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Remote Payor Relations Jobs (NOW HIRING)

Sword Health

VP, Consultant Relations

Charleston, WV · Remote

You will work cross-functionally with Enterprise and Payor Sales, Marketing, Customer Success ... Remote or Hybrid work policy. * To get to know more about our Tech Stack, check here. *This range ...

Shriners Children's

Professional Billing Specialist

$19.75 - $26.50/hr

Company Overview #LI-Remote Shriners Children's is an organization that respects, supports, and ... Coordinating payor denial and appeal follow up activities to ensure timely response from third ...

Shriners Children's

Professional Billing Specialist

$19.25 - $26/hr

Company Overview #LI-Remote Shriners Children's is an organization that respects, supports, and ... Coordinating payor denial and appeal follow up activities to ensure timely response from third ...

Banner Health

PFS Representative DME Collections

Phoenix, AZ · On-site +1

$16.25 - $17.75/hr

Location : REMOTE, Banner provides equipment Ideal candidate : * 1 year experience Patient ... Public Relations, you'll find many options for contributing to our award-winning patient care.

Banner Health

PFS Representative CBO Credits Team

Denver, CO · On-site +1

$17.75 - $19.25/hr

Remote Schedule : Monday-Friday, 8am-4:30pm (MST) at start, transitioning to 8hr shift between 6am ... Public Relations, you'll find many options for contributing to our award-winning patient care.

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How much do remote payor relations jobs pay per year?

As of Jun 5, 2026, the average yearly pay for remote 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 are the most common challenges faced by professionals in Remote Payor Relations roles, and how can they be effectively managed?

Professionals in Remote Payor Relations often encounter challenges such as navigating complex insurance policies, staying updated with frequently changing payor requirements, and fostering effective communication across virtual teams. Managing these challenges involves maintaining organized documentation, leveraging digital tools to track payor updates, and proactively collaborating with internal departments like billing and compliance. Developing strong relationships with payors and participating in ongoing training also help ensure smoother negotiations and issue resolution.

What is the difference between Remote Payor Relations vs Remote Claims Specialist?

AspectRemote Payor RelationsRemote Claims Specialist
CredentialsHealthcare experience, insurance knowledge, communication skillsMedical coding, billing certifications, attention to detail
Work EnvironmentOffice or remote, interacting with payers and providersRemote, processing and reviewing claims
Employer & IndustryHealthcare insurers, providers, third-party administratorsHospitals, clinics, insurance companies
Search & Comparison IntentUnderstanding payer relations, insurance negotiationsClaims processing, billing, reimbursement issues

Remote Payor Relations roles focus on managing relationships with insurance payers, negotiating coverage, and ensuring smooth communication. Remote Claims Specialists handle claims processing, billing, and reimbursement tasks. While both roles operate within the healthcare insurance industry and may require similar healthcare knowledge, their core responsibilities differ—one emphasizes payer relations, the other claims management.

What are Remote Payor Relations?

Remote Payor Relations professionals manage the relationships between healthcare providers and insurance payors from a remote location. Their primary responsibilities include negotiating contracts, resolving billing issues, ensuring compliance with regulations, and facilitating communication between providers and insurance companies. Working remotely, they leverage digital tools to handle documentation, meetings, and data analysis, helping organizations maximize reimbursements while maintaining positive partnerships with payors.

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

To thrive as a Remote Payor Relations Specialist, you need a strong understanding of healthcare reimbursement, contract negotiation, and insurance regulations, often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with payer portals, claims management systems, and contract management software is typically required. Excellent communication, problem-solving, and relationship-building skills help you navigate complex issues with payers and internal teams. These capabilities are essential to securing favorable contracts, resolving claim disputes, and ensuring financial stability for healthcare organizations.
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Remote Payor Relations jobs near you
VP, Consultant Relations

VP, Consultant Relations

Sword Health

Charleston, WV • Remote

Full-time

Posted 20 days ago

Job description

Sword Health is shifting healthcare from human-first to AI-first through its AI Care platform, making world-class healthcare available anytime, anywhere, while significantly reducing costs for payers, self-insured employers, national health systems, and other healthcare organizations. Sword began by reinventing pain care with AI at its core, and has since expanded into women’s health, movement health, and more recently mental health. Since 2020, more than 700,000 members across three continents have completed 10 million AI sessions, helping Sword's 1,000+ enterprise clients avoid over $1 billion in unnecessary healthcare costs. Backed by 42 clinical studies and over 44 patents, Sword Health has raised more than $500 million from leading investors, including Khosla Ventures, General Catalyst, Transformation Capital, and Founders Fund. Learn more at www.swordhealth.com.

