ZipRecruiter

Log In

1

Payor Analyst Jobs in California (NOW HIRING)

Unio Specialty Care

Payor Contract Specialist

Torrance, CA · On-site

$71K - $79K/yr

Payor Contract Specialist COMPANY DESCRIPTION Unio Health Partners (UHP) is a highly differentiated ... The Specialist exercises independent judgment in contract analysis, issue resolution, and decision ...

Socket.dev

Director of Payor Relations

El Segundo, CA · On-site

$115 - $130/hr

Track and analyze reimbursement trends to inform negotiation strategy Contract Retention & Growth * Drive retention of existing payor agreements through proactive engagement anddemonstratedvalue

ACES

Director of Payor Strategy and Value

San Diego, CA · On-site +1

$140K - $160K/yr

Analyze trends for business opportunities and market clinical/business changes * Model rate changes and forecast payor mix impacts and profitability by payor; develop perspective on financial levers ...

ACES

Director of Payor Strategy and Value

San Diego, CA · On-site

Analyze trends for business opportunities and market clinical/business changes * Model rate changes and forecast payor mix impacts and profitability by payor; develop perspective on financial levers ...

Eisenhower

Denials Analyst

Rancho Mirage, CA

$21.75 - $33.04/hr

... and payor compliance, Knowledge of LCD's, NCCI, MUE edits, Commercial, PPO, HMO, POS, EPO, and ... analytical skills Essential Responsibilities 1. Demonstrates compliance with Code of Conduct and ...

next page

Showing results 1-20

All JobsPayor Analyst JobsPayor Analyst Jobs in California

Payor Analyst information

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.

What are popular job titles related to Payor Analyst jobs in California?

For Payor Analyst jobs in California, the most frequently searched job titles are:

What job categories do people searching Payor Analyst jobs in California look for?

The top searched job categories for Payor Analyst jobs in California are:

What cities in California are hiring for Payor Analyst jobs?

Cities in California with the most Payor Analyst job openings:

Payor Analyst jobs near you
Infographic showing various Payor Analyst job openings in California as of August 2026, with employment types broken down into 91% Full Time, 4% Part Time, and 5% Contract. Highlights an 80% Physical, 9% Hybrid, and 11% Remote job distribution.

Payor Contract Specialist

Torrance, CA • On-site

Unio Specialty Care
See more jobs at Unio Specialty Careexternal

$71K - $79K/yr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 18 days ago

Job description

Payor Contract Specialist
COMPANY DESCRIPTION
Unio Health Partners (UHP) is a highly differentiated physician practice management platform with the goal of transforming care delivery across the Western United States. UHP partners with leading physician practices, creating a cohesive, quality-oriented clinical culture and facilitating best practice sharing across the platform. Our affiliated practices gain access to a broader suite of services, providing a meaningful benefit to both physicians and patients. UHP's best-in-class clinical program covers three sub-specialties (urology, gastroenterology, and radiation oncology) and offers numerous ancillary services, including pathology lab, in-office dispensing, and chronic care management. We are led by a highly accomplished management team and provide a full suite of management services to its affiliated practices. UHP is currently affiliated with 182 providers consisting of 119 physicians and 63 advanced practice providers operating out of 54 locations across Southern, Central, and Northern California.
POSITION SUMMARY
The Payor Contract Specialist independently supports and enhances the organization's managed care contracting strategy through advanced analysis, interpretation, and optimization of payor agreements.
This role is responsible for evaluating contract performance, interpreting reimbursement methodologies, and advising leadership on financial and operational impacts. The Specialist exercises independent judgment in contract analysis, issue resolution, and decision-making related to reimbursement and contract performance.
The Specialist serves as a key business partner to Payor Contracting, Revenue Cycle Management (RCM), and operational leadership to ensure contracts are effectively implemented and aligned with organizational financial and operational goals.
The ideal candidate will have direct experience working with managed care contracts, payor contracts, and/or evaluating contract performance within a healthcare setting
What you will be doing
  • Independently evaluates managed care contracts, including reimbursement methodologies, fee schedules, and carve-outs, and interprets their financial and operational impact
  • Analyzes contract performance, reimbursement trends, and variances, and develops recommendations to optimize contract outcomes
  • Provides guidance and recommendations to leadership on contract terms, reimbursement methodologies, and financial implications
  • Exercises independent judgment in researching, analyzing, and resolving complex reimbursement discrepancies and contract-related issues
  • Leads root cause analysis of reimbursement variances and determines appropriate resolution strategies
  • Interprets contract provisions and determines application to operational and billing scenarios
  • Partners with RCM, Patient Access, Finance, and Operations to align contract terms with workflows and financial performance goals
  • Advises stakeholders and leadership on contract interpretation, reimbursement strategy, and issue resolution
  • Communicates findings, trends, and recommendations to inform leadership decision-making
  • Identifies and leads initiatives to improve contract performance, reimbursement tracking, and issue resolution processes
  • Develops and implements process improvements that enhance operational efficiency and revenue outcomes
  • Supports development of tools, reporting, and dashboards to monitor contract performance
  • Oversees the integrity and accuracy of contract data, including key terms, rates, and effective dates
  • Ensures contract terms are appropriately operationalized across systems and workflows
  • Provides guidance on contract-related system configuration and alignment
  • May support provider credentialing and payor onboarding activities related to contract execution and network participation

What you will bring to the team
  • Bachelor's degree in Business, Healthcare Administration, Finance, or related field (preferred)
  • Minimum of 3+ years of progressive experience in managed care, payor contracting, revenue cycle, or healthcare financial analysis
  • Advanced knowledge of reimbursement methodologies, fee schedules, and payor structures, including the ability to independently interpret complex contract terms, evaluate financial implications, and make recommendations to leadership
  • Ability to interpret contracts and translate terms into financial and operational impact
  • Strong written and verbal communication skills, with the ability to present complex information clearly, influence stakeholders, and provide recommendations to leadership
  • Working knowledge of Medicare, Medi-Cal, and commercial payor structures and enrollment processes

What we can offer you
  • Competitive Salary and Health Benefits (Medical, Dental, Vision)
  • Generous time off (start accruing on your first day - no waiting period)
  • Paid Holidays
  • 401(k)
  • Company Discounts
  • Collaborative work environment - we want our employees to have a say in how we run our office
  • Employee Recognition

Compensation is depending on a number of factors including a candidate's qualifications, skills, competencies, or experience that may fall outside of the range shown
Pay Range: $71,760 - $79,040 per year

Apply