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Payer Analyst Jobs (NOW HIRING)

The Director, Payer Analytics is responsible for generating actionable insights on payer coverage, reimbursement, and access to support the successful commercialization of COMP 360. This role plays a ...

The Director, Payer Analytics is responsible for generating actionable insights on payer coverage, reimbursement, and access to support the successful commercialization of COMP 360. This role plays a ...

$90.10K - $119.20K/yr

The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. Provides analytical ...

Job Summary and Responsibilities As our Division Director, Payer Analytics & Economics, you will be accountable for critical managed care financial analysis, strategic pricing, and payer contract ...

Own the Payer Analytics budgeting process across inline and pipeline assets * Work effectively across a complex matrix environment including Market Access, Marketing, Pricing & Contracting, Sales ...

Manage the labor and operations of the Payer Analytics & Economics team including the hiring, orienting, developing and managing of staff. * Oversee quality control and quality assurance of Payer ...

Manage the labor and operations of the Payer Analytics & Economics team including the hiring, orienting, developing and managing of staff. * Oversee quality control and quality assurance of Payer ...

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How much do payer analyst jobs pay per hour?

As of Jun 1, 2026, the average hourly pay for payer analyst in the United States is $30.38, according to ZipRecruiter salary data. Most workers in this role earn between $20.43 and $36.06 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Payer Analyst, and why are they important?

To thrive as a Payer Analyst, you need a solid understanding of healthcare reimbursement, claims processing, and analytical skills, typically supported by a degree in healthcare administration, finance, or a related field. Familiarity with claims management systems, data analytics tools like Excel or SQL, and knowledge of payer policies and regulations are essential. Strong attention to detail, problem-solving abilities, and effective communication help you interpret complex data and collaborate with stakeholders. These skills are vital for ensuring accurate reimbursement, optimizing revenue cycles, and maintaining compliance in healthcare organizations.

What are the typical challenges faced by a Payer Analyst when working with insurance claims data?

Payer Analysts often encounter challenges related to the complexity and variability of insurance claims data, such as dealing with inconsistent coding, missing information, and navigating different payer requirements. They must pay close attention to detail to identify discrepancies and trends that may impact reimbursements or compliance. Effective communication with both internal teams and external payers is crucial, as resolving issues often requires collaboration across departments and clear documentation. Staying updated on regulatory changes and payer policies is also key to ensuring accurate analysis and reporting.

What is a Payer Analyst?

A Payer Analyst is a professional who works within healthcare organizations to analyze and manage relationships with insurance companies and other payers. Their primary responsibilities include reviewing payer contracts, monitoring reimbursement rates, and ensuring compliance with payer policies to optimize revenue cycle performance. They also identify trends in claim denials and help implement strategies to improve payment outcomes. Payer Analysts play a key role in maximizing revenue and maintaining strong payer-provider relationships within the healthcare industry.

What is the difference between Payer Analyst vs Claims Analyst?

AspectPayer Analyst

Required CredentialsTypically a bachelor’s degree in healthcare, finance, or related field; certifications like CPC or CCS may be preferred.

Work EnvironmentPrimarily office-based, working with insurance companies, healthcare providers, and billing systems.

Employer & IndustryHealthcare insurance companies, third-party administrators, and healthcare providers.

While both roles involve healthcare data, a Payer Analyst focuses on analyzing payer policies, reimbursement processes, and claims data to optimize revenue. A Claims Analyst primarily reviews and processes insurance claims to ensure accuracy and compliance. The roles often overlap in healthcare insurance settings but differ in focus: one on payer strategies and the other on claims processing.

More about Payer Analyst jobs
PAYER ANALYTICS SPECIALIST

PAYER ANALYTICS SPECIALIST

South Central Regional Medical Center

Laurel, MS • On-site

Full-time

Posted 7 days ago


South Central Regional Medical Center rating

5.6

Company rating: 5.6 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

872nd of 991 rated hospitals


Job description

Job Title:

Payer Analytics Specialist

Department:

Patient Accounts / Revenue Cycle

Full Time/PRN:

Full Time, Monday-Friday

Job Summary

The Payer Analytics Specialist reports to the Patient Accounts Director and provides reporting and analysis related to payer reimbursement trends, denials, and revenue cycle performance. This role supports data-driven decision-making through detailed payer analysis, trend identification, and collaboration with revenue cycle stakeholders to improve reimbursement outcomes.

Essential Duties & Responsibilities

Research and analyze insurance claim denials, ADR requests, recoupments, and underpayments; Utilize EMR and clearinghouse analytics tools; Identify trends and provide monthly and quarterly reports; Collaborate with admissions, billing, coding, administration, and provider liaisons; Submit and track appeals; Respond to payer and RAC audit requests; Maintain payer reference materials; Assist with special projects and complex billing issues; Maintain current knowledge of government and commercial payors; Track denial trends, perform root cause analysis, and recommend process improvements.

Education & Experience

High school diploma or GED required; Associate’s or Bachelor’s degree preferred; One year experience in hospital or professional billing, medical coding, or healthcare registration preferred; Ability to type at least 30 WPM; Demonstrated verbal and written communication skills.

Minimum Qualifications

Knowledge of insurance billing procedures and medical terminology; Strong attention to detail; Ability to manage multiple tasks; Proficiency in Microsoft Office; Experience with billing software preferred; Strong organizational and time-management skills; Ability to maintain confidentiality and comply with HIPAA; Knowledge of ICD-10, CPT/HCPCS, medical necessity guidelines; Strong analytical and problem-solving skills; Ability to interpret payer policies and contractual language.


All candidates must be able to perform the essential functions of this position. The American with Disabilities Act (ADA) requires that reasonable accommodations be made for qualified individuals to help perform the essential functions of the position.   

South Central Regional Medical Center is an equal opportunity employer and does not discriminate based on race, color, religion, sex, gender, national origin, age, disability, or genetic information.   


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