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Payer Operations Manager Jobs (NOW HIRING)

NOCD

Account Manager- Payer Operations

Chicago, IL · On-site

About The Role The Account Manager- Payer Operations position partners closely with the Chief Revenue Officer to ensure the payer side of NOCD's business operates seamlessly and aligns with broader ...

Helms & Company Inc

Payer Contracts Manager

Concord, NH · On-site

$89K - $119K/yr

We are seeking an experienced Payer Contracts Manager to manage the operational, administrative, and client facing aspects of payer contracting so that senior consultants can focus on contract ...

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$118.5K

How much do payer operations manager jobs pay per year?

As of Jun 22, 2026, the average yearly pay for payer operations manager in the United States is $63,456.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,000.00 and $77,500.00 per year, depending on experience, location, and employer.

What is the difference between Payer Operations Manager vs Payer Account Manager?

AspectPayer Operations ManagerPayer Account Manager
Primary FocusOversees payer processes, claims, and reimbursement operationsManages relationships and negotiations with specific payer accounts
Required SkillsClaims processing, compliance, operational workflowsCustomer service, account management, negotiation skills
Work EnvironmentOperations teams, healthcare organizations, insurance companiesSales, client relations, account management teams
CertificationsTypically requires healthcare or insurance certificationsOften requires sales or account management certifications

The Payer Operations Manager focuses on the internal processes related to payer reimbursements and claims, ensuring smooth operations. In contrast, the Payer Account Manager concentrates on maintaining and growing relationships with specific payer clients. Both roles require healthcare industry knowledge but serve different functions within the payer ecosystem.

What are some typical challenges faced by a Payer Operations Manager, and how can they be addressed?

Payer Operations Managers often navigate complex relationships between healthcare providers, insurance companies, and internal teams. Common challenges include managing regulatory changes, streamlining claims processing, and ensuring compliance with payer contracts. Addressing these requires strong communication skills, staying up-to-date with industry regulations, and leveraging technology to automate workflows. Building collaborative relationships across departments is essential to efficiently resolve issues and maintain service quality.

What is a Payer Operations Manager?

A Payer Operations Manager oversees the administrative and operational functions related to health insurance payers, such as insurance companies or managed care organizations. Their responsibilities typically include managing claims processing, ensuring compliance with regulatory requirements, optimizing reimbursement processes, and working to improve relationships between healthcare providers and payers. They play a crucial role in streamlining operations, improving efficiency, and ensuring that payments are accurate and timely. Payer Operations Managers often collaborate with a variety of stakeholders, including internal teams, insurance partners, and healthcare providers.

How much should an operations manager get paid?

The average salary for a Payer Operations Manager typically ranges from $80,000 to $120,000 annually, depending on experience, location, and the size of the organization. Compensation may also include bonuses and benefits, and strong knowledge of healthcare billing systems and compliance standards can influence pay levels.

What jobs pay 500,000 a year in the US?

In the US, high-paying roles such as senior executives, specialized physicians, and successful entrepreneurs can earn $500,000 or more annually. Certain executive positions like Chief Executive Officers (CEOs) and Chief Financial Officers (CFOs), as well as highly experienced professionals in finance, law, and technology, often reach or exceed this income level, especially with bonuses and stock options. Payer Operations Managers typically earn significantly less, with top-tier salaries reaching into the high six figures only in very senior or executive roles within healthcare organizations.

What does a claims operations manager do?

A claims operations manager oversees the processing and management of insurance claims to ensure accuracy, efficiency, and compliance with policies. They coordinate between claims staff, analyze data, implement process improvements, and may use claims management software to streamline operations.

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

To thrive as a Payer Operations Manager, you need expertise in healthcare operations, payer-provider relations, and a strong understanding of insurance regulations, typically backed by a bachelor’s degree in healthcare administration or a related field. Familiarity with claims management systems, EDI transactions, and data analytics tools is crucial. Strong leadership, problem-solving abilities, and effective communication skills help you manage teams and resolve operational challenges efficiently. These competencies ensure streamlined payer processes, regulatory compliance, and improved healthcare outcomes.

What jobs pay $10,000 a month without a degree?

