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Payor Analyst Jobs in Texas (NOW HIRING)

Specialty1 Partners

RCM Analyst

Houston, TX · On-site

Payor Relations Support * Analyze payor performance, reimbursement trends, negotiated rates, underpayments, denials, and reimbursement variances. * Develop and maintain reporting processes to monitor ...

New

Specialty1 Partners

RCM Analyst

Houston, TX

Payor Relations Support * Analyze payor performance, reimbursement trends, negotiated rates, underpayments, denials, and reimbursement variances. * Develop and maintain reporting processes to monitor ...

New

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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 Texas?

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

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

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

What cities in Texas are hiring for Payor Analyst jobs?

Cities in Texas with the most Payor Analyst job openings:

Payor Analyst jobs near you
Infographic showing various Payor Analyst job openings in Texas as of August 2026, with employment types broken down into 100% Full Time. Highlights an 60% In-person, and 40% Remote job distribution.

Payor Relationship Specialist

Dallas, TX • On-site

U.S. Dermatology Partners
Outpatient Health Care • 1 - 5K employees

5.6

Company rating: 5.6 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

People enjoy working here

Respectful managers

Learn more about U.S. Dermatology Partnersexternal

Full-time

Medical

Re-posted 12 days ago

Job description

Company Description
U.S. Dermatology Partners is making it easier for people to connect with a dermatologist and gain access to the very latest in dermatology care for the entire family and state-of-the-art treatment for diseases of the skin. As the 3rd largest physician-owned dermatology practice in the United States, U.S. Dermatology Partners patients not only have access to general medical, surgical and cosmetic skin treatments through its coordinated care network, but also benefit from the practice's strong dermatology subspecialty thought leaders and medical advisory board. To be the best partners to its patients, U.S. Dermatology Partners is fervently focused on providing the highest level of patient-first care, and its team therefore includes recognized national leaders in sub-specialties including psoriasis and Mohs surgery.
Job Description
Job Summary:
Under the direction of the Director of Payor Relations, the Payor Relations Specialist is responsible for managing relationships with payors and providers to ensure proper managed care arrangements for the organization. The Payor Relations Specialist will provide accurate and thorough information regarding fee schedules and implementation, products and product changes, and contract measures and metrics, including those pertaining to quality and efficiency. In addition, the Payor Relations Specialist will be responsible for the resolution of questions or concerns from both payors and physicians, taking the primary role in supporting both Payor Contracting and Provider Enrollment functions related to payor issue resolution. The Payor Relations Specialist will also support the Director of Payor Relations and contracting function in appropriate financial modeling of less complex financial arrangements and practice acquisition revenue impact analyses.
Duties and Responsibilities:
  • Responsible for communications with the organization's provider network regarding payor fee schedule updates, contractual requirements, product changes, and notifications pertaining to managed care contract negotiations and adherence.
  • Provide key data in support of financial arrangements with health insurance plans.
  • Work closely with Revenue Cycle team and Provider Enrollment regarding health plan provider set up and provide appropriate assistance in serving as a primary interface with health plans to solve systemic (vs. transactional) claim payment problems and other issues.
  • Support Director in modeling less complex re-negotiation proposals, as directed.
  • Responsible for working with multiple internal and external stakeholders to ensure communication of key objectives and responsibilities to support contract negotiations and adherence.
  • Support contracting initiatives in accordance with organizational business requirements, quality incentive programs and unit cost trend budget requirements.
  • Ensure new rates for health plan agreements are successfully communicated within the organization.
  • Ensure that health plans are compliant with rate loading and other operational terms in accordance with contract effective date.
  • Work effectively with multiple departments to ensure that contracts are compatible with organizational operations and structure.
  • Maintains corporate payor contract files.
  • Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
  • Performs other duties that may be necessary or in the best interest of the organization.

Experience Requirements
Three (3) - Five (5) years supporting a managed care function at either health plan or provider organizations, including experience with moderate financial analysis, knowledge of contract language provisions and payor relations-oriented issue resolution.
Knowledge, Skills and Abilities Requirements
  • Must possess strong understanding of the local managed care environment, including, but not limited to, managed care policies and procedures, reimbursements mechanisms, and practice management/medical office procedures.
  • Detail oriented, professional attitude, reliable
  • Management and organizational skills to support the leadership of this function
  • Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations
  • Interpersonal skills to support customer service, functional, and team mate support needs
  • Able to communicate effectively in English, both verbally and in writing
  • Mathematical and/or analytical ability for intermediate problem solving
  • Intermediate computer operation:
  • Proficiency with Microsoft Word, Outlook and especially Excel
  • Specialty knowledge of systems relating to job function
  • Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines

Qualifications
Additional Information
All your information will be kept confidential according to EEO guidelines.

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