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Payer Relations Manager Jobs (NOW HIRING)

Managing staff and individual payer-facing projects simultaneously. * Leading escalated payer ... relations, managed care, revenue cycle, or healthcare operations. * Prior supervisory or team ...

Support payer relations operations through research, analysis, and coordination of managed care contracting activities. * Assist with drafting, reviewing, and maintaining contract documents and ...

Summary: The Specialist, Payer Relations supports payer strategy and negotiations by modeling ... Knowledge of managed care contract language, reimbursement and healthcare payment methodologies.

Payer Relations Manager Employment: Full-Time, Hourly Location: Maplewood, NJ; Remote Position Company Summary: StationMD is a telehealth company dedicated to serving individuals with intellectual ...

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Payer Relations Manager information

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$28K

$80.7K

$140.5K

How much do payer relations manager jobs pay per year?

As of Aug 11, 2026, the average yearly pay for payer relations manager in the United States is $80,705.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,500.00 and $105,500.00 per year, depending on experience, location, and employer.

How does a payer relations manager typically collaborate with other departments to ensure successful contract negotiations?

As a Payer Relations Manager, you will frequently work cross-functionally with departments such as finance, legal, and clinical operations to prepare for and execute contract negotiations. Collaboration often involves gathering data on service costs, reviewing compliance requirements, and aligning the organization’s strategic goals with payer expectations. Effective communication and coordination are essential, as you'll need to ensure that all stakeholders are informed and that negotiated terms can be operationalized smoothly across teams. This collaborative environment helps drive successful outcomes and fosters a unified approach to payer relationships.

What is a payer relations manager?

Payer Relations Managers are professionals who serve as the primary point of contact between healthcare providers, such as hospitals or physician groups, and insurance companies or other payers. Their main responsibility is to negotiate contracts, resolve disputes, and ensure that reimbursement processes run smoothly. They analyze payer policies, advocate for favorable terms, and work to improve the overall relationship between the provider organization and payers. This role is critical in maintaining financial stability for healthcare organizations and ensuring patients can access covered services.

What are the key skills and qualifications needed to thrive as a payer relations manager, and why are they important?

To thrive as a Payer Relations Manager, you need expertise in healthcare reimbursement, contract negotiation, and a solid understanding of payer-provider dynamics, usually backed by a degree in healthcare administration or a related field. Familiarity with contract management systems, claims processing software, and regulatory compliance tools is essential. Strong communication, analytical thinking, and relationship-building skills help negotiate favorable terms and resolve conflicts effectively. These skills are crucial for optimizing payer agreements, ensuring financial sustainability, and fostering positive partnerships within the healthcare ecosystem.

What is the difference between Payer Relations Manager vs Payer Account Executive?

AspectPayer Relations ManagerPayer Account Executive
Primary FocusManaging relationships with payers, negotiating contracts, and ensuring payer satisfactionAcquiring new payers, presenting plans, and closing contracts
Required CredentialsBachelor's degree, experience in healthcare or insurance, strong communication skillsBachelor's degree, sales experience, knowledge of insurance products
Work EnvironmentHealthcare organizations, insurance companies, or managed care settingsSales offices, healthcare providers, insurance firms
Industry UsageCommonly used in healthcare management and payer relationsCommonly used in sales and business development within healthcare

The Payer Relations Manager focuses on maintaining and strengthening existing payer relationships, while the Payer Account Executive primarily works on acquiring new payers and expanding the payer network. Both roles require healthcare or insurance knowledge but differ in their core responsibilities and daily activities.

More about Payer Relations Manager jobs
What cities are hiring for Payer Relations Manager jobs? Cities with the most Payer Relations Manager job openings:
What are the most commonly searched types of Payer Relations jobs? The most popular types of Payer Relations jobs are:
Who are the top companies hiring for Payer Relations Manager jobs? The top employers for Payer Relations Manager jobs are:
What states have the most Payer Relations Manager jobs? States with the most job openings for Payer Relations Manager jobs include:
Infographic showing various Payer Relations Manager job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $80,705 per year, or $38.8 per hour.

Payer Relations Manager

Innovative Hematology, Inc.

Indianapolis, IN • On-site

Full-time

Posted 11 days ago


Job description

At the Innovative Hematology (IHI), we offer a future where people with rare blood disorders flourish. Our experts provide the highest quality comprehensive services and holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families.
The Payer Relations Manager will lead the strategy, design, and execution of insurance benefits and payer-related functions across clinic and pharmacy services. This role goes beyond day-to-day operations, serving as a key driver in shaping a forward-looking, scalable benefits and payer strategy aligned with organizational growth and patient access goals.
This leader will partner cross-functionally to evaluate current-state workflows, identify capability gaps, and build a more efficient, data-driven, and patient-centered access model.
Strategic Impact
  • Lead the development and evolution of a benefits and payer strategy that improves patient access, reduces delays, and supports long-term revenue cycle performance
  • Partner with Revenue Cycle and Executive Leadership to assess current-state operations and design future-state workflows, aligning with broader transformation initiatives
  • Utilize data and performance metrics to identify trends, inform decisions, and drive continuous improvement
  • Evaluate payer performance and relationships, identifying opportunities for optimization, negotiation, and innovation
  • Play a key role in shaping team structure, capabilities, and long-term function design as the organization evolves

The Opportunity
  • Lead and manage Insurance Benefits Specialists and Insurance Verification Specialists to ensure timely, accurate patient access to clinic and pharmacy services
  • Oversee insurance eligibility, benefits investigation, and authorization processes to reduce delays in care
  • Serve as the primary liaison with payers, brokers, and third-party administrators, managing relationships and resolving escalated access issues
  • Establish and maintain workflows, performance standards, and quality controls for benefits and verification operations
  • Analyze access and payer performance metrics to identify trends and drive process improvements
  • Ensure compliance with payer requirements, regulatory standards, and organizational policies

Requirements
  • Bachelor's degree or equivalent combination of education and experience
  • 5+ years of experience in insurance benefits, verification, patient access, or revenue cycle operations
  • 2+ years of people management or team-lead experience
  • Demonstrated ability to create and analyze data and translate insights into action
  • Experience working cross-functionally and influencing stakeholders
  • Preferred: Experience in process improvement, payer strategy, or operational transformation
  • Is required to be based in Indiana and have in-office presence 2 - 4 days/week, depednding on business need

This position is open to residents of the State of Indiana, but is primarily remote. It may require routine presence at our Center in Indianapolis, IN. On-site presence is dependent upon role and department needs.
Benefits
IHI is a not-for-profit program based in Indianapolis and offers a competitive salary and benefit package.
IHI is the only federally designated comprehensive hemophilia program in Indiana, and serves the entire state through services available in Indianapolis and at outreach clinics.
IHI is a leader in hemophilia care, education and clinical research and has a dedicated on-site multidisciplinary staff to ensure availability of a wide range of required services.
IHI participates in national and international clinical research, including new infusion products and therapies, investigation of long-term outcomes, and the impact of associated conditions. The IHTC research program provides patients access to new therapies, and an opportunity to improve care. Our center has more than 70 clinical research projects involving bleeding disorders, sickle cell disease, thrombosis and more.
The Indiana Hemophilia and Thrombosis Center is an Equal Opportunity Employer.