For a Payer Operations Manager, earning $10,000 a month typically requires significant experience and expertise in healthcare billing, claims processing, or revenue cycle management. While some high-level roles in healthcare administration or sales may reach this level without a degree, most positions at this salary level demand specialized skills, certifications, or extensive industry knowledge. Alternative high-paying jobs without a degree include sales, real estate, or skilled trades, but they often depend on performance and experience.
What cities are hiring for Payer Operations Manager jobs? Cities with the most Payer Operations Manager job openings:
What states have the most Payer Operations Manager jobs? States with the most job openings for Payer Operations Manager jobs include:
Account Manager- Payer Operations

Account Manager- Payer Operations

NOCD

Chicago, IL • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 27 days ago

Job description

About NOCD
NOCD is the #1 telehealth provider for the treatment of obsessive-compulsive disorder (OCD). OCD is one of the most severe, prevalent, and misunderstood mental health conditions. NOCD creates access to online therapy for people with OCD through our telehealth platform. In the NOCD app, Members can quickly access and schedule live, face-to-face video therapy sessions with our national network of licensed Therapists that specialize in Exposure and Response Prevention Therapy (ERP) - considered the "gold standard" in OCD treatment.
At NOCD, we help people reclaim their lives with clinically proven OCD treatment, by removing barriers to OCD care, and reducing the stigma associated with OCD. We're changing the world and need other like-minded individuals to accelerate and expand our efforts.
About The Role
The Account Manager- Payer Operations position partners closely with the Chief Revenue Officer to ensure the payer side of NOCD's business operates seamlessly and aligns with broader organizational goals. This role is highly cross-functional and operational, with a strong emphasis on payer relationships, outcomes reporting, contract management, and internal coordination across multiple teams.
This is an ideal opportunity for a seasoned payer-focused Account Manager who thrives in complex healthcare environments and enjoys balancing relationship management with detailed operational execution.
Who You Are
  • A self-starter who can embody our core value of Extreme Ownership
  • Ambitious and ready to keep up with a goal-driven, start-up environment
  • A strong communicator who can build trust with key stakeholders
  • Highly organized and responsive

What You'll Do
Payer Relationship & Account Management
  • Maintain and strengthen relationships with payer partners
  • Serve as a key liaison between payers and internal NOCD teams
  • Ensure smooth communication and issue resolution related to billing, enrollment, eligibility, and reporting

Contract & Documentation Management
  • Ensure all payer contracts are fully executed and properly stored in shared drives
  • Maintain accurate and up-to-date contract documentation

Outcomes Reporting & Meetings
  • Schedule and coordinate Quarterly, Bi-Annual, and Annual Outcomes meetings with payers
  • Coordinate calendars between payer teams and NOCD leadership, including the Chief Medical Officer (CMO)
  • Schedule internal prep meetings with the CMO one week prior to payer calls to surface potential issues
  • Compile monthly outcomes decks for payer partners (currently Horizon, NovaOne/HCSC, and Regence)
  • Coordinate Joint Operating Committee (JOC) outcomes decks for IBC in partnership with the Data Analytics team

Cross-Functional Collaboration
  • Partner with the Billing team to ensure accurate accounts receivable and resolve payment discrepancies
  • Work closely with the Enrollment team to ensure timely provider enrollment and resolve payer-related issues
  • Collaborate with the Revenue Cycle Management (RCM) team to address eligibility challenges
  • Coordinate new payer implementations, including:
    • Scheduling implementation calls
    • Activating internal Slack channels
    • Ensuring required decks and materials are completed

Operational Support
  • Maintain and update key spreadsheets and documents, including:
    • Payer Rate Sheets
    • State Density / Coverage Sheets
  • Conduct payer and market research as needed
  • Provide coverage and support for the Chief Revenue Officer during travel or absences

Requirements
  • 10+ years of Account Management experience supporting health plan payer accounts
  • Proven experience working cross-functionally within complex healthcare organizations
  • Strong proficiency with:
    • Shared Drives
    • Excel
    • PowerPoint
    • PDF tools
    • DocuSign
    • Adobe Acrobat
  • Highly organized with strong attention to detail
  • Excellent communication and relationship-building skills
  • Strong cultural alignment with NOCD's mission and values

What We Offer
  • Competitive base salary plus commission plan
  • Comprehensive benefits package, including medical, dental, vision coverage, and 401(k) match
  • PTO based on an accrual system
  • 11 observed holidays a year
  • Casual and engaging startup environment with an outstanding mission-driven team atmosphere
  • NOCD provides 12 weeks of fully paid parental leave for the primary caregiver, and 6 weeks of fully paid leave for the secondary caregiver, for qualifying full-time employees.
NOCD logo

About NOCD

Sourced by ZipRecruiter

NOCD is the #1 telehealth provider for the treatment of obsessive-compulsive disorder (OCD). OCD is one of the most severe, prevalent, and misunderstood mental health conditions. NOCD creates access to online therapy for people with OCD through our telehealth platform. In the NOCD app, members can quickly access and schedule live, face-to-face video therapy sessions with our national network of licensed therapists that specialize in Exposure and Response Prevention Therapy (ERP) - considered the gold standard" in OCD treatment. At NOCD, we help people reclaim their lives with clinically proven OCD treatment, by removing barriers to OCD care, and reducing the stigma associated with OCD. We're changing the world and need other like-minded individuals to accelerate and expand our efforts.

Industry

Hospitals

Company size

51 - 200 Employees

Headquarters location

Chicago, IL, US

Year founded

2014

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