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Payer Analyst Jobs (NOW HIRING)

ApolloMD

Payer Dispute Analyst

Atlanta, GA · On-site

$65 - $95/hr

Position SummaryThe Payer Dispute Analyst supports the organization's efforts to resolve disputes with payers. This role focuses heavily on the Independent Dispute Resolution (IDR) process under the ...

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How much do payer analyst jobs pay per hour?

As of Aug 27, 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 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 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 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.

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Payer Analyst jobs near you
Infographic showing various Payer Analyst job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, 5% Part Time, and 6% Contract. Highlights an 80% Physical, 9% Hybrid, and 11% Remote job distribution, with an average salary of $63,187 per year, or $30.4 per hour.

Payer Operations Analyst

Nicklaus Children's Health System

Miami, FL • On-site

Full-time

Posted 21 days ago

Job description

Description
Job Summary
The Payer Operations Analyst serves as lead support in system wide governmental and non- governmental payer performance analytics and negotiations, as well as other service line/operational/clinical/professional analytics. Utilizes various software, databases, BI/Data Visualization/Contract Modeling systems, and other applicable resources to meet or exceed objectives. Also works on cross functional initiatives with external collaborators/partners, as well as with internal teams, including but not limited to Finance, Decision Support, Strategy, Global Health, Revenue Cycle, Patient Access, Nicklaus Children's Pediatric Specialists LLC.
Job Specific Duties
  • Supports in the development and implementation of current, and future state, commercial, and governmental payer analytics reports.
  • Demonstrates expertise and leadership in performing/producing intricate financial analysis.
  • Responsible for continuous learning and development understanding of Statewide/National managed care and Medicaid payer trends in order to round out ability to produce well thought out and relevant and proactive analysis, with accompanying recommendations/observations for leadership.
  • Supports during managed care negotiations by ensuring proactive, timely and appropriate availability of all reporting and analytics for leadership.
  • Responsible for timely update and dissemination of a variety of departmental matrices, including but not limited to payer hospital and employed physician rates/participation, charge master increases/notification, behavioral health rates/participation, DPP payment tracking, as well as payer policies, bulletins and updates.
  • Responsible for production and coordination of reporting/analytics/research to support payer specific, system wide initiatives.
  • Supports in yearly managed care budget analysis and preparation.

Qualifications
Minimum Job Requirements
  • Bachelor's degree in Finance, Economics, Business Administration, Health Service Administration, or related field
  • 3-5 years of progressive experience in financial and data analytics

Knowledge, Skills, and Abilities
  • MBA or MHA preferred.
  • Required experience working with contract modeling systems(e.g. FinThrive, Epic Contract Modeling)
  • Strong analytical skills tied to an ability to understand and incorporate big picture ask in order to make appropriate, data driven recommendations
  • Experience in data analytics related to health plans and/or hospital finance and strategy
  • Background in Managed Care contracting on the provider or payer side a plus.
  • Intermediate to advanced level of proficiency in Microsoft Office suite business Intelligence (BI) and data visualization platforms (eg Tableau)
  • Ability to work in a high functioning environment with competing priorities and quick pivots without sacrificing quality of work product, all while maintaining a positive and welcoming attitude
  • Self- starter; consistently demonstrate judgment and initiative in decision making. Possess effective problem solving skills grounded in independent research but supported by appropriate guidance
  • Attention to detail, coupled with organization skills essential; timeliness and responsiveness to requests paramount
  • Effective communicator across all levels of the organization

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