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Payor Analyst Jobs in Virginia (NOW HIRING)

Riverside

Compliance Analyst RMG

Newport, VA · Remote

$57K - $78K/yr

Overview Primary responsibility is to independently perform clinical chart reviews, risk adjustment audits, payor audits, coding analysis, charge/reimbursement analysis, medical records reviews, and ...

Somatus, Inc.

VP, Clinical Performance

Mclean, VA · On-site

Analyze, interpret and apply healthcare payor claims data around $PMPM, Unit/1000, $$/Unit metrics to systematically explore and identify opportunities to improve total cost of care and clinical ...

BrightSpring Health Services

Clinical Director

Salem, VA · On-site

$77K - $105K/yr

Understand and follow all policies and procedures related to client payor plan rules and ... Model and train staff in the principles and practice of Applied Behavior Analytic methodology.

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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 Virginia?

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

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

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

What cities in Virginia are hiring for Payor Analyst jobs?

Cities in Virginia with the most Payor Analyst job openings:

Payor Analyst jobs near you
Infographic showing various Payor Analyst job openings in Virginia as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 7% Part Time, and 6% Contract. Highlights an 81% Physical, 9% Hybrid, and 10% Remote job distribution.

Health Information Management (HIM) Analyst - Epic HIM / Solventum / Payor Platform

InterScripts, Inc

Chantilly, VA • On-site

$16 - $19.50/hr

Full-time

Posted 27 days ago

Job description


Job Title:Health Information Management (HIM) Analyst - Epic HIM / Solventum / Payor Platform
Location: Chantilly, Virginia, United States
Experience: 2+ Years
Employment Type: Full-Time
Job Summary
We are seeking a detail-oriented Health Information Management (HIM) Analyst with experience supporting HIM operations, Solventum (formerly 3M Health Information Systems), and healthcare payor platform workflows. The ideal candidate will possess strong knowledge of health information management processes, medical records management, coding workflows, regulatory compliance, and healthcare technology systems. Relevant certifications are mandatory.
Key Responsibilities
  • Support and maintain HIM workflows and healthcare information systems.
  • Configure, optimize, and troubleshoot HIM-related applications and processes.
  • Assist with document management, chart completion, deficiency management, release of information, and record retention activities.
  • Collaborate with clinical, coding, revenue cycle, compliance, and IT teams.
  • Support Solventum (3M) applications and integrations related to HIM, coding, and clinical documentation.
  • Analyze business requirements and implement system enhancements.
  • Participate in testing, upgrades, validation, and production support activities.
  • Ensure compliance with healthcare regulations, privacy requirements, and organizational policies.
  • Develop system documentation, workflows, and end-user training materials.
  • Support operational improvements and HIM optimization initiatives.

Requirements
  • Minimum 2+ years of experience in Health Information Management (HIM), Medical Records, Health Information Systems, or related healthcare IT environments.
  • Experience supporting HIM workflows, chart management, release of information (ROI), deficiency tracking, document management, and compliance processes.
  • Experience working with Solventum (3M) HIM solutions, coding, CDI, or healthcare revenue cycle systems.
  • Experience with healthcare payor platforms, claims, authorizations, eligibility, or payer operations.
  • Strong understanding of HIPAA, healthcare privacy, security, and regulatory requirements.
  • Excellent analytical, troubleshooting, and communication skills.

    • Preferred Skills
    • Knowledge of healthcare data governance and medical record management.
    • Understanding of coding workflows, CDI processes, revenue cycle operations, and payer systems.
    • Familiarity with EHR systems such as Epic, Cerner, Meditech, or similar healthcare platforms.
    • Experience with healthcare interoperability standards and healthcare data exchange.
    Education
    • Bachelor's degree in Health Information Management, Health Informatics, Healthcare Administration, Information Technology, or a related field preferred.
    Mandatory Certifications (One or More Required)
    • RHIA (Registered Health Information Administrator) - AHIMA
    • RHIT (Registered Health Information Technician) - AHIMA
    • CHPS (Certified in Healthcare Privacy and Security) - Preferred
    • CCS (Certified Coding Specialist) - Preferred
    • CDIP (Certified Documentation Improvement Practitioner) - Preferred
    • Relevant Solventum (3M) HIM/Coding/CDI Certifications - Preferred
    Preferred Experience
    • Experience supporting HIM operations within hospitals, healthcare systems, health plans, or payer organizations.
    • Experience with Solventum (3M) applications, healthcare payor platforms, and electronic health record systems.
    • Experience working in healthcare IT implementation, support, optimization, or operational environments.

    Apply