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Payer Relations Jobs (NOW HIRING)

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.

Healthcare Payer Relations & ACO Manager

EPIC Health System LLC

Southfield, MI • On-site

Full-time

Medical, Dental, Vision

Posted 24 days ago

Job description

Healthcare Strategy Manager – ACO & Payer Relations

Lead the Future of Value-Based Care with EPIC Health

At EPIC Health, we’re not just changing healthcare—we’re rebuilding it from the ground up. We believe that patient care should be smarter, faster, and more connected. That’s where you come in. As the Healthcare Strategy Manager – ACO & Payer Relations, you’ll play a key role in driving strategic initiatives, managing payer relationships, and optimizing Accountable Care Organization (ACO) performance.

If you know how to blend strategy with execution, navigate complex payer contracts, and thrive in a fast-paced, high-stakes environment—this is your chance to make a real impact.

What You’ll Do

You won’t just be sitting behind a desk—this role is all about action. You’ll be the strategic link between our care delivery teams and financial partners, helping to shape how EPIC Health delivers value-based care.

Value-Based Reimbursement Strategy

  • Develop and implement strategies to maximize value-based reimbursement opportunities.
  • Analyze financial and operational data to identify trends and areas for improvement.
  • Collaborate with clinical and financial teams to align business strategy with value-based care goals.
  • Create systems to track and enhance reimbursement performance across all payer contracts.

Payer Relations & Contract Negotiation

  • Build and maintain strong relationships with insurance payers and healthcare partners.
  • Negotiate and manage payer contracts to secure favorable terms and improve reimbursement rates.
  • Act as the primary point of contact for all payer-related issues and performance reviews.
  • Develop innovative contracting strategies that drive financial success without compromising care quality.

ACO (Accountable Care Organization) Management

  • Lead the strategic management of ACO programs, including performance monitoring, reporting, and compliance.
  • Develop and implement strategies that improve patient satisfaction and clinical outcomes while managing costs.
  • Partner with clinical and administrative teams to ensure effective execution of ACO initiatives.
  • Monitor ACO performance data and adjust strategies to optimize patient care and financial outcomes.

Data Analysis & Reporting

  • Conduct detailed financial and operational analysis to assess performance and identify opportunities.
  • Create actionable reports and recommendations for senior leadership.
  • Use data insights to shape future strategies and forecast financial performance.

Regulatory Compliance

  • Ensure compliance with federal, state, and local healthcare regulations.
  • Develop policies and procedures to maintain regulatory compliance in payer contracting and ACO operations.
  • Stay ahead of industry changes and proactively adjust strategies to align with new guidelines.

What You Bring

You know how to balance strategy with execution, and you’re not afraid to step up when the stakes are high.

Education

  • Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Health Law, or a related field required.
  • Master’s degree preferred.

Experience

  • 5+ years of experience in healthcare administration, payer relations, value-based reimbursement, or ACO management.
  • Proven success in negotiating contracts and managing payer relationships.
  • Experience with data analysis and financial reporting in a healthcare setting.
  • Strong track record of managing projects across multiple teams and business units.

Skills & Competencies

  • In-depth knowledge of value-based reimbursement models and ACO operations.
  • Exceptional negotiation and communication skills.
  • Proficiency in data analysis, financial modeling, and reporting tools.
  • Strong problem-solving and critical-thinking abilities.
  • Ability to manage multiple priorities and work effectively under pressure.
  • Comprehensive understanding of healthcare regulations and compliance requirements.

Why EPIC Health?

We value our team members and back that up with benefits that matter:

  • Competitive Salary: Your expertise and leadership deserve recognition.
  • Comprehensive Benefits: Health, dental, vision, and more to support you and your family.
  • Professional Growth: Access opportunities for continued education and career advancement.
  • Collaborative Culture: Work with a team of passionate professionals dedicated to transforming healthcare.
  • Impactful Work: Your work will directly influence patient care and healthcare delivery.

Ready to Drive Healthcare Innovation?

If you’re passionate about improving healthcare and know how to make value-based care work, we want to hear from you.

Apply today and take the next step in your career with EPIC Health.

???? Visit www.epichs.org to learn more about us.

*Background checks are required for this role.