The VP of Consultant Relations at Sword Health will spearhead the company’s global consultant and brokerage strategy, owning and scaling strategic partnerships with leading benefits consulting and advisory firms. This role is pivotal in expanding Sword’s market influence by positioning Sword as a trusted, category-defining, AI-first healthcare partner to consultants and their payer, employer, and health system clients. You will be responsible for crafting and executing strategies that leverage these partnerships to drive sustained growth, enterprise adoption, and long-term revenue impact.

This role reports to the Chief Enterprise Officer and is a core member of the Commercial Leadership Team.  You will work cross-functionally with Enterprise and Payor Sales, Marketing, Customer Success, Partnerships, Product, and Clinical teams. As the function scales, you will build, lead, and develop a high-performing Consultant Relations team focused on strategic influence, enablement, and pipeline acceleration.
What you'll be doing:
  • Lead the strategy and execution of Sword’s global consultant relations and alliance initiatives, ensuring alignment with company growth objectives.
  • Build, hire, and develop a top-tier Consultant Relations team, with a strong emphasis on talent development and performance.
  • Cultivate and maintain senior executive relationships with leading consulting and brokerage firms (e.g., Mercer, WTW, Aon, Lockton, Gallagher) to drive strategic collaboration and advocacy.
  • Own consultant-influenced pipeline and bookings targets, in partnership with Employer, Payor, and Enterprise Sales.
  • Develop consultant-specific engagement models, enablement programs, and go-to-market strategies that increase Sword’s footprint across the digital health ecosystem.
  • Partner closely with Sales and Marketing to optimize consultant- and broker-influenced pipeline generation, co-selling, and joint marketing efforts.
  • Serve as a trusted strategic advisor to consultants by articulating Sword’s clinical outcomes, AI differentiation, and economic value.
  • Monitor and report on alliance performance, consultant influence on pipeline, and ROI, making data-driven adjustments as needed.
  • Act as the primary executive liaison for high-level issues, contract negotiations, and representation at key industry, consultant, and partner events.
What you need to have:
  • 10+ years of experience in consultant relations, including 5+ years in a leadership role at a major benefits consulting or brokerage firm; experience at WTW, Aon, or Mercer strongly preferred.
  • Proven track record of developing and executing alliance strategies that drive meaningful and measurable business outcomes.
  • Deep understanding of the employer, payor, and digital health market, with the ability to influence complex, multi-stakeholder buying decisions.
  • Exceptional executive-level communication, negotiation, and relationship-building skills.
  • Experience leading cross-functional initiatives in fast-paced, data-driven environments.
  • Demonstrated history of exceeding alliance and partnership targets while balancing near-term impact with long-term strategic value.
To ensure you feel good solving a big Human problem, we offer:
  • A stimulating, fast-paced environment with lots of room for creativity.
  • A bright future at a promising high-tech startup company.
  • Career development and growth, with a competitive salary.
  • The opportunity to work with a talented team and to add real value to an innovative solution with the potential to change the future of healthcare.
  • A flexible environment where you can control your hours (remotely) with unlimited vacation.
  • Access to our health and well-being program (digital therapist sessions).
  • Remote or Hybrid work policy.
  • To get to know more about our Tech Stack, check here.
*This range includes base, variable and equity

These compensation bands are just the starting point. Once someone joins and proves they’re outlier talent, we adjust quickly to ensure their compensation aligns with their impact.

Our job titles may span more than one career level. Actual pay is determined by skills, qualifications, experience, location, market demand, and other factors. Compensation details listed in this posting reflect the base salary and any potential variable, bonus or sales incentives, and the Company’s estimation of the value of private company stock options, if applicable. The pay range is subject to change, future value of company stock options is not guaranteed, and compensation may be modified in the future. In addition to our total compensation, Sword offers a number of benefits as listed below.
US - Sword Benefits & Perks:

• Comprehensive health, dental and vision insurance*
• Life and AD&D Insurance*
• Financial advisory services*
• Supplemental Insurance Benefits (Accident, Hospital and Critical Illness)*
• Health Savings Account*
• Equity shares*
• Discretionary PTO plan*
• Parental leave*
• 401(k)
• Flexible working hours
• Remote-first company
• Paid company holidays
• Free digital therapist for you and your family

*Eligibility: Full-time employees regularly working 25+ hours per week

Note: Applicants must have a legal right to work in the United States, and immigration or work visa sponsorship will not be provided.


SWORD Health, which includes SWORD Health, Inc. and Sword Health Professionals (consisting of Sword Health Care Providers, P.A., SWORD Health Care Providers of NJ, P.C., SWORD Health Care Physical Therapy Providers of CA, P.C.*) complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.