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Manager Payor Relations Jobs (NOW HIRING)

EmergeOrtho

Director of Payor Relations

Durham, NC · On-site +1

This strategic leader is responsible for integrating and aligning managed care payor strategy with EmergeOrtho's broader organizational objectives. The Director of Payor Relations will drive success ...

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EmergeOrtho

Director of Payor Relations

Durham, NC · On-site +1

This strategic leader is responsible for integrating and aligning managed care payor strategy with EmergeOrtho's broader organizational objectives. The Director of Payor Relations will drive success ...

New

Ernest Health

Payor Relations Specialist

Flagstaff, AZ · On-site

Overview Payor Relations Specialist - Full time Rehabilitation Hospital of Northern Arizona in ... Effective organizational and time management skills. * Effective written and verbal communication ...

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All JobsManager Payor Relations Jobs

Manager Payor Relations information

See salary details

$34.5K

$78.1K

$134K

How much do manager payor relations jobs pay per year?

As of Jun 29, 2026, the average yearly pay for manager payor relations in the United States is $78,084.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,000.00 and $100,000.00 per year, depending on experience, location, and employer.

What is the difference between Manager Payor Relations vs Payor Relations Specialist?

AspectManager Payor RelationsPayor Relations Specialist
CredentialsBachelor's degree, experience in healthcare or insuranceSimilar educational background, entry to mid-level experience
Work EnvironmentSupervisory role, strategic planning, team managementOperational focus, client communication, data analysis
Employer & Industry UsageHealthcare providers, insurance companiesInsurance firms, healthcare organizations

The main difference is that the Manager Payor Relations oversees teams and strategic initiatives, while the Payor Relations Specialist handles day-to-day communication and data management. Both roles require similar credentials but differ in scope and responsibilities.

More about Manager Payor Relations jobs
What cities are hiring for Manager Payor Relations jobs? Cities with the most Manager Payor Relations job openings:
What are the most commonly searched types of Payor Relations jobs? The most popular types of Payor Relations jobs are:
What states have the most Manager Payor Relations jobs? States with the most job openings for Manager Payor Relations jobs include:
What job categories do people searching Manager Payor Relations jobs look for? The top searched job categories for Manager Payor Relations jobs are:
Manager Payor Relations jobs near you
Infographic showing various Manager Payor Relations job openings in the United States as of June 2026, with employment types broken down into 3% As Needed, 78% Full Time, 11% Part Time, and 8% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $78,084 per year, or $37.5 per hour.
Account Manager - Payor Relations

Account Manager - Payor Relations

BioPlus Specialty Pharmacy

Altamonte Springs, FL • On-site

Full-time

Medical, Retirement

Posted 9 days ago

Job description

Company Description
As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners.
Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and patients for critical, time - sensitive treatments. As we continue to grow, we need exceptionally talented, bright, and driven people. If you would like to help us continue to be the innovative leader in our industry, this is your chance to join our team.
Job Description
Position Summary
Responsible for providing support in managing payor relations, program implementation, data feeds as contracted, and other contractual requirements. Provide analysis of contracts, facilitate internal company communication concerning payor clients, and manage payor contract requirements in order to maintain compliance and contract obligations.
Essential Functions:
  • Ensure accurate and timely completion of all assigned and contractual client requirements (reporting, application/contraction completion, presentation, monthly analysis).
  • Serve as the primary contact for assigned accounts, interacting with client contacts to facilitate problem resolution and promote high client satisfaction
  • Work directly with internal stakeholders including finance, IT, legal, operations, account management, contract management, sales and others to define requirements and support successful implementation and sales pull through on payor contracts.
  • Maintain a current request for proposal (RFP) library, coordinate with stakeholders to maintain relevant and accurate information, develop RFP responses as approved by the executive team.
  • Assist the Director of Contract Management with the business development process of contracting and executing new payor relationships.
  • Work with other department, sales/account managers, pharmacy, billing, PCC's and other departments to support company objectives.
  • Engages targeted payors for contracts to allow pending patient dispensing
  • Assist Credentialing Specialist as needed to complete enrollment applications/packages (Medicaid, Part D, MCO)
  • Respond to questions surrounding contracts (reimbursement, benefit design, contracted services)
  • Collate and create monthly, quarterly, and annual payor reports
  • Review and analyze weekly shipped, non-admit, and discharge reports
  • Assist admissions/PA with difficult patient cases
  • Provide insight of changes within plans to sales, admissions, pharmacy, and billing departments
  • Provide analysis of growth potential within each plan and a full region
  • Assist Hemophilia team (reimbursement, plan access, LOA, patient onboarding, etc.)
  • Obtain Letter of Agreement when required for services (workmen's comp/medical services)
  • Announce drug formulary changes at a plan to internal customers
  • Provide analysis and support for VPs of Managed Care, Sr. Director of Contract Management and the SVP Trade
  • Manage, review and follow up of pending contracts and provide support for timely completion, update contract files upon contract execution

Other Duties:
  • Participate and perform other related duties as assigned by Leadership.

Competency:
  • Strong knowledge of specialty pharmacy contracting, payor, PBM's and managed care
  • Must be able to meet time-sensitive deadlines and handle confidential and sensitive information appropriately
  • Ability to work and lead in a team-oriented, collaborative environment.
  • Excellent organization skills required and the ability to work on multiple accounts simultaneously.
  • Maintains compliance with all BioPlus Specialty Pharmacy policies and procedures
  • Strong organizational skills with the ability to manage multiple work streams and implementation projects simultaneously.
  • Ability to rapidly adapt and respond to changes in environment and priorities
  • Demonstrate excellent oral and written communication skills
  • Strong networking skills
  • Demonstrate proficiency in the use of MS Office software; which includes Excel, Word and Outlook
  • Demonstrate the BioPlus C.A.R.T. values
    • Competence
    • Accountability
    • Respect
    • Trust

Qualifications
Qualifications
Education/Experience Requirements:
  • Associate or Bachelor's degree in healthcare related field preferred
  • 3+ years of experience with Healthcare Plans or Specialty Pharmacy

Additional Information
BioPlus offers competitive compensation packages including health care, 401(k), growth potential, and a challenging and exciting work environment.
BioPlus is an Equal Opportunity Employer

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