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Payor Analyst Jobs (NOW HIRING)

U. S. Digestive Health

Payor Analyst

Reading, PA · On-site

Summary/Objective This position is responsible for completing complex appeals and payor projects as ... This includes analyzing claim data to determine the next best step in the claim filing process.

Natera

Market Access Payor Analyst

OR · Remote

$20 - $27.25/hr

The Market Access Payor Analyst is responsible for profiling, researching, and resolving reimbursement issues for assigned payors, products, or lines of business. This position performs analysis ...

Dental Care Alliance

Payor Pricing Analyst

Sarasota, FL · Remote

Overview The Payor Pricing Analyst is a highly analytical role focused on building, maintaining, and optimizing financial models that drive payor contract strategy. This individual will serve as the ...

Dental Care Alliance

Payor Pricing Analyst

Sarasota, FL · Remote

Overview The Payor Pricing Analyst is a highly analytical role focused on building, maintaining, and optimizing financial models that drive payor contract strategy. This individual will serve as the ...

Dental Care Alliance

Payor Pricing Analyst

Sarasota, FL · On-site

Overview The Payor Pricing Analyst is a highly analytical role focused on building, maintaining, and optimizing financial models that drive payor contract strategy. This individual will serve as the ...

Elevance Health

Payor Pricing Analyst (BioPlus)

Atlanta, GA · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Payor Pricing Analyst (BioPlus) Payor Pricing Analyst (BioPlus) Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ...

Elevance Health

Payor Pricing Analyst (BioPlus)

Nashville, TN · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Payor Pricing Analyst (BioPlus) Payor Pricing Analyst (BioPlus) Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ...

Elevance Health

Payor Pricing Analyst (BioPlus)

Tampa, FL · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Payor Pricing Analyst (BioPlus) Payor Pricing Analyst (BioPlus) Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ...

Elevance Health

Payor Pricing Analyst (BioPlus)

Mason, OH · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Payor Pricing Analyst (BioPlus) Payor Pricing Analyst (BioPlus) Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ...

Elevance Health

Payor Pricing Analyst (BioPlus)

Lake Mary, FL · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Payor Pricing Analyst (BioPlus) Payor Pricing Analyst (BioPlus) Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ...

Elevance Health

Payor Pricing Analyst (BioPlus)

Atlanta, GA · Hybrid

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Payor Pricing Analyst (BioPlus) Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support ...

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Payor Analyst information

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$35K

$75.6K

$132K

How much do payor analyst jobs pay per year?

As of Aug 16, 2026, the average yearly pay for payor analyst in the United States is $75,606.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $91,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a payor analyst?

To thrive as a Payor Analyst, you need a solid understanding of healthcare reimbursement, contract analysis, and data analytics, typically supported by a degree in finance, healthcare administration, or a related field. Familiarity with claims processing systems, payer portals, and advanced Excel or data management tools is commonly required. Strong attention to detail, analytical thinking, and effective communication are vital soft skills for interpreting complex data and collaborating with stakeholders. These skills are crucial for maximizing revenue, ensuring compliance, and optimizing payor relationships in a healthcare setting.

What is a payor data analyst?

A payor data analyst is a professional who analyzes healthcare payer data, such as insurance claims and billing information, to identify trends, improve processes, and support financial decision-making. They often use data analysis tools like Excel, SQL, or specialized healthcare software and require strong analytical skills and knowledge of healthcare billing and coding. This role is essential in managing payer relationships and ensuring accurate reimbursement processes.

What does a payor analyst do?

A Payor Analyst is responsible for analyzing and managing relationships between healthcare providers and insurance companies (payors). They review contracts, track payment trends, identify discrepancies in claims, and ensure that reimbursements are accurate and timely. Payor Analysts also provide data-driven insights to help healthcare organizations optimize revenue cycles and negotiate better terms with insurers. Their work supports financial stability and helps resolve issues related to denied or underpaid claims.

How does a payor analyst typically collaborate with other departments to resolve reimbursement issues?

Payor Analysts often work closely with billing, coding, and revenue cycle teams to address reimbursement discrepancies and ensure timely payments from insurance companies. They analyze payment data, investigate denials or underpayments, and coordinate with clinical staff or management to gather necessary documentation. Effective communication and cross-functional teamwork are essential, as Payor Analysts frequently participate in meetings to discuss trends, escalate complex cases, and implement process improvements that benefit the entire organization.

What is a payor analyst job description?

A payor analyst is responsible for managing and analyzing insurance claims, reimbursement processes, and payer contracts to ensure accurate billing and payment. They often use healthcare data systems and require knowledge of insurance policies, coding, and compliance standards to optimize revenue cycle management.
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Payor Analyst jobs near you
Infographic showing various Payor Analyst job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 6% Part Time, and 7% Contract. Highlights an 81% Physical, 9% Hybrid, and 10% Remote job distribution, with an average salary of $75,606 per year, or $36.3 per hour.

Payor Analyst

U. S. Digestive Health

Reading, PA • On-site

Full-time

Posted 4 days ago

U.S. Digestive Health rating

6.0

Company rating: 6.0 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

Description:

Summary/Objective
This position is responsible for completing complex appeals and payor projects as well as working with the billing vendor to ensure claims are being processed accurately.

Essential Functions

  • Monitors the rejected and denied claims to determine the root cause and work to resolve and prevent future errors.
  • Maintains appropriate documentation and files regarding all patient account interactions, assuring timely documentation is noted in the Revenue Cycle Management System.

Representative / patient name talked to

  • Date and time of conversation and reference number if applicable.
  • Telephone number of insurance company or patient
  • Detail of insurance benefits or pertinent documentation
  • Follow-up dates and detail if applicable
  • Field questions from other co-workers and staff as required.
  • Actively participates in facility and departmental communication through daily review of email messages.
  • Develop, maintain, and provide workflows and trainings for the billing vendors to ensure claims are being appeal or reprocessed correctly.
  • Other duties as assigned by supervisor.

Competencies

  • Demonstrates well developed interpersonal/communication skills necessary to interact effectively with internal and external patients/staff.
  • Requires well developed organizational skills and basic office operations to assure appropriate documentation and follow-through to meet the patient and department needs.
  • Can evaluate a variety of patient situations and make timely and decisive decisions, with minimal supervision. This includes analyzing claim data to determine the next best step in the claim filing process.
  • Demonstrates proficient computer skills including accurate data entry into Microsoft Office software (Outlook, Work, Excel). Along with basic proficiency of internet usage.
  • Knowledge and/or willingness to understand insurance guidelines and requirements.
  • Have a current knowledge of CPT/ICD10/HCPCS usage.
  • The ability to review documentation to obtain basic procedural and/or diagnosis codes.

Supervisory Responsibility

None


Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.


Physical Demands

The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.


Position Type/Expected Hours of Work
Full Time / Monday – Friday


Travel

None


Work Authorization/Security Clearance

Must be authorized to work in the US for any employer


AAP/EEO Statement

US Digestive Health is an Equal Opportunity Employer. USDH does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided based on qualifications, merit, and business need


Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Requirements:

High School Diploma or GED equivalent

Coding certification through AAPC preferred.

2+ years’ experience in medical billing and/or AR follow up

What U.S. Digestive Health employees say

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