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.
A caregiver who excels in this role will:
- Prepare, analyze and communicate key financial information and provide support to management and other staff members regarding financial reporting and other related issues.
- Assist with budget preparation and financial planning processes and budget review for compliance and opportunities.
- Serve as consultant to all levels of management to provide decision support for initiatives, policies and procedures.
- Complete special projects and duties including providing necessary research, forecasting and conflict resolution.
- Other duties as assigned.
- Bachelor’s Degree in Accounting, Finance, Business or a related field
- OR Associate’s Degree and two years of experience
- OR High School Diploma/GED and four years of experience
- Ability to complete basic analytical, consultative and information support through analysis and report preparation
- Awareness of key performance indicators, cash flow analysis, product line analysis and proposal development
- One year of Accounting, Finance, Healthcare, Investment Banking or Management Consulting experience
- Certified Public Accountant (CPA) or Certified Management Account (CMA) certification
- Familiar with SQL coding or backend system relationships
- Experience with tools such as Microsoft Copilot, ChatGPT, Epic's Coco, and Snowflake-related AI capabilities
- Advanced excel proficiencies (conditional formatting, pivot tables, formulas, VLOOKUP)
- Credentialing experience
- Professional experience working with provider enrollment, credentialing, provider rosters, provider demographics, or provider directory data within a healthcare organization or health plan
- Ability to communicate and exchange accurate information.
- Ability to perform work in a stationary position for extended periods.
- Ability to work with physical records or operate a computer or other office equipment.
- In some locations, ability to travel throughout the hospital system.
- In some locations ability to move up to 25 lbs.
- Follows Standard Precautions using personal protective equipment as required for procedures.
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.).