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Payor Relations Jobs (NOW HIRING)

Soleo Health, Inc.

Senior Director, Payor Relations

$125K - $170K/yr

The Senior Director of Payor Relations is an executive role focused on driving the strategic direction, development, and overall management of Payor Relations across the company. This executive will ...

Cook Children's

Director, Payor Relations

Fort Worth, TX · On-site

Payor Relations Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: The Director of Payor Relations is responsible for developing and maintaining meaningful and effective ...

Aveanna Healthcare

Payor Relations Manager

Houston, TX · On-site +1

The Payor Relations Manager reports directly to the AVP of Payor Strategy. The Payor Relations Manager is responsible for owning relationships within all of case management and utilization management ...

Aveanna Healthcare

Payor Relations Manager

Houston, TX · On-site

The Payor Relations Manager reports directly to the AVP of Payor Strategy. The Payor Relations Manager is responsible for owning relationships within all of case management and utilization management ...

Aveanna Healthcare

Payor Relations Manager

Houston, TX · On-site

The Payor Relations Manager reports directly to the AVP of Payor Strategy. The Payor Relations Manager is responsible for owning relationships within all of case management and utilization management ...

Aveanna Healthcare

Payor Relations Manager

Houston, TX · On-site

The Payor Relations Manager reports directly to the AVP of Payor Strategy. The Payor Relations Manager is responsible for owning relationships within all of case management and utilization management ...

Ernest Health

Payor Relations Specialist

Denver, CO · On-site

$39 - $49/hr

Overview Payor Relations Specialist - Full Time - Denver, Colorado We are seeking a Payor Relations Specialist to join our team of passionate patient caregivers! As a participating hospital of Ernest ...

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Payor Relations information

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$34.5K

$78.1K

$134K

How much do payor relations jobs pay per year?

As of Sep 1, 2026, the average yearly pay for payor relations in the United States is $78,084.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,000.00 and $100,000.00 per year, depending on experience, location, and employer.

What is a payor relations?

A Payor Relations job involves managing relationships between healthcare providers and insurance companies (payors) to ensure smooth contract negotiations, reimbursement processes, and compliance with regulations. Professionals in this role work to secure favorable payment terms, resolve disputes, and stay updated on policy changes. They collaborate with internal teams like finance and billing to optimize revenue cycle management and improve patient access to care.

What are some common challenges faced in a payor relations role, and how are they typically managed?

Professionals in Payor Relations often encounter challenges such as navigating complex contract negotiations, resolving claim denials, and staying updated with constantly evolving insurance regulations. Managing these challenges typically involves collaborating closely with internal teams like billing, compliance, and finance, as well as maintaining open communication with representatives from insurance payors. Successful payor relations specialists leverage negotiation skills, industry knowledge, and data analysis to address issues efficiently and advocate for their organization’s interests. Staying proactive and adaptable is key to ensuring smooth operations and maintaining strong partnerships between healthcare providers and payors.

What are the key skills and qualifications needed to thrive in the payor relations position, and why are they important?

To thrive in Payor Relations, you need a strong background in healthcare administration, contract negotiation, and knowledge of reimbursement methodologies, often supported by a bachelor’s degree in business, healthcare, or a related field. Proficiency with claims management systems, contract management software, and familiarity with regulatory compliance tools like HIPAA is typically required. Excellent communication, relationship-building, and problem-solving abilities help foster productive partnerships with insurance payors and internal stakeholders. These skills are vital for ensuring favorable contract terms, resolving disputes efficiently, and supporting the financial goals of healthcare organizations.

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Payor Relations jobs near you
Infographic showing various Payor Relations job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $78,084 per year, or $37.5 per hour.

Senior Director, Payor Relations

Soleo Health, Inc.

