Payor Relations Analyst; PRA

Job Summary

We are looking for a Payor Relations Analyst to manage contracted payors, ensure compliance with contracts, and resolve accounts receivable issues. You will partner with Billing, Collections, Order-to-Cash, and Customer Service teams to drive process improvements and educate stakeholders on payor policy updates.

• Managing assigned contracted payors as the primary point of contact and subject matter expert, supporting issue resolution and operational alignment.
• Ensuring compliance with payor contracts, policies, and reimbursement rules.
• Resolving complex accounts receivable issues, including denials, underpayments, and payment delays, to support cash flow performance.
• Monitoring payor behavior and policy changes and translating impacts into operational guidance for internal teams.
• Partnering cross‑functionally with Billing, Collections, Order‑to‑Cash, and Customer Service teams to drive process improvements and educate stakeholders on payor policy updates.

Minimum qualifications:

• Bachelor’s degree or higher AND two (2) years of experience in healthcare revenue cycle, payor relations, billing, and/or accounts receivable.
• OR High School Diploma/GED AND six (6) years of experience in the same fields.

Additional required skills:

• Strong understanding of order‑to‑cash processes.
• Ability to analyze and apply payor policies and reimbursement rules operationally.
• Strong communication, problem‑solving, and relationship management skills.
• Ability to manage multiple priorities, escalations, and cross‑functional coordination in a fast‑paced environment.

Additional qualifications that could help you succeed:

• Experience supporting Commercial, Medicare, Medicaid, and/or Workers’ Compensation payors.
• Familiarity with national and regional health plans.
• Experience participating in cross‑functional projects and/or process improvement initiatives.

Remote / Hybrid Eligible (based on business needs)

Up to 25%

Not authorized

Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).

Compensation range: $73,600 - $101,200 (includes base pay plus variable incentive pay, if eligible). This range may vary based on relevant knowledge, training, skills, work location, and/or experience. Benefits include Medical, Dental & Vision, HSA, HCFSA, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits.

• Manage assigned contracted payors as the primary point of contact and subject matter expert, supporting issue resolution and operational alignment.
• Ensure compliance with payor contracts, policies, and reimbursement rules.
• Resolve complex accounts receivable issues, including denials, underpayments, and payment delays.
• Monitor payor behavior and policy changes and translate impacts into operational guidance.
• Partner cross‑functionally with Billing, Collections, Order‑to‑Cash, and Customer Service teams to drive process improvements and educate stakeholders.

Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers.

Please provide your education and work history either by uploading a resume or entering the information into the application fields directly.

Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.