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Payor Analyst Jobs in California (NOW HIRING)

Eisenhower

Revenue Cycle Analyst/Coder

Rancho Mirage, CA · On-site

$23.97 - $36.42/hr

Ability to analyze issues, identify root causes, and develop solutions, Ability to create and ... To present recommendations to Director of Payor Relations regarding terms and conditions and charge ...

Hippocratic AI Inc.

Senior Actuary

Palo Alto, CA · On-site

$200 - $250/hr

This role is central to how we engage with payor partners -- you'll build the actuarial models, risk analyses, and economic frameworks that demonstrate the clinical and financial value of our AI ...

Hippocratic AI

Senior Actuary

Menlo Park, CA · On-site

This role is central to how we engage with payor partners - you'll build the actuarial models, risk analyses, and economic frameworks that demonstrate the clinical and financial value of our AI ...

Eisenhower

Insurance Analyst II

Rancho Mirage, CA · On-site

$20.71 - $31.46/hr

... analytical skills, Strong knowledge of contract reimbursement methodology and proration, Strong ... Reviews denial, payor rejection, and any other necessary reports to determine strategy in ...

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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.

Refund Analyst

CommonSpirit Health

Rancho Cordova, CA • On-site

Full-time

Posted 3 days ago

New

CommonSpirit Health rating

7.0

Company rating: 7.0 out of 10

Based on 544 frontline employees who took The Breakroom Quiz

420th of 898 rated healthcare providers

Job description

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.


Under the direction of the A/R Billing Supervisor, the Refund Analyst is responsible for researching and resolving all outstanding credit balances consistent with the Mission and Philosophy of Dignity Health Medical Foundation.

  • Demonstrate a solid understanding of accounts receivable and your role as a Refunds Analyst: Payor Rules & Regulations, Understanding contract language, CCI Coding Issues, Read and interpret DOFR, Comprehend how transactions affect account, Coordination of Benefits rules, Offsets / Takebacks, Payment Posting
  • Ability to determine correct systems to locate pertinent info: IDX, MPV, Medical Records Systems, Insurance Payor Web Sites, Code Correct Web Site
  • Ability to manage multiple expectations, tasks and deadlines effectively
  • Timely review of electronic communication to stay informed of changes that affect your position
  • Proactively organize and manage case load to ensure refunds are completed timely to avoid offsets
  • Ability to independently research and resolve intermediate to complex issues with available resources and tools

Required

  • High School Diploma or GED
  • 1 year experience in professional medical billing office
  • Demonstrated proficiency in MS office software applications with emphasis in Word and Excel
  • Knowledge of contract adjustments, deductibles, denial types and other messages on third party documentation, including EOB's
  • High level of math ability and 10 key experience
  • Working knowledge of computers and demonstrated proficiency in using Email systems and Internet

What CommonSpirit Health employees say

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