in a provider organization
  • Experience working in a managed care environment
  • Experience with anti-racism activities, and/or lived experience with racism is highly preferred
Qualifications:
  • Bachelor’s degree in a healthcare-related field, Information Systems or Business Management
  • Required certifications: EpicCare Ambulatory, Kaleidoscope
  • Preferred additional: Ambulatory certifications IE. Wisdom, Kaleidoscope
  • Minimum of 3 year’s experience as a certified Epic analyst

** In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **