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Payer Relations Jobs (NOW HIRING)

Accanto Health

VP of Payer Relations

Roseville, MN · On-site

$180K - $210K/yr

Position Overview The Vice President of Payer Relations is a senior executive responsible for defining and leading The Emily Program's payer strategy across commercial, Medicaid/ Medicare, and other ...

Adaptive Biotech

Senior Payer Relations Specialist

$80K - $120K/yr

Senior Payer Relations Specialist Remote (WFH) At Adaptive, we're Powering the Age of Immune Medicine. Our goal is to harness the power of the adaptive immune system to transform the way diseases are ...

Akron Children's Hospital

Payer Policy Coordinator

Akron, OH · On-site

$18.50 - $24.75/hr

The role works independently within defined authority and collaborates closely with Payer Relations, Contracting, Revenue Cycle, Utilization Management, clinical leaders, and Legal to escalate risks ...

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How much do payer relations jobs pay per year?

As of Jul 22, 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 July 2026, with employment types broken down into 1% As Needed, 88% Full Time, 9% Part Time, and 2% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $67,404 per year, or $32.4 per hour.

VP of Payer Relations

Accanto Health

Roseville, MN • On-site

$180K - $210K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Job description

Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That's why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care.
Position Overview
The Vice President of Payer Relations is a senior executive responsible for defining and leading The Emily Program's payer strategy across commercial, Medicaid/ Medicare, and other managed care partners. This leader ensures sustainable reimbursement, expanded access to care, and alignment between payer contracts and The Emily Program's specialized eating disorder care delivery model across all levels of care (inpatient, residential, PHP, IOP, outpatient, virtual services).
The VP serves as the organization's primary executive liaison with payers and leads all payer-facing strategy, including contract negotiations, reimbursement innovation, and payer performance governance. This is a transformational leadership role responsible for advancing The Emily Program's payer strategy from a transactional contracting model to an enterprise, strategic, and value-driven partnership model.
Salary Range: $180,000 - $210,000 Base Salary
Commensurate with experience and competencies of the role.
Location:
Remote - Must be located in the United States.
How VP of Payer Relations Empower Recovery:
Enterprise Payer Strategy
  • Develop and execute a unified payer strategy across The Emily Program.
  • Advise executive leadership on payer risks, reimbursement trends, and strategic opportunities.
  • Aligning payer strategy with organizational growth priorities, including new markets, services, and partnerships

Contracting & Negotiation Leadership
  • Lead all aspects of payer contracting, including:
    • In-network agreements
  • Out-of-network strategies and single case agreements
    • Contract renewals, amendments, and dispute resolution.
  • Structure contracts that appropriately reflect:
    • Acuity and complexity of eating disorder and behavioral health care
    • Length of stay considerations.
    • Level-of-care differentiation (RTC, PHP, IOP, outpatient, virtual services)
    • Partner closely with Legal and Compliance to mitigate regulatory and contractual risk.

Payer Relationship Management
  • Serve as the executive point of contact for national, regional, and local payer relationships.
  • Build long-term strategic partnerships with key payer stakeholders.
  • Lead executive-level discussions around:
    • Access to care
    • Medical necessity criteria
    • Authorization requirements
    • Network participation strategy
  • Act as escalation point for complex payer disputes or systemic issues.

Revenue & Performance Oversight
  • Partner with Revenue Cycle Management and Finance to:
    • Monitor reimbursement rates and revenue yield.
    • Assess denial trends and authorization challenges.
    • Ensure contract terms are operationalized effectively.
    • Improve net revenue realization.
    • Reduce denials and underpayments.
    • Develop payer scorecards and report for executive leadership.

Clinical & Operational Alignment
  • Partner with Clinical Leadership to ensure payer policies align with evidence-based care models.
  • Support advocacy around:
    • Medical necessity for eating disorder treatment.
    • Appropriate level-of-care placement
    • Continuity of care
  • Collaborate with Operations to ensure payer requirements are executable across all sites.

arket Intelligence & Innovation
  • Monitor payer policy, mental health parity enforcement, and behavioral health regulatory developments.
  • Lead strategy for:
    • Value-based care initiatives
    • Alternative payment models
    • Risk-based arrangements.
  • Identify opportunities to improve payer mix and expand access to covered services.

Education Qualifications:
  • Bachelor's degree in business, Healthcare Administration or related field, required. Advanced degrees (MBA, MHA, MPH, or JD), preferred.

Professional Qualifications: (Preferred)
  • 10+ years of experience in payer relations, managed care, or healthcare contracting.
  • Minimum 7 years in senior leadership roles with a track record of managing and developing successful teams.
  • Deep expertise in behavioral health reimbursement (strongly preferred: eating disorder treatment)
  • Demonstrated success negotiating complex payer agreements in multi-state environments.
  • Excellent analytical and problem-solving skills, with a data-driven approach to decision-making.
  • Effective communication and interpersonal skills, with the ability to collaborate effectively across departments.
  • Demonstrated success in creating revenue upside through payer strategy.
  • Strong command of challenges and risks in Health Plans, Hospital, and Provider Group markets.
  • Experience with:
    • Residential and sub-acute behavioral health reimbursement
    • Medicaid managed care across multiple states
    • Out-of-network and SCA negotiations
  • Prior relationships/experience with payers in one or more of the following footprint states (MN, OH, WA, PA, NC, GA).

What we offer:
Employee Benefits: We understand the importance of a well-rounded benefits package. That's why we're dedicated to providing a range of plans to meet your needs.
For full-time employees, we offer:
  • HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
  • Dental insurance (Delta Dental)
  • Vision insurance (EyeMed)
  • Short-term and long-term disability insurance
  • Company-paid life insurance
  • 401(k) plan available two months after start date
  • Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation

Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.

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