Healthcare Reporting Analyst I

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 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

Physical Requirements:

- 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.

Personal Protective Equipment:

- Follows Standard Precautions using personal protective equipment as required for procedures.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/

Please review the Equal Employment Opportunity poster .

Cleveland Clinic is pleased to be an equal employment opportunity employer.