Healthcare Reporting Analyst I

1 day ago

Crystal Bay, NV, United States Cleveland Clinic Full-time

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

Job Title

Healthcare Reporting Analyst I

Location

Cleveland

Facility

Remote Location

Department

Payer and Network Strategies-Finance

Job Code

T99938

Shift

Days

Schedule

8:00am-5:00pm/7:00am-4:00am

Job Summary

Job Details


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.


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.

Minimum qualifications for the ideal future caregiver include:

  • 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

Preferred qualifications for the ideal future caregiver include:

  • 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 bac