Payor Relations Analyst (PRA)
Solventum, San Antonio, TX, United States
Payor Relations Analyst | Solventum
3M Health Care has transitioned to Solventum. This role is part of the growing Solventum team focused on improving healthcare delivery.
The Impact You'll Make in this Role
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 across systems and order‑to‑cash processes.
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.
Your Skills and Expertise Required qualifications:
Bachelor’s degree or higher from an accredited institution
plus
at least 2 years of experience in healthcare revenue cycle, payor relations, billing, and/or accounts receivable.
High School Diploma/GED from an accredited institution
plus
at least 6 years of experience in healthcare revenue cycle, payor relations, billing, and/or accounts receivable.
Additional required qualifications:
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.
Preferred qualifications:
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.
Work Location Remote / Hybrid Eligible (based on business needs)
Travel Up to 10%
Relocation Assistance Not authorized
Work Authorization Must be legally authorized to work in the country of employment without sponsorship for employment visa status (e.g., H1B status).
Supporting Your Well‑Being Solventum offers a comprehensive benefits program to support both physical and financial well‑being, including medical, dental and vision, health savings accounts, flexible spending accounts, disability benefits, life insurance, voluntary benefits, paid absences, and retirement benefits. Compensation for this position ranges from $73,600 to $101,200, plus variable incentive pay if eligible. For more details, visit the Solventum benefits portal.
Please note that your application may not be considered if you do not provide your education and work history, either by uploading a resume or entering the information into the application fields directly.
Equality, Diversity & Inclusion 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.
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The Impact You'll Make in this Role
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 across systems and order‑to‑cash processes.
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.
Your Skills and Expertise Required qualifications:
Bachelor’s degree or higher from an accredited institution
plus
at least 2 years of experience in healthcare revenue cycle, payor relations, billing, and/or accounts receivable.
High School Diploma/GED from an accredited institution
plus
at least 6 years of experience in healthcare revenue cycle, payor relations, billing, and/or accounts receivable.
Additional required qualifications:
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.
Preferred qualifications:
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.
Work Location Remote / Hybrid Eligible (based on business needs)
Travel Up to 10%
Relocation Assistance Not authorized
Work Authorization Must be legally authorized to work in the country of employment without sponsorship for employment visa status (e.g., H1B status).
Supporting Your Well‑Being Solventum offers a comprehensive benefits program to support both physical and financial well‑being, including medical, dental and vision, health savings accounts, flexible spending accounts, disability benefits, life insurance, voluntary benefits, paid absences, and retirement benefits. Compensation for this position ranges from $73,600 to $101,200, plus variable incentive pay if eligible. For more details, visit the Solventum benefits portal.
Please note that your application may not be considered if you do not provide your education and work history, either by uploading a resume or entering the information into the application fields directly.
Equality, Diversity & Inclusion 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.
#J-18808-Ljbffr