Remote

$125K - $170K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

Job description

Job Type
Full-time
Description
Soleo Health is seeking a Senior Director, Payor Relations to lead the company's national payor contracting and network management strategy, drive reimbursement optimization and strategic growth initiatives, and strengthen executive-level relationships with payors, providers, and healthcare partners. Join us in Simplifying Complex Care!
Soleo Health Perks:
  • Competitive Wages
  • 401(k) with a Match
  • Referral Bonus
  • Paid Time Off
  • Great Company Culture
  • No Weekends or Holidays
  • Paid Parental Leave Options
  • Affordable Medical, Dental, & Vision Insurance Plans
  • Company Paid Disability & Basic Life Insurance
  • HSA & FSA (including dependent care) Options
  • Education Assistance Program

The Position:
The Senior Director of Payor Relations is an executive role focused on driving the strategic direction, development, and overall management of Payor Relations across the company. This executive will play a critical role in shaping the company's approach to healthcare contracting and network management at a national level. The Senior Director will lead efforts to optimize the reimbursement Soleo receives for its services through various payor relations strategies, ensuring they align with the company's long-term strategic and financial objectives and maximize the company's earnings potential. Responsibilities include:
  • Formulate and oversee the implementation of comprehensive regional and national Payor contracting and network management strategies. Drive the achievement of contracted sales goals and enhance market share and profitability.
  • Lead the identification, development, negotiation, and management of Payor Relations agreements to ensure competitive and sustainable growth.
  • Initiate and guide the launch of innovative Payor relations programs and contracts, collaborating with senior internal stakeholders including operations, finance, and Regional Vice Presidents.
  • Oversee detailed financial analyses of Payor contracts to assess the earnings impact of new contracts, as well as renewals and material network changes.
  • Manage budget projections for pricing and assess financial performance of payor contracts.
  • Ensure Payors are reimbursing Soleo at the contracted rates and that reimbursement is timely.
  • Enhance Soleo's contracting strategy to maximize value (where applicable) using national contracts with chain codes vs. individually contracted pharmacies.
  • Serve as the primary executive contact for major external partners, including hospitals, Payor organizations, and manufacturers. Build and maintain strategic relationships to bolster business objectives.
  • Oversee the design and implementation of advanced sales training programs that focus on Payor relations, contract comprehension, opportunities, and associated risks.
  • Monitor and analyze market trends and contractual activities to identify and seize opportunities for new or expanded Payor agreements.
  • Lead the development of performance-based contracting models that reflect the latest in healthcare industry advancements and match organizational goals (i.e., Soleo's participation in limited payor networks).
  • Maintain and update the company's strategy in response to healthcare legislation changes. Act as a subject matter expert to guide Payor Relations policies and practices.
  • Manage the creation and ongoing updates of departmental policies to ensure compliance with regulatory, operational, and organizational standards.
  • Partner with Revenue Cycle Management team to defend Soleo's interests in payor audits.
  • Manage the creation and ongoing updates of departmental policies to ensure compliance with regulatory, operational, and organizational standards.
  • Completes all necessary managerial tasks for direct reports including hiring, training, addressing performance issues, developing team goals and objectives, performance reviews, conflict resolution, and strategic planning.

Schedule:
Monday-Friday 8:30am-5pm
Requirements
  • Bachelor's degree in a related field such as business administration, economics or finance with a minimum of 10 years in Payor Relations and Contracting including significant leadership experience in complex healthcare environments.
  • High school diploma (or equivalent) required.
  • Advanced degrees such as an MBA or Juris Doctorate preferred.
  • Strong communication, negotiation, and leadership skills.
  • Proven track record of leading high-performing teams and effectively managing senior-level projects and initiatives.
  • Exceptional capability in analyzing complex data, identifying strategic insights, and employing them to improve business performance and operational efficiencies.
  • Expertise in developing and delivering strategies and business plans to a variety of stakeholders, including executive leadership, board members and external partners.
  • Operates effectively and successfully in fast-paced high growth environment. Capable of managing multiple, high-stakes projects in parallel with one another.
  • Willingness and ability to travel extensively, often exceeding 50% of the time, to meet business needs.

About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
  • Improve patients' lives every day
  • Be passionate in everything you do
  • Encourage unlimited ideas and creative thinking
  • Make decisions as if you own the company
  • Do the right thing
  • Have fun!

Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Keywords: Now hiring, hiring now, immediately hiring, hiring immediately
Salary Description
$125k-$170k

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