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Payer Relations Manager Jobs (NOW HIRING)

StationMD

Payer Relations Specialist

Maplewood, NJ · Remote

$20 - $25/hr

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 ...

Uw

PAYER RELATIONS SPECIALIST - UWMEDICINE

Seattle, WA · Remote

$90K/yr

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

AnewHealth

Director, Strategic Payer Relations

AnewHealth is one of the nation's leading pharmacy care management companies that specializes in ... Job Details The Director, Strategic Payer Relations is a leader responsible for managing and ...

HSS

Director, Payer Relations

New York, NY · On-site

$112K - $170K/yr

Reporting to the AVP, Managed Care & Executive Director, PHO, the Director of Payer Relations plays a crucial role that demands a unique set of skills to ensure seamless interactions with Insurance ...

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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 Jun 29, 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 are Payer Relations Managers?

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:
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Payer Relations Manager jobs near you
Infographic showing various Payer Relations Manager job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 9% Full Time, 89% Part Time, and 1% Temporary. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $80,705 per year, or $38.8 per hour.
Payer Relations Manager

Payer Relations Manager

Prism Medical Products, LLC

Elkin, NC

Full-time

Posted 20 days ago

Key responsibilities

  • Oversees contract management, credentialing, and payer support functions to ensure accuracy, accountability, productivity, and compliance.

  • Analyzes payer performance data and models payer contracts to forecast financial impacts and support strategic decision-making.

  • Leads the development and execution of strategic initiatives to build and maintain strong relationships with key insurance payers and industry stakeholders.

Job description

The Payer Relations Manager provides all operational oversight and leadership to payer contracting, credentialing, reimbursement support, and communications, ensuring team efficiency, regulatory compliance, and alignment with organizational goals. This role collaborates cross-functionally and with internal and external stakeholders to resolve complex issues, improve revenue performance, and strengthen long-term relationships.

Essential Responsibilities and Duties:

  1. Oversees contract management, credentialing, and payer support functions to ensure accuracy, accountability, and productivity, while directing the execution, documentation, and ongoing maintenance of payer contracts to uphold compliance and support timely renewals in collaboration with leadership.
  2. Analyzes payer performance data (e.g., denial rates, payment timelines, contract compliance), models payer contracts to forecast financial impacts while leveraging knowledge of claims adjudication and revenue cycle metrics to support strategic decision-making.
  3. Delegates resolution of payer-related escalations, including claim denials, authorization barriers, payment disputes, and operational bottlenecks, guiding team members and engaging internal and external stakeholders in a timely manner.
  4. Leads payer credentialing and enrollment processes, ensuring timely submission, tracking, and follow-up of applications in alignment with regulatory standards and payer-specific requirements.
  5. Demonstrates deep expertise in contracting platforms and systems, overseeing their implementation, optimization, and daily use to ensure accurate contract management, streamlined workflows, and alignment with organizational goals.
  6. Evaluates payer performance metrics, analyzing trends related to reimbursement, contract compliance, and operational efficiency, and prepares regular performance reports with insights and recommendations for leadership.
  7. Leads the development and execution of strategic initiatives to build and maintain strong relationships with key insurance payers and industry stakeholders including associations, providers, and advocacy groups, to align contracting efforts with organizational goals, drive referral growth, influence policy, and collaboratively address regulatory and payer-related challenges through active engagement in industry forums and initiatives.
  8. Drives timely and accurate payer policy changes and operational updates by coordinating cross-functional communication, updating protocols, ensuring staff training, and supporting compliance efforts to maintain seamless care delivery.
  9. Manages team leaders’ performance by conducting regular reviews, setting clear development goals, and delivering constructive feedback to support individual growth. Identifies training needs and partners with Training & Development to implement professional development programs aligned with team and organizational objectives.
  10. Promotes a culture of continuous learning and professional development, providing performance feedback, mentoring staff, facilitating team training, and ensuring the team is equipped with the knowledge and tools to meet evolving organizational and payer demands.
  11. Adheres to company policies and procedures regarding employment, safety, and compliance. Resolve any area of non-compliance immediately.
  12. Performs other duties as requested by executive leadership/management.

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