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Clinical Resolution Analyst Jobs (NOW HIRING)

Addon Technologies Inc

Cerner Analyst

Detroit, MI · On-site

Provide guidance, assistance, coordination and follow-up on complex problems and ensures resolution ... clinical notes), nursing documentation (powerforms, iView), and discern rules. Experience with ...

InfoMC

Clinical Business Analyst

Conshohocken, PA · On-site +1

About the role The Clinical Business Analyst serves as a Subject Matter Expert (SME) for InfoMC ... Resolution : Apply clinical and product expertise to troubleshoot and resolve client issues ...

AirLife

Dispute Resolution Supervisor

Deerfield, IL · Remote

$65K - $75K/yr

... clinical performance in mind. Collective expertise allows us to provide quality products and ... Strong analytical and reconciliation skills; comfortable working with large data sets and ERP ...

VHC Health

Epic Clinical Analyst I

Alexandria, VA

The analyst typically fulfills multiple roles throughout the development, implementation ... resolution for clinical systems. In addition, this position requires the ability to interact with ...

VHC Health

Epic Clinical Analyst I

Alexandria, VA · On-site

The analyst typically fulfills multiple roles throughout the development, implementation ... resolution for clinical systems. In addition, this position requires the ability to interact with ...

AirLife

Dispute Resolution Supervisor

Grand Rapids, MI · On-site

$65K - $75K/yr

... clinical performance in mind. Collective expertise allows us to provide quality products and ... Strong analytical and reconciliation skills; comfortable working with large data sets and ERP ...

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Clinical Resolution Analyst information

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$16

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$46

How much do clinical resolution analyst jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for clinical resolution analyst in the United States is $27.91, according to ZipRecruiter salary data. Most workers in this role earn between $23.08 and $34.13 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 are hiring for Clinical Resolution Analyst jobs? Cities with the most Clinical Resolution Analyst job openings:
What states have the most Clinical Resolution Analyst jobs? States with the most job openings for Clinical Resolution Analyst jobs include:
Clinical Resolution Analyst jobs near you

Clinical Analyst II

Marshall Health Network

Huntington, WV • On-site

Full-time

Re-posted 3 days ago

Job description

Marshall Health Network seeks a full-time Clinical Analyst II.
Plan and control clinical system analysis and development for assigned area; serve as Project Leader on major projects; confer with and advise use departments; evaluate user requests and needs, estimate cost and time of implementation and recommend program methodology to be followed, assuring application compliance with established documentation standards; provide technical guidance and recommendations concerning existing computer programs and systems.
System Specific Duties and Responsibilities:
  • Provides subject matter expertise as it relates to technical and/or operational solution requirements
  • Responsible for understanding operational/business requirements and translating them into system requirements
  • Plan and control the clinical system analysis and development for assigned area; review and advise use departments; evaluate user requests and needs, estimate cost and time of implementation.
  • Serve as Project Leader on major projects; evaluate project requirements and time lines; provide guidance and direction to assigned personnel and coordinate project phases.
  • Defines testing parameters for clinical system changes, upgrades and improvement.
  • Analyze problems outlined by users and potential users of clinical systems; study existing systems and procedures and the introduction of potential modifications or enhancements to improve process and workflow.
  • Develop flow charts of existing system and work process related to assigned clinical systems; assist with the development of system objectives and comprehensive plans to organize work methodology.
  • Assist department staff by advising on applications development and the best approach to system design relative to software capabilities and hardware features; review or determine application proposals and requirements as required.
  • Provide technical support, assistance and information to users; coordinate communication and activities with users to review and analyze user problems and needs; provide work direction to clinical analyst I.
  • Compile information and data and prepare various reports related to computer systems and functions; document system software and hardware as necessary.
  • Maintain a variety of records, accounts, logs and files related to the assigned clinical system.
  • Streamline systems and remove redundancies to provide for efficiencies in workflow, patient care, and overall communication.
  • Help staff the application 1st tier help desk call rotation as a member 7 days (Monday through Sunday) from 5pm to 7am weekdays and 24x7 after hours.
  • Support all assigned applications as 2nd tier and 3rd tier help desk for all complex solutions in rotation with other like analysts (Example - RadNet, SurgiNet, PowerChart, etc.).
  • Perform other duties as assigned.

Education:
  • Bachelor's degree required

Experience
  • 5+ Years of Position-Related Experience

The kind of position-related experience includes:
Answers support calls in a respectful manner and logs tickets timely to help track and audit customer issues
  • Provides immediate troubleshooting assistance when necessary to ensure continued efficient operation of the systems
  • Demonstrates patience when working with customers for support
  • Works independently under general direction of supervisor
  • Attends meetings as requested to help learn and support customer needs
  • Communicate in a clear and concise manner to aid in customer understanding of system functionality
  • Create or log an enhancement for creation of specialized queries at the request of nurse managers
  • Use positive language to create positive perceptions about company, software and service
  • Maintain a positive persona even when dealing with frustrated customers in no win situations
  • Maintain good time management for processes and projects and be transparent
  • Document issue resolution well and communicate to peers for improved support
  • Don't accept the "status quo" as a customer solution, but strive for service excellence in process and practice
  • Performs other functions as requested
  • Strong communication skills; ability to produce clear and complete system documentation
  • Good interpersonal skills and ability to foster teamwork with the customer and across mixed teams of technical and operational participants.
  • Strong understanding of functional area they represent.
  • Experience with implementing software solutions
  • Understanding of current technical specification of foundation system
  • Experience with workflow design desirable

ABILITY TO:
  • Coordinate, oversee, analyze and maintain assigned Clinical computer systems.
  • Direct and coordinate major analysis, upgrade and change projects.
  • Provide technical guidance and recommendations concerning existing computer programs and systems.
  • Plan and organize work.
  • Meet schedules and time lines.
  • Work independently with little direction.
  • Establish and maintain cooperative and effective working relationships with others

IV: PHYSICAL DEMANDS AND WORKING CONDITIONS:
Ability to push/pull light objects less than 20 pounds; perform simple manipulative skills such as writing, collating, and grasping objects; perform tasks that require eye-hand coordination such as operating computers and keyboarding skills; perform gross motor coordination such as reaching, turning, and moving about; be mobile and move from one place to another; hearing normal sounds with some background noise; hearing normal sounds with some background noise, perform moderately difficult manipulative skills; see objects closely.
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About Marshall Health Network

Sourced by ZipRecruiter

Marshall Health Network, Inc. is a West Virginia-based not-for-profit academic health system that includes the Marshall Health physician practice; Cabell Huntington Hospital, St. Mary’s Medical Center, Hoops Family Children’s Hospital, HIMG and Rivers Health. We are committed to improving the health and well-being of over one million children and adults in 38 counties in West Virginia, southern Ohio and eastern Kentucky through understanding, respecting and meeting their needs. Introducing Marshall Health Network Marshall Health Network is an academic health system with a visionary approach to healthcare. By aligning our goals under the Marshall Health Network banner, we are able to address healthcare disparities and public health issues while ensuring the latest medical research and clinical trials are available to our patients. We strive for consistency, clarity and character in healthcare. Compassion, quality and collaboration are key. That’s the Power of We.

Industry

Outpatient health care

Company size

11 - 50 Employees

Headquarters location

Huntington, WV, US

Year founded

2024

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