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Payor Analyst Jobs (NOW HIRING)

EmergeOrtho

Director of Payor Relations

Durham, NC · On-site +1

Director of Payor Relations Opportunity! EmergeOrtho is committed to being the trusted leader in ... Do you excel at negotiating complex contracts, analyzing market opportunities, and driving ...

Unio Health Partners

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Payor Contract Coordinator

Torrance, CA · On-site

$30 - $38/hr

The Payor Contract Specialist supports the Director, Payor Contracting in the administration, analysis, and maintenance of managed care agreements. This role is responsible for coordinating contract ...

Lincare

Manager, Payor Policy & IQA

Largo, FL

$97K - $105K/yr

Oversees payor contract updates in the EMR, ensures government payor updates are communicated and ... read, analyze, and interpret general business periodicals, professional journals, technical ...

EmergeOrtho

Director of Payor Relations

Durham, NC · On-site +1

Director of Payor Relations Opportunity! EmergeOrtho is committed to being the trusted leader in ... Do you excel at negotiating complex contracts, analyzing market opportunities, and driving ...

Elevance Health

Payor Contract Manager, Infusion

Plano, TX · On-site

$111K - $166K/yr

The Payor Contract Manager, Infusion manages the operational management, analysis, and administration of payor contracts supporting specialty pharmacy, home infusion, and ambulatory infusion services ...

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How much do payor analyst jobs pay per year?

As of Jul 7, 2026, the average yearly pay for payor analyst in the United States is $75,606.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $91,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Payor Analyst, and why are they important?

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.

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.

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.
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Director of Payor Relations

Director of Payor Relations

Behavior Frontiers

El Segundo, CA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago

Behavior Frontiers rating

7.0

Company rating: 7.0 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

404th of 877 rated healthcare providers

Job description

Description
The Director of Payor Relations is responsible for developing, managing, and strengthening relationships with commercial and government payors to support the organization's Applied Behavior Analysis (ABA) services. This role focuses on optimizing reimbursement, improving contract performance, and ensuring long-term payor partnership through data-driven storytelling, outcomes reporting, and strategic rate negotiations.
This position plays a critical role in ongoing payor engagement, retention, and financial performance improvement.
Office Location: El Segundo, CA
Pay Range: $115,000 - $130,000 DOE + Bonus Plan
Key Responsibilities:
Payor Relationship Management
  • Serve as the primary point of contact for assigned payors, maintaining strong, proactive relationships

  • Conduct regular business reviews and check-ins with payor representatives

  • Identify risks to payor relationships and develop mitigation strategies

  • Partner with internal teams (clinical, revenue cycle, operations) to ensure alignment with payor expectations

  • Document and update CRM with payor contacts and activity weekly

  • Review and update provider portals and directories

Payor Performance & Outcomes Reporting
  • Develop and deliver compelling, data-driven presentations demonstrating clinical outcomes, quality metrics, and value of ABA services

  • Translate clinical and operational data into clear narratives tailored to payor priorities (e.g., cost savings, member outcomes, access)

  • Lead quarterly or semi-annual business reviews with payors

  • Continuously refine reporting frameworks to strengthen the organization's value proposition

Rate Strategy & Negotiation
  • Identify opportunities for rate increases based on performance, market benchmarks, and outcomes

  • Prepare and present rate increase proposals supported by data and financial modeling

  • Lead negotiations with payors to improve reimbursement rates and terms

  • Track and analyze reimbursement trends to inform negotiation strategy

Contract Retention & Growth
  • Drive retention of existing payor agreements through proactive engagement and demonstrated value

  • Support expansion of services within existing payor relationships (e.g., new markets, service lines)

  • Monitor contract performance and escalate issues impacting retention

Cross-Functional Collaboration
  • Collaborate with Revenue Cycle to address denial trends, underpayments, and operational friction points

  • Partner with Clinical Leadership to align on outcomes reporting and quality metrics

  • Work with Finance to evaluate financial impact of rate changes and payor mix

Market Intelligence
  • Monitor industry trends in ABA reimbursement, payor policies, and competitive positioning

  • Provide insights to leadership on payor strategy and risks/opportunities

Key Performance Indicators (KPIs)
  • Number of payor presentations delivered (monthly/quarterly)

  • Number of rate increase requests submitted

  • Average reimbursement rate improvement (%)

  • Payor contract retention rate (%)

  • Success rate of rate negotiations

  • Growth in revenue tied to rate improvements or strengthened payor relationships

  • Payor satisfaction / relationship health (qualitative + survey-based)

Qualifications Required
  • Bachelor's degree in Healthcare Administration, Business, Finance, or related field

  • 5-10 years of experience in payor relations, managed care, or healthcare contracting (ABA or behavioral health strongly preferred)

  • Demonstrated experience with rate negotiations and payor-facing presentations

  • Strong analytical skills with ability to interpret and present clinical and financial data

  • Deep understanding of reimbursement in ABA and/or behavioral health

Preferred
  • Experience in multi-state ABA provider organizations

  • Familiarity with Medicaid and commercial payor dynamics in autism services

  • Advanced degree (MBA, BHA)

Skill & Competencies
  • Executive-level communication and presentation skills

  • Negotiation and influencing skills

  • Data storytelling and visualization

  • Strategic thinking with strong business acumen

  • Relationship management and stakeholder engagement

  • Problem-solving and cross-functional collaboration

Why Behavior Frontiers is perfect for you:
  • Competitive pay with optional On-demand paychecks thru DailyPay - get paid on your own schedule!

  • 401K Plan with company match after 6 months of employment

  • Paid Personal Time Off

  • Paid Holidays

  • Paid Sick Leave

  • Medical, Dental and Vision insurance

  • Opportunities for career advancement

  • Performance and promotion raises

  • Free Telehealth: Free access to a doctor via telehealth for you and your dependents with no limits and no co-pays

  • Free Telehealth Mental Health: Free access to a mental health counselor via telehealth for you and your dependents (over age 13) with no limits or co-pays

  • Employee Assistance Program: Free access to some support services (financial, legal, counseling, etc.)

  • Fitness: Discounted monthly gym membership to 12,000 gym locations nationwide, as well as free access to workout videos

  • Deals: Exclusive discounts and savings to 500+ companies and more!

  • Travel: Discounts on travel essentials including hotels, rental cars, flights, excursions, and more!

  • Lab Testing Discounts: 10-80% off costs of routine lab work

  • New Benefits Rx: Discounts on prescription medications from 10-80% at 60,000+ locations nationwide

Why work for Behavior Frontiers? Visit our benefits & perks page to learn more!
Behavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.

What Behavior Frontiers employees say

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Benefits

Hours and flexibility

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Get the full story on Breakroom

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About Behavior Frontiers

Sourced by ZipRecruiter

Behavior Frontiers is an industry leader in ABA (Applied Behavior Analysis) treatment for autism and other special needs. We are rapidly expanding and seeking enthusiastic individuals who are ready to embark on a meaningful journey in one of the fastest growing fields in healthcare.

Industry

Individual, family and community social assistance

Company size

201 - 500 Employees

Headquarters location

Los Angeles, CA, US

Year founded

2004

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