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Payor Analyst Jobs (NOW HIRING)

U. S. Digestive Health

Payor Analyst

Reading, PA · On-site

Summary/Objective The Payor Analyst is responsible for completing complex appeals, refund audits, and payor projects. Essential Functions * Assist in resolving denied, scrubbed, or held claims by ...

Texas Health Resources

Contracts Payor Analyst

Arlington, TX · On-site

$62K - $75K/yr

Contracts Payor Analyst Bring your passion to Texas Health so we are Better + Together Work Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011 Work Hours: Full Time Days: (8 ...

Texas Health Resources

Contracts Payor Analyst

Arlington, TX · Hybrid

$62K - $75K/yr

Contracts Payor Analyst Bring your passion to Texas Health so we are Better Together Work Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011 Work Hours: Full Time Days: (8:00am ...

Shields Health Solutions

Payor Analyst

Boston, MA

$80K - $95K/yr

Analyst, Payor Access & Strategy Compensation $80,000-$95,000 base + bonus About the Role We're looking for a sharp, data-driven analyst to help unlock payer access and fuel growth across our partner ...

Ensign Services, Inc.

Payor Strategy Lead

San Diego, CA · On-site +1

$120K - $150K/yr

Payor Strategy Lead Position Type: Full-time, Exempt employee. Salary: $120,000 - $150,000 annually ... Analyze, interpret, and monitor key financial and operational metrics to identify trends and ...

Ensign Services

Payor Strategy Lead

San Diego, CA

$120K - $150K/yr

Payor Strategy Lead Position Type: Full-time, Exempt employee. Salary: $120,000 - $150,000 annually ... Analyze, interpret, and monitor key financial and operational metrics to identify trends and ...

Ensign Services

Payor Strategy Lead

Los Angeles, CA

$120K - $150K/yr

Payor Strategy Lead Position Type: Full-time, Exempt employee. Salary: $120,000 - $150,000 annually ... Analyze, interpret, and monitor key financial and operational metrics to identify trends and ...

Ensign Services, Inc.

Payor Strategy Lead

Los Angeles, CA · On-site

$120K - $150K/yr

Payor Strategy Lead Position Type: Full-time, Exempt employee. Salary: $120,000 - $150,000 annually ... Analyze, interpret, and monitor key financial and operational metrics to identify trends and ...

Centria Autism

Clinical Data Analyst

Farmington Hills, MI · On-site

$105K - $115K/yr

The Clinical Data Analyst partners with clinical leadership, payor relations, and operations to translate clinical data into the evidence story that demonstrates Centria's value to payors and ...

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Payor Analyst information

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$75.6K

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How much do payor analyst jobs pay per year?

As of Jun 15, 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, and why are they important?

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 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.
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Payor Analyst jobs near you
Payor Analyst

Payor Analyst

U. S. Digestive Health

Reading, PA • On-site

Full-time

Posted 28 days ago

U.S. Digestive Health rating

6.8

Company rating: 6.8 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

Description:

Summary/Objective

The Payor Analyst is responsible for completing complex appeals, refund audits, and payor projects.


Essential Functions

  • Assist in resolving denied, scrubbed, or held claims by investigating rejected claims, utilizing provider websites or phone conversations to determine corrective actions
  • Maintain appropriate documentation and files regarding all patient account interactions in the Revenue Cycle Management System.
  • Field questions from co-workers and staff as required.
  • Actively participate in facility and departmental communication through daily review of email messages.
  • Review claim documentation and correct coding when necessary.
  • Recognize and research trending claim denials.
  • Stay updated on specific billing requirements to ensure appropriate claims processing and reimbursement.
  • Perform any other duties as assigned by the manager.


Competencies

  • Strong people skills with a warm and friendly demeanor.
  • Strong organizational skills and proficiency in basic office operations to ensure appropriate documentation and follow-through.
  • Proficient computer skills, including accurate data entry into Microsoft Office software and basic internet usage.
  • Knowledge and/or willingness to understand insurance guidelines and requirements.
  • Current knowledge of CPT/ICD10/HCPCS usage.
  • Ability to review documentation to obtain basic procedural and/or diagnosis codes.


Supervisory Responsibility

This position does not have supervisory responsibilities.


Work Environment

This job operates in a professional medical office environment, utilizing standard office equipment.


Physical Demands

The physical demands include standing, walking, and occasionally lifting or moving up to 25 pounds.


Position Type/Expected Hours of Work

This is a full-time position, with an 8-hour shift Monday through Friday. No weekends are required.


Travel

No travel is expected for this position.


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 vary dependent on job location.

Requirements:

Education and Experience

  • High School Diploma or GED Equivalent
  • Minimum of 2-3 years of experience in a medical or office setting.
  • Experience with EMR systems is preferred.


Work Authorization/Security Clearance

Must be authorized to work in the US for any employer

What U.S. Digestive Health employees say

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