Payor Relations Analyst (Remote)

Payor Relations Analyst (Remote)

Full-Time | Remote | Competitive Pay + Benefits

Overview: Are you a detail-oriented and analytical Payor Relations Analyst ready to support our Payor Relations Department in managing health plan contracts, analyzing pricing and reimbursement trends, and maintaining strong relationships with payor partners? If so, this role at a magnet hospital is made for you! You will play a key part in supporting contract negotiations, payor communications, and compliance initiatives across the organization.

This is a 100% Remote position, with a competitive compensation package, comprehensive benefits including health, dental, vision, and retirement plans. Along with ample opportunities for professional growth and advancement within a collaborative and mission-driven team environment!

Qualifications:

Education:

• Required: Bachelor’s degree in Business Administration, Finance, Economics, Data Analytics, or a Healthcare-related field

Licensure/Certification:

• Preferred: Epic Contract Maintenance Certification

Experience:

• Required: Minimum of two (2) years of health plan contracting or business analytic experience
• Understanding of Medi-Cal

Responsibilities:

• Support the Payor Relations Department in managing and tracking upcoming contract renewals, amendments, and Letters of Agreement (LOA) requests.

• Monitor and analyze payor trends through data extracted from Excel, Power BI, and/or Epic to support contract negotiation efforts.

• Oversee the administration of payor contracts, ensuring renewals, amendments, and compliance with contractual terms.

• Manage payor correspondence and distribute relevant updates across internal stakeholders.

• Review and distribute health plan-issued updates and pricing changes to ensure timely communication and alignment across teams.

• Manage the online inbox for patient inquiries related to insurance and benefit coverage.

• Conduct ongoing volume and payor analysis to identify performance trends and support strategic decision-making.

• Maintain current knowledge of regulatory issues , reimbursement methodologies, and billing compliance requirements.

• Support leadership in ongoing managed care contracting initiatives , including coordination and communication with payor representatives.

• Identify and escalate contract or reimbursement issues to appropriate stakeholders for resolution.

• Build and maintain positive relationships with payor partners to support collaboration and operational stability.

• Participate in compliance and regulatory education related to healthcare and hospital services.

• Perform other duties as assigned.

Skills & Competencies:

• Strong written and verbal communication skills with the ability to present confidently to groups.

• Ability to develop and maintain positive interpersonal relationships across departments.

• Proficiency in Microsoft Excel (pivot tables, VLOOKUPs, data analysis), Power BI , and other analytics tools.

• Working knowledge of Epic , contract management systems, and financial reporting databases.

• In-depth understanding of commercial, Medicare Advantage, and Medi-Cal Managed Care plans (PPO, HMO, POS, EPO).

• Strong understanding of healthcare pricing, reimbursement methodologies , and CMS coverage requirements (Part A, B, C).

• Ability to interpret complex regulations and navigate multiple patient accounting systems.

• Demonstrated problem-solving skills with a proactive, analytical mindset.

Apply today, and send your resume to [email protected]

Job Type: Full-time

Pay: $33.00 - $48.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Professional development assistance
• Retirement plan

Work Location: Remote