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The Cleveland Clinic is seeking a Healthcare Reporting Analyst to analyze financial and RCM data, audit provider rosters, and ensure data quality across health plans. You will collaborate with IT and networks teams, leverage AI tools to streamline reporting, and support revenue cycle initiatives to improve patient access and care delivery.
Remote work is available with standard hours; candidates must reside in Ohio, Florida, or Nevada.
Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.
As a Healthcare Reporting Analyst, you will prepare, analyze, and report key financial and revenue cycle management (RCM) information through standard and ad hoc reports that support enterprise needs. In this role, you will audit and validate provider roster data from contracted commercial health plans, ensuring accuracy and alignment with contract requirements, value-based initiatives, and service level requirements (SLRs). You will compare health plan data against internal provider databases, identify discrepancies in provider demographics, credentialing, enrollment status, practice locations, and provider assignments, and collaborate with health plans to resolve data quality issues. You will also monitor and trend roster errors, validate provider attribution for value-based care and risk contracts, and support new health plan implementations through roster audits and quality assurance reviews.
Using advanced Excel skills, you will analyze large datasets, develop reporting requirements, validate reporting outputs, and partner with database developers and the Network Data & Reporting team on data quality initiatives. This position leverages AI tools, such as Copilot and ChatGPT, to improve reporting efficiency and documentation while investigating provider data issues that may affect claims processing, reimbursement, authorizations, network participation, and patient access to care. Although this role does not involve direct patient interaction, your work is essential to ensuring health plans maintain accurate provider information, directly influencing patient satisfaction and the overall Cleveland Clinic patient experience.
A caregiver in this role works remotely from 8:00 a.m. - 5:00 p.m. or 7:00 a.m. - 4:00 p.m.
To be considered for this position, candidates must reside in Ohio, Florida or Nevada.
Minimum Annual Salary: $43,200.00
Maximum Annual Salary: $65,880.00
The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic’s benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).