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Payor Analyst Jobs (NOW HIRING)

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 ...

Trov

Payor Relations Analyst

Detroit, MI · On-site

$90 - $140/hr

Reimbursement methodology analysis - analyze payor contracts, reimbursement methodologies, and financial performance across commercial, Medicare Advantage, and Managed Medicaid books of business.

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$35K

$75.6K

$132K

How much do payor analyst jobs pay per year?

As of Sep 5, 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 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.

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.

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.
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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 89% Full Time, 6% Part Time, and 5% Contract. Highlights an 82% Physical, 7% Hybrid, and 11% Remote job distribution, with an average salary of $75,606 per year, or $36.3 per hour.

Manager, Payor Analytics & Reimbursement

Shirley Ryan AbilityLab

Chicago, IL • On-site

Full-time

Re-posted 21 days ago

Shirley Ryan AbilityLab rating

7.1

Company rating: 7.1 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

Job description

Shirley Ryan AbilityLab is the global leader in physical medicine and rehabilitation for adults and children with the most severe, complex conditions. By joining our team, you'll be part of our life-changing mission and vision. You'll contribute to an innovative, multifaceted culture that is second to none - one that embraces collaboration, excellence, discovery and compassion. You'll play a role in something that's never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes - as we Advance Human Ability, together.
Job Description Summary
The Manager, Reimbursement and Payor Analytics will serve as an expert to senior leadership on all reimbursement methodologies and trends. The Manager will partner with Revenue Cycle Operations leadership to provide financial and analytic support and ensure proper accounting of accounts receivables. They will lead payor analytics for the contracting team and develop and maintain financial models related to potential changes in federal programs or managed care. Proactively identifies opportunities for revenue growth based on changing regulations. The Manager will play a lead role in the preparation, submission, and management of Medicare and Medicaid cost reports for the hospital.
The Manager, Reimbursement and Payor Analytics will consistently demonstrate support of the Shirley Ryan AbilityLab statement of Vision, Mission and Core Values by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.
The Manager, Reimbursement and Payor Analytics will demonstrate Shirley Ryan AbilityLab Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and Core Values (Hope, Compassion, Discovery, Collaboration, & Commitment to Excellence) while fulfilling job duties.
Job Description
The Manager, Reimbursement and Payor Analytics will:
  • Serve as central connection point between Finance, Accounting, and Revenue Cycle leadership
  • Work with Finance leadership to develop and implement of reimbursement strategies across all payor types including Medicare, Medicaid, and commercial insurance
  • Monitor legislative and regulatory changes affecting Medicare/Medicaid reimbursement, model and communicate expected impact, and implement necessary strategies
  • Through partnership with a third party, generate and analyze detailed AR reports using RCA software to identify trends, bottlenecks, and manage the net AR month end accounting close process
  • Play key role in the development, review, and submission of annual Medicare/Medicaid cost reports, ensuring accuracy and compliance with CMS guidelines and regulations
  • Coordinate with external auditors during Medicare/Medicaid audits and respond to audit findings
  • Partner with Revenue Cycle leadership to implement and manage Medicare bad debt policy and procedures.
  • Analyze KPIs for accounts receivable, bad debt, denials, and collection rates
  • Provide financial & strategic support in payor contract negotiations to optimize payment terms
  • Assist in the review of annual CDM price increase process
  • Provide reimbursement expertise in strategic financial modeling (new partnerships, expansion, etc.)
  • Present complex financial information to senior leadership and provide strategic recommendations

Reporting Relationships
  • Reports to Vice President, Financial & Strategic Insight

Knowledge, Skills & Abilities Required
  • Bachelor's degree in Healthcare Administration, Finance, or related field
  • Master's degree in related field and/or CPA preferred
  • Background in hospital financial operations with 5+ years of healthcare experience, with at least 2 of those years in a reimbursement role being strongly preferred; advanced degrees and/or specific relevant experience can substitute for total years of experience.
  • Working knowledge of CMS regulations, cost reporting principles, and healthcare reimbursement methodologies
  • Working knowledge of the full Revenue Cycle process and implications on net revenue and accounts receivable valuation
  • Familiarity with healthcare billing and coding practices and technologies
  • Experience in Medicare Cost Report preparation and review preferred
  • Experience with RCA or similar software for AR accounting and analysis preferred
  • Strong understanding of hospital operations and healthcare financial management
  • Experience with electronic health record (EHR) systems
  • Excellent analytical and problem-solving abilities
  • Strong interpersonal and negotiation skills
  • Ability to communicate effectively and work collaboratively with all levels of the organization
  • Full understanding of accounting principles relating to revenue and accounts receivable
  • Ability to manage multiple priorities in a fast-paced environment

Working Conditions
  • Normal office environment with little or no exposure to dust or extreme temperature.
  • Hybrid work schedule

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
Pay and Benefits*:
Pay Range:
$95,500.00 - $158,600.00
Benefits:
Shirley Ryan AbilityLab offers a comprehensive benefits program that is competitive with our industry peers in our geographic locations: https://www.sralab.org/benefits
*Benefits and benefits' eligibility can vary by position. Actual compensation will be determined by equity and qualifications of the role.
Equal Employment Opportunity Employer
Shirley Ryan AbilityLab is an Equal Employment Opportunity Employer. All applicants will be afforded equal employment opportunity without discrimination because of race, color, religion, sex, marital status, national origin or ancestry, citizenship status, age, disability, sexual orientation, gender identity, genetic information, military status, order of protection status, unfavorable discharge from military service, or any other characteristics protected by law.
EEO is the Law | EEO is the Law - Know Your Rights | View our Full Policy
Shirley Ryan AbilityLab is an Affirmative Action Employer as required by law.

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