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Payor Relations Jobs (NOW HIRING)

Zynex Medical

Payor Relation Specialist

Denver, CO · On-site

Representing the payor relations function as a core team member on cross-functional projects Competencies & Skills Needed: * Adaptability & Innovation - Exhibits flexibility in adapting to Changing ...

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$34.5K

$78.1K

$134K

How much do payor relations jobs pay per year?

As of Jun 29, 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 job?

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 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.

What jobs pay 10,000 a month without a degree?

Payor Relations roles typically require industry-specific knowledge and experience rather than a degree, and some positions in healthcare or insurance can pay around $10,000 monthly with relevant skills and certifications. High-paying roles in sales, real estate, or entrepreneurship may also reach this income level without formal degrees, but they often depend on performance and market conditions.

What jobs pay 2000 a day?

High-paying jobs that can pay around $2,000 a day typically include specialized roles such as senior corporate lawyers, experienced surgeons, certain executive positions, and highly skilled consultants or contractors. These roles often require advanced education, extensive experience, and sometimes certification or licensing, and they may involve demanding schedules or high levels of responsibility.

What is a payer relations job description?

A payer relations job involves managing communication and relationships with insurance payers to ensure accurate billing, claims processing, and reimbursement. The role often requires knowledge of healthcare policies, claims systems, and negotiation skills to resolve issues and optimize payer contracts.

What jobs pay 500,000 a year in the US?

In the US, high-paying roles such as senior executives, specialized physicians, and certain investment bankers can earn $500,000 or more annually. Payor Relations professionals typically do not reach this level of compensation unless they hold executive or senior leadership positions with significant bonuses or incentives. Achieving such salaries often requires extensive experience, advanced certifications, and leadership responsibilities.

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.

More about Payor Relations jobs
What cities are hiring for Payor Relations jobs? Cities with the most Payor Relations job openings:
What are the most commonly searched types of Payor Relations jobs? The most popular types of Payor Relations jobs are:
What states have the most Payor Relations jobs? States with the most job openings for Payor Relations jobs include:
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Payor Relations jobs near you
Infographic showing various Payor Relations job openings in the United States as of June 2026, with employment types broken down into 14% As Needed, 58% Full Time, 14% Temporary, and 14% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $78,084 per year, or $37.5 per hour.
Account Manager - Payor Relations

Account Manager - Payor Relations

BioPlus Specialty Pharmacy

Altamonte Springs, FL • On-site

Full-time

Medical, Retirement

Posted 9 days ago

Job description

Company Description
As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners.
Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and patients for critical, time - sensitive treatments. As we continue to grow, we need exceptionally talented, bright, and driven people. If you would like to help us continue to be the innovative leader in our industry, this is your chance to join our team.
Job Description
Position Summary
Responsible for providing support in managing payor relations, program implementation, data feeds as contracted, and other contractual requirements. Provide analysis of contracts, facilitate internal company communication concerning payor clients, and manage payor contract requirements in order to maintain compliance and contract obligations.
Essential Functions:
  • Ensure accurate and timely completion of all assigned and contractual client requirements (reporting, application/contraction completion, presentation, monthly analysis).
  • Serve as the primary contact for assigned accounts, interacting with client contacts to facilitate problem resolution and promote high client satisfaction
  • Work directly with internal stakeholders including finance, IT, legal, operations, account management, contract management, sales and others to define requirements and support successful implementation and sales pull through on payor contracts.
  • Maintain a current request for proposal (RFP) library, coordinate with stakeholders to maintain relevant and accurate information, develop RFP responses as approved by the executive team.
  • Assist the Director of Contract Management with the business development process of contracting and executing new payor relationships.
  • Work with other department, sales/account managers, pharmacy, billing, PCC's and other departments to support company objectives.
  • Engages targeted payors for contracts to allow pending patient dispensing
  • Assist Credentialing Specialist as needed to complete enrollment applications/packages (Medicaid, Part D, MCO)
  • Respond to questions surrounding contracts (reimbursement, benefit design, contracted services)
  • Collate and create monthly, quarterly, and annual payor reports
  • Review and analyze weekly shipped, non-admit, and discharge reports
  • Assist admissions/PA with difficult patient cases
  • Provide insight of changes within plans to sales, admissions, pharmacy, and billing departments
  • Provide analysis of growth potential within each plan and a full region
  • Assist Hemophilia team (reimbursement, plan access, LOA, patient onboarding, etc.)
  • Obtain Letter of Agreement when required for services (workmen's comp/medical services)
  • Announce drug formulary changes at a plan to internal customers
  • Provide analysis and support for VPs of Managed Care, Sr. Director of Contract Management and the SVP Trade
  • Manage, review and follow up of pending contracts and provide support for timely completion, update contract files upon contract execution

Other Duties:
  • Participate and perform other related duties as assigned by Leadership.

Competency:
  • Strong knowledge of specialty pharmacy contracting, payor, PBM's and managed care
  • Must be able to meet time-sensitive deadlines and handle confidential and sensitive information appropriately
  • Ability to work and lead in a team-oriented, collaborative environment.
  • Excellent organization skills required and the ability to work on multiple accounts simultaneously.
  • Maintains compliance with all BioPlus Specialty Pharmacy policies and procedures
  • Strong organizational skills with the ability to manage multiple work streams and implementation projects simultaneously.
  • Ability to rapidly adapt and respond to changes in environment and priorities
  • Demonstrate excellent oral and written communication skills
  • Strong networking skills
  • Demonstrate proficiency in the use of MS Office software; which includes Excel, Word and Outlook
  • Demonstrate the BioPlus C.A.R.T. values
    • Competence
    • Accountability
    • Respect
    • Trust

Qualifications
Qualifications
Education/Experience Requirements:
  • Associate or Bachelor's degree in healthcare related field preferred
  • 3+ years of experience with Healthcare Plans or Specialty Pharmacy

Additional Information
BioPlus offers competitive compensation packages including health care, 401(k), growth potential, and a challenging and exciting work environment.
BioPlus is an Equal Opportunity Employer

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