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Payor Analyst Jobs in Wisconsin (NOW HIRING)

0090 Presbyterian System Services

WI · On-site

$150 - $180/hr

The leader will define and execute a system‑wide payor contracting and revenue optimization ... Analyze reimbursement trends and implement targeted interventions to address risk areas and improve ...

Advocate Health

Refund Proc Rep I

Milwaukee, WI · On-site

Conduct high-level analysis of other team members' transactions before releasing to payee, including escalated requests, using sound decision-making skills. Determine the payor responsible for ...

FROEDTERT HEALTH

RN CASE MANAGER

Milwaukee, WI · On-site

General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ... Analytical skills necessary to assess patient's discharge needs and develop solutions to problems ...

Froedtert Health

RN CASE MANAGER

Milwaukee, WI · On-site

General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ... Analytical skills necessary to assess patient's discharge needs and develop solutions to problems ...

Accendra

Branch Coordinator

Marshfield, WI · On-site

$17.64 - $18.86/hr

... payor guidelines, monitoring incoming faxes, and performing data entry. * Work with sales team ... Problem Solving/Analysis * Patient Focused * Teamwork * Time Management/Multi-tasking * Effective ...

Accendra Health, Inc.

Branch Coordinator

Marshfield, WI · On-site

$17.64 - $18.86/hr

... payor guidelines, monitoring incoming faxes, and performing data entry. * Work with sales team ... Problem Solving/Analysis * Patient Focused * Teamwork * Time Management/Multi-tasking * Effective ...

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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 Wisconsin?

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

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

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

What cities in Wisconsin are hiring for Payor Analyst jobs?

Cities in Wisconsin with the most Payor Analyst job openings:

Payor Analyst jobs near you
Infographic showing various Payor Analyst job openings in Wisconsin as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 10% Part Time, and 6% Contract. Highlights an 81% Physical, 9% Hybrid, and 10% Remote job distribution.

Financial Planning and Analysis (FP&A) Remote Based On Location

Green Bay, WI • On-site

Caravel Autism Health
Offices of Mental Health Practitioners • 1 - 5K employees

5.2

Company rating: 5.2 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

205th of 245 rated social care providers

People enjoy working here

Recommended by students

Paid breaks

Learn more about Caravel Autism Healthexternal

$83K - $103K/yr

Full-time

Re-posted 9 days ago

Job description

This Financial Planning & Analysis role will support operational and strategic financial modeling of services for clients in Applied Behavior Analysis (ABA) therapy. This role provides hands‑on exposure to assignments involving ABA provider platforms, multi‑site operators, and healthcare services investors. This role will work with leadership to deliver rigorous monthly financial analysis, clinic financial materials, and support the annual budget and quarterly forecasting process in a fast‑paced, data‑driven environment.  This is a process manager role--not people management.  

Essential Functions:

Financial Analysis & Modeling

  • Build and maintain detailed financial models for ABA therapy businesses, including:
    • Multi-dimensional income statements for budgets, forecasts and actuals
    • Cashflow and Balance Sheet integration into budget/forecasting processes
    • Capital investment model and asset tracking budget/forecast models
    • Create and maintain internal operating forecasts, annual budget and non-financial models
    • Monthly Lender reporting and ad hoc financial scenario requests
    • Develop cost models to support budget/forecast inputs, including but not limited to labor models, operating expenses driver-based models & monthly allocation models
  • Analyze and maintain income statements, balance sheets, and cash flows with attention to ABA Therapy‑specific drivers such as but not limited to:
    • Revenue per client / per session and CPT code mix
    • Clinician utilization and productivity
    • Payor mix (commercial, government)
    • Margin profiles at the site, service line, and clinician level
    • De Novo and Same Store analytics and insights 
    • Revenue Cycle Management analytics
  • Support monthly Clinic, Executive Management and Board of Directors reporting
    • Maintain models and Cosmos system for monthly updates
    • Support creation of the monthly presentation materials 

Administrative & Process Support

    • Manage internal deliverables, timelines, calendars and approval processes
    • Ensure compliance with firm policies, confidentiality requirements, and healthcare‑related regulatory considerations
    • Provide accounting, audit and internal controls support as requested

Non-Essential Functions/Other Duties:

  • Create and maintain Cosmos financial reports
  • Business support to clinic leadership and executive management
  • Monthly end close support and reporting
  • Other requests as assigned

Qualifications:

Education:

  • Bachelor’s degree in finance, accounting, business, or a related field required, advanced degrees preferred
  • Exposure to healthcare services, behavioral health, or provider-based business models preferred
  • Familiarity with valuation methodologies used in healthcare services transactions preferred
  • Experience with Business Central, Cosmos Reporting, Power BI, and Central Reach platforms preferred

 Experience:

  • 5 - 8+ years in FP&A, corporate finance, or strategic finance
  • Experience in a PE-backed, multi-entity, or roll-up environment strongly preferred
  • Prior internship or experience in investment banking, private equity, healthcare consulting, or corporate finance 

 Skills and Competencies:

  • Strong analytical and quantitative skills
  • Advanced proficiency in Microsoft Excel and PowerPoint
  • Solid understanding of financial statements and corporate finance fundamentals
  • High attention to detail and strong organizational skills
  • Excellent written and verbal communication abilities
  • Ability to work effectively in a deadline driven, high intensity environment
  • Strong analytical judgment and problem-solving ability
  • Team oriented mindset with a professional and client focused approach
  • Intellectual curiosity and willingness to learn complex operating models
  • High integrity and discretion with confidential information


Important: Our FP&A Manager is a Full Time remote/work from home opportunity, and we are open to candidates in the following states:

  • Idaho
  • Illinois
  • Iowa
  • Kansas
  • Michigan
  • Minnesota
  • Missouri
  • Tennessee
  • Texas
  • Wisconsin

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