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Payer Relations Jobs (NOW HIRING)

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 ...

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 ...

The Emily Program

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 ...

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How much do payer relations jobs pay per year?

As of Jun 29, 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 does payer relations mean?

Payer relations is a role that involves managing interactions between healthcare providers and insurance payers to ensure accurate billing, claims processing, and reimbursement. It requires knowledge of insurance policies, coding, and compliance, often utilizing tools like claims management systems. Strong communication and negotiation skills are essential for maintaining effective payer partnerships.

What is a payer relations job description?

A payer relations job involves managing communication and relationships with insurance payers to ensure proper reimbursement for healthcare services. Responsibilities include negotiating contracts, resolving billing issues, and maintaining compliance with healthcare regulations, often requiring knowledge of insurance policies and healthcare billing systems.

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 jobs pay $10,000 a month without a degree?

In the Payer Relations field, high-paying roles such as senior payer relations managers or healthcare account directors can reach or exceed $10,000 monthly, especially with experience and strong negotiation skills. These positions often require industry knowledge, certifications, and excellent communication abilities but may not always require a formal degree. Compensation varies based on location, company size, and individual expertise.

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.

What jobs pay 2000 a day?

In the Payer Relations field, high-paying roles such as senior payer relations managers, healthcare consultants, or executive-level positions can sometimes earn around $2,000 per day, especially with extensive experience, specialized skills, or in consulting roles. These positions often require strong negotiation, healthcare industry knowledge, and certifications, and may involve project-based or contract work with variable pay rates.
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 June 2026, with employment types broken down into 97% Full Time, 2% Part Time, and 1% Temporary. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $67,404 per year, or $32.4 per hour.

Senior Director, Strategic Payer Relations

AnewHealth

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

AnewHealth is one of the nation's leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs-wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.
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 primary relationship owner for designated payers and is accountable for payer access, retention, reimbursement performance, and overall relationship health.
Operating within the newly formed Payer Relations and Market Strategy organization, the Senior Director will engage routinely with Director-, Vice President-, and Senior Vice President-level payer leaders and will represent the organization in high-impact discussions related to network participation, reimbursement models, and payer performance optimization.
This role works in close collaboration with internal clinical, contracting, policy, analytic, finance and operational leaders to ensure coordinated execution of payer strategies that support enterprise revenue and margin growth.
Key Responsibilities
Strategic Payer Relationship Management
  • Serve as the primary relationship owner for a defined portfolio of strategic payer organizations.
  • Lead executive-level engagement with payer stakeholders, including Directors, Vice Presidents, and Senior Vice Presidents.
  • Establish and maintain strong, credible relationships that support network access, retention, and reimbursement improvement objectives.
  • Ensure consistent, coordinated communication and positioning across all payer interactions.
  • Lead master account planning for assigned portfolio and conduct payer quarterly business reviews

Reimbursement & Performance Optimization
  • Drive initiatives aimed at improving reimbursement performance and financial outcomes across assigned payer relationships.
  • Partner with internal contracting, clinical effectiveness, pharmacy, and finance teams to support payer-specific strategies.
  • Monitor payer performance trends, identify gaps or risks, and proactively address issues impacting access, reimbursement, or operational execution.

Cross-Functional Collaboration
  • Collaborate closely with peers across Clinical Effectiveness & Stars Experience, Government & Professional Affairs, Strategic Contracting, and Market Strategy.
  • Align payer engagement activities with enterprise priorities, regulatory considerations, and contracting strategies.
  • Support internal readiness for payer discussions by coordinating data, insights, and materials as needed.

Governance, Execution & Communication
  • Support governance processes related to payer engagement, escalation, and decision-making.
  • Prepare executive-level summaries, updates, and recommendations for senior leadership as required.
  • Ensure disciplined follow-through on commitments made to and by payer organizations.
  • Maintain accurate documentation of payer interactions, priorities, and outcomes.

Function Development Support
  • Contribute to the development of scalable processes, tools, and best practices for the evolving Strategic Payer Relations function.
  • Support onboarding, mentoring, and collaboration with other Senior Directors as the team expands.
  • Assist the Vice President, Strategic Payer Relations, in shaping role clarity, engagement models, and operating cadence during the function formation phase.

Qualifications
Required Qualifications
  • Bachelor's degree required; advanced degree preferred.
  • 10+ years of progressive experience in payer relations, health plan engagement, healthcare strategy, contracting support, or related healthcare leadership roles at payer organizations including PBMs, Health Plans or government payer organizations.
  • Demonstrated experience engaging senior-level payer stakeholders (Director, VP, SVP).
  • Strong understanding of payer structures, reimbursement models, network access dynamics, and healthcare economics.
  • Proven ability to operate effectively in complex, matrixed organizations.
  • Strong executive communication skills, both written and verbal.

Preferred Qualifications
  • Experience supporting payer strategies across national and/or regional payers.
  • Background working closely with contracting, clinical, pharmacy, or reimbursement-focused teams.
  • Experience contributing to new function or capability development within a healthcare organization.
  • Ability to synthesize complex information into clear executive-level insights.

Key Competencies
  • Executive presence and credibility with external stakeholders
  • Strategic thinking and disciplined execution
  • Strong collaboration and influence without direct authority
  • Analytical mindset with a focus on outcomes
  • Comfort operating in evolving and ambiguous environments
  • High degree of accountability and follow-through

Working Relationships
  • Internal: President & Chief Payer Relations and Market Strategy Officer, VP Strategic Payer Relations, Clinical Effectiveness & Stars Experience, Government & Professional Affairs, Strategic Contracting, Finance, Analytics, Growth, Legal, and Operations
  • External: Strategic payer organizations, including PBMs, national and regional health plans and other payer entities

This is a remote position.
AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.
AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

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