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Payer Relations Jobs (NOW HIRING)

HSS

Director, Payer Relations

New York, NY · On-site

$112K - $170K/yr

This position provides oversight to a team of Payer Relations Coordinators and serves as a liaison to the HSS and PHO Managed Care team. RESPONSIBILITIES : * Oversees compliance of managed care ...

Glaukos

Payer Relations Director

San Clemente, CA · Remote

The Payer Relations Director (PRD) leads payer strategy within an assigned region to secure and maintain favorable coverage, coding, and reimbursement across commercial plans, Medicare (MACs), and ...

AnewHealth

OR · On-site

Job Details The Senior Director, Strategic Payer Relations is a senior leader responsible for managing and advancing strategic relationships with assigned payer organizations. This role serves as the ...

SuperDial

VP, Payer Relations

New York, NY · On-site

$200K - $300K/yr

We're hiring a VP, Payer Relations to spearhead our national payer strategy and strengthen partnerships across commercial and government plans. This is a senior leadership role for a seasoned payer ...

Amazon

Head of Payer Relations, Amazon Pharmacy

Seattle, WA · On-site

$146K - $194K/yr

Amazon Pharmacy Payer Relations is seeking a driven, talented, and experienced to play a critical role in B2B Business Development working with large healthcare organizations. This position will ...

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How much do payer relations jobs pay per year?

As of Jun 6, 2026, the average yearly pay for payer relations in the United States is $67,404.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,000.00 and $83,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Payer Relations position, and why are they important?

To thrive as a Payer Relations professional, you need a solid understanding of healthcare reimbursement, contract negotiation, and managed care principles, often supported by a degree in healthcare administration or a related field. Experience using contract management software, CRM systems, and knowledge of healthcare regulations such as HIPAA and Medicare/Medicaid requirements is highly beneficial. Strong interpersonal skills, strategic problem-solving, and effective communication make individuals stand out in collaborating with payers and internal teams. These qualities are essential for building productive partnerships, resolving disputes, and ensuring favorable reimbursement outcomes for healthcare organizations.

What are some common challenges faced by Payer Relations professionals?

Payer Relations professionals often encounter challenges such as navigating complex contract negotiations, resolving reimbursement disputes, and staying current with changing healthcare regulations. They must balance the needs of their organization with the requirements and policies of insurance companies, which can sometimes lead to lengthy discussions or intricate problem-solving. Additionally, frequent collaboration with billing, compliance, and clinical teams is necessary to ensure accurate information is shared and issues are resolved efficiently. These challenges make the role dynamic and rewarding for those who enjoy strategic communication and process improvement.

What is a Payer Relations job?

A Payer Relations job involves managing relationships between healthcare providers and insurance companies (payers) to ensure smooth contract negotiations, reimbursement processes, and compliance with regulatory requirements. Professionals in this role work to optimize payer contracts, resolve disputes, and advocate for favorable terms that support both financial and patient care goals. They also monitor industry trends, policy changes, and reimbursement structures to maintain strong partnerships and operational efficiency. Effective communication, negotiation skills, and a deep understanding of healthcare reimbursement are key to success in this field.

More about Payer Relations jobs
What are the most commonly searched types of Payer Relations jobs? The most popular types of Payer Relations jobs are:
What states have the most Payer Relations jobs? States with the most job openings for Payer Relations jobs include:
What job categories do people searching Payer Relations jobs look for? The top searched job categories for Payer Relations jobs are:
Payer Relations jobs near you
Infographic showing various Payer Relations job openings in the United States as of May 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $67,404 per year, or $32.4 per hour.
Spec. Payer Relations

Spec. Payer Relations

University Medical Center of El Paso

El Paso, TX • On-site

Full-time

Posted 6 days ago

University Medical Center Of El Paso rating

6.8

Company rating: 6.8 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

563rd of 993 rated hospitals

Job description

Job Summary
The Payer Relations Specialist coordinates and performs all aspects of the provider credentialing and recredentialing process to ensure healthcare providers meet regulatory, accreditation, and payer participation requirements. Supports compliance with federal and state regulations, accreditation standards, and internal policies by verifying provider qualifications, maintaining accurate credentialing records, and ensuring timely submission and approval of credentialing applications. Collaborates closely with Medical Staff Services, Revenue Cycle, Compliance, and Payer Enrollment teams to ensure providers are credentialed and approved prior to rendering services and billing for services.
Minimum Job Requirements:
Work Experience:
Two years of experience as a physician credentialing within a hospital or healthcare system.
License/Registration/Certification:
None
Education and Training:
High school diploma or equivalent required.
Associate's degree in Healthcare Administration, Business Administration, or related field preferred.
Skills:
  1. Ability to understand provider credentialing and recredentialing standards, processes, and verification requirements.
  2. Knowledge of federal, state, payer, and accreditation standards affecting provider credentialing.
  3. Knowledge of primary source verification methods and documentation requirements.
  4. Familiarity with credentialing software and provider databases, including CAQH, PECOS, TMHP, and NPPES.
  5. Knowledge of provider licensure, certification, education, and professional history documentation.
  6. Strong attention to detail and document management skills to ensure complete and audit'ready credentialing files.
  7. Ability to manage multiple credentialing files and deadlines simultaneously in a regulated healthcare environment.
  8. Skill in maintaining accurate, organized, and compliant credentialing records using standardized checklists.
  9. Ability to identify discrepancies and resolve credentialing issues through analysis and problem'solving.
  10. Strong written and verbal communication skills to interact effectively with providers, payers, and internal teams.
  11. Ability to explain credentialing requirements, timelines, and processes clearly to diverse stakeholders.
  12. Ability to collaborate cross'functionally with other departments.
  13. Proficiency with Microsoft Office applications (Word, Excel, Outlook) for tracking, reporting, and documentation
  14. Ability to adhere to confidentiality, HIPAA, and compliance standards when handling sensitive provider information
  15. Ability to adapt to regulatory changes and apply updated credentialing requirements consistently

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