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Payor Relations Jobs (NOW HIRING)

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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 Jul 22, 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 healthcare jobs pay over 100k per year?

In healthcare, roles such as payor relations managers, healthcare administrators, and medical directors often earn over $100,000 annually. These positions typically require advanced degrees, strong industry knowledge, and experience in healthcare management or insurance processes.

What jobs pay 4000 a week without a degree?

Payor Relations roles typically do not pay $4,000 a week without a degree, as they often require healthcare or insurance industry experience. High-paying jobs that can reach this level without a degree include certain sales positions, specialized trades like commercial diving or oil rig work, and entrepreneurial ventures, but these often require skills, certifications, or significant experience. Most roles offering such high weekly pay generally demand specialized training or extensive experience rather than formal degrees.

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 is a payer relations job description?

A payer relations job involves managing communication and relationships with insurance payers to ensure proper reimbursement for healthcare services. The role includes negotiating contracts, resolving billing issues, and maintaining compliance with industry regulations, often requiring knowledge of healthcare policies and billing systems. Strong communication and negotiation skills are essential for success in this position.

What jobs make $1,000,000 a year?

In the field of payor relations, high-level executive roles such as Chief Medical Officer or Vice President of Payor Relations can reach or exceed a million dollars annually, especially in large healthcare organizations. These positions typically require extensive experience, advanced degrees, and strong negotiation skills, often supplemented by performance bonuses and stock options.

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:
Infographic showing various Payor Relations job openings in the United States as of July 2026, with employment types broken down into 3% Internship, 2% As Needed, 82% Full Time, 12% Part Time, and 1% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $78,084 per year, or $37.5 per hour.
Director - Payor Relations & Contracting

Director - Payor Relations & Contracting

Cincinnati Children's Hospital

Cincinnati, OH • Hybrid

$52.66 - $81.93/hr

Full-time

Posted 20 days ago


Cincinnati Children's Hospital Medical Center rating

7.4

Company rating: 7.4 out of 10

Based on 149 frontline employees who took The Breakroom Quiz

332nd of 1,022 rated hospitals


Job description

Description:

Expected Starting Salary Range: $109,532.80 - $145,000

This is a hybrid position, will require on-site work weekly


SUBFUNCTION DEFINITION: Involves revenue cycle functions for the healthcare enterprise, including system billing, reporting and support. Ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services. Impacts processes to include charge capture, coding, insurance identification, data entry, billing, payment posting, refund processing and collections. May also be responsible for / integrated with business office operations.


REPRESENTATIVE RESPONSIBILITIES

·Contracting & Negotiations
Lead department and other internal staff and all applicable contract administrators to negotiate favorable contractual terms for Cincinnati Children's and/or the PHO. Coordinate third party payer contract negotiation activities including settlements and acting as a liaison to and resource for internal operations and affiliates regarding third party payer contracting. Prepare and implement annual contracting plan for CCHMC and PHO. Participate in the development of new business programs/ventures that include new payment arrangements with third party payers and employers.
·Contract Management & Payer Compliance
Develop and maintain systems for oversight and monitoring of payer compliance with contracts in order to insure accurate and complete payment to CCHMC for all services covered in contracts with third party payers. Work with Finance and clinical departments/divisions/Institutes to monitor third party payors' compliance with contract terms and payment rates and provide assistance in turning over payor denials. Provide oversight and direct leadership of payor operational meetings (JOC) and escalate disputes related to payor policies and material claims disputes. Develop contract management tools and systems for internal use by various departments and assist with the financial, operational and delivery aspects of third party payer and provider contracts.
·Payer Relations
Develop and maintain appropriate working relationships with decision-makers and operating/clinical departments of third-party payers, insurance companies, employers, federal, state, local international government and private payers. Conduct presentations and market Cincinnati Children's and PHO to third party payers, government officials, and employers.
·Data Analysis & Pricing
Develop analytical reports to demonstrate the financial impact of current and proposed arrangements for physician, hospital, and PHO contracts. Monitor and continually evaluate third party payer contracts. Review all contract fee schedules annually for appropriate maintenance and compliance. Assist in development of regular benchmarking reports of pricing and reimbursement. Recommend annual fee schedule changes and pricing policies.
·Financial Management
Manage the annual operating expense budgets of departments/costs centers reporting to position.
Qualifications:

EDUCATION/EXPERIENCE


Required:
·Bachelor's degree in a related field
·5+ years of work experience in a related job discipline

Preferred:
·MBA or MHA
·Healthcare revenue cycle experience
·Healthcare contracting experience
·Negotiation experience (contracts)
·Experience reviewing payor policies
Cincinnati Children's is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion. We are committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/AA/M/F/Veteran/Disability

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About Cincinnati Children's Hospital Medical Center

Sourced by ZipRecruiter

Cincinnati Children's Hospital Medical Center, located in Cincinnati, OH, US, is a premier pediatric hospital renowned for its exceptional clinical services, research programs, and medical education. The healthcare institution, founded in 1883, holds a sterling reputation in the industry, with a mission to improve child health and transform delivery of care through fully integrated, globally recognized research, education and innovation. As one of the oldest and most distinguished pediatric hospitals in the United States, Cincinnati Children's continues to offer a broad range of high-quality, compassionate care to children in the community and around the globe. As a testament to its dedication, it has consistently been ranked among the top three US pediatric hospitals by U.S. News & World Report.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Cincinnati, OH, US

Year founded

1883