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Payer Relations Manager Jobs (NOW HIRING)

Amazon

Head of Payer Relations, Amazon Pharmacy

Seattle, WA · On-site

$146K - $194K/yr

This position will focus on managing strategic opportunities and partnerships on behalf of Amazon ... team Payer relations business development is part of Amazon Pharmacy Partener Services ...

The Park at 14th

Guest Relations Manager

Washington, DC · On-site

Guest Relations Manager (Onsite - Washington, DC) The Park at 14th is a vibrant, upscale casual ... Ensure that all areas are meticulously prepared and presented, paying attention to every detail to ...

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How much do payer relations manager jobs pay per year?

As of Jun 7, 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.

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Payer Relations Manager jobs near you
Infographic showing various Payer Relations Manager job openings in the United States as of May 2026, with employment types broken down into 40% Full Time, 54% Part Time, 2% Temporary, and 4% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $80,705 per year, or $38.8 per hour.
Vice President, Payer Relations

Vice President, Payer Relations

hopebridge

Indianapolis, IN • On-site

Full-time

Posted 4 days ago

Hopebridge rating

4.9

Company rating: 4.9 out of 10

Based on 148 frontline employees who took The Breakroom Quiz

204th of 228 rated social care providers

Job description

The Vice President of Payer Relations is the senior executive accountable for payer strategy, contracting, and payer‑driven risk across Hopebridge’s Applied Behavior Analysis (ABA), Speech Therapy, Occupational Therapy (OT), and related pediatric behavioral health services. This role operates across complex Medicaid and commercial payer environments where reimbursement, utilization management, network decisions, and provider‑structure changes directly impact access to care, staffing models, and financial sustainability.
The role owns payer‑facing strategy and external leadership—not transactional execution—and works through disciplined partnership with Revenue Cycle, Clinical Operations, Intake/Access, Compliance, and Finance to ensure payer decisions are operationally executable.ResponsibilitiesScope of Accountability
  • Serve as Hopebridge’s senior executive interface with Medicaid and commercial payers across all service lines and states.
  • Own payer contracting strategy, reimbursement sustainability, and network positioning for ABA, Speech, OT, and behavioral health services.
  • Lead payer strategy related to organizational and provider‑structure complexity, including:
    • Planned reduction of individual NPIs
    • Establishment and management of additional TINs
    • Alignment of payer contracts, network participation, and reimbursement to evolving entity and identifier structures
  • Lead payer discussions, contract amendments, and risk mitigation associated with NPI/TIN transitions to ensure continuity of care and revenue integrity.
Operating Model & Cross‑Functional Partnership
  • Credentialing, enrollment, and claims execution sit within Revenue Cycle.
  • This role owns payer strategy, sequencing, and payer‑facing risk management, working in close partnership with Revenue Cycle leadership (including Credentialing) to align:
    • Payer requirements and expectations
    • Credentialing timelines and enrollment readiness
    • Go‑live sequencing and transition planning
  • Anticipate and mitigate payer risks associated with structural changes—including credentialing delays, authorization mismatches, network gaps, or reimbursement disruption—through proactive planning and coordination.
  • Act as the executive owner of payer readiness during structural or market transitions, ensuring payer systems, internal platforms, and center‑level operations are aligned before changes are implemented.
Executive Leadership Role
  • Serve as a strategic advisor to the executive team on payer risk, market and state‑level viability, and decisions affecting center footprint and staffing.
  • Ensure payer strategy supports stable operations, regulatory compliance, and sustainable growth—not growth at all costs.
  • Drive disciplined payer governance through scorecards, payer business reviews, and escalation of systemic payer risks.

What Hopebridge employees